Abstract

The application of deep convolutional neural networks (CNN) in the field of medical image processing has attracted extensive attention and demonstrated remarkable progress. An increasing number of deep learning methods have been devoted to classifying ChestX-ray (CXR) images, and most of the existing deep learning methods are based on classic pretrained models, trained by global ChestX-ray images. In this paper, we are interested in diagnosing ChestX-ray images using our proposed Fusion High-Resolution Network (FHRNet). The FHRNet concatenates the global average pooling layers of the global and local feature extractors—it consists of three branch convolutional neural networks and is fine-tuned for thorax disease classification. Compared with the results of other available methods, our experimental results showed that the proposed model yields a better disease classification performance for the ChestX-ray 14 dataset, according to the receiver operating characteristic curve and area-under-the-curve score. An ablation study further confirmed the effectiveness of the global and local branch networks in improving the classification accuracy of thorax diseases.

Highlights

  • ChestX-rays (CXRs) are often included in routine physical examinations

  • Every image is labelled with 14 different thorax diseases, with features extracted from radiologist reports

  • We found that the AFHRNet method achieved the expected a superior classification performance

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Summary

Introduction

ChestX-rays (CXRs) are often included in routine physical examinations. Due to the advantages of being rapid, simple and economical, X-ray photography has become the most popular method for performing chest examinations [1]. A ChestX-ray can clearly record gross lesions of the lungs, including pneumonia, masses and nodules. The interpretation of CXR images in current medical practice, is mainly performed by radiologists, through artificial reading. The ChestX-ray image of a patient needs to be read by a senior radiologist for at least 10 min to make a diagnosis and different doctors can make inconsistent diagnoses of the same ChestX-ray image, which means that the results are affected by the cognitive ability of the radiologist, subjective experience, fatigue and other factors [2]. Computer-aided diagnosis (CAD) can overcome the deficiencies of radiologists, make

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