Abstract

Coronavirus disease 2019 (COVID-19) has accounted for millions of causalities. While it affects not only individuals but also our collective healthcare and economic systems, testing is insufficient and costly hampering efforts to deal with the pandemic. Chest X-rays are routine radiographic imaging tests that are used for the diagnosis of respiratory conditions such as pneumonia and COVID-19. Convolutional neural networks have shown promise to be effective at classifying X-rays for assisting diagnosis of conditions; however, achieving robust performance demanded in most modern medical applications typically requires a large number of samples. While there exist datasets containing thousands of X-ray images of patients with healthy and pneumonia diagnoses, because COVID-19 is such a recent phenomenon, there are relatively few confirmed COVID-19 positive chest X-rays openly available to the research community. In this paper, we demonstrate the effectiveness of cycle-generative adversarial network, commonly used for neural style transfer, as a way to augment COVID-19 negative X-ray images to look like COVID-19 positive images for increasing the number of COVID-19 positive training samples. The statistical results show an increase in the mean macro f1-score over 21% on a one-tailed t score = 2.68 and p value = 0.01 to accept our alternative hypothesis for an alpha = 0.05. We conclude that this approach, when used in conjunction with standard transfer learning techniques, is effective at improving the performance of COVID-19 classifiers for a variety of common convolutional neural networks.

Highlights

  • Coronaviruses are a family of microorganisms known to cause respiratory infections

  • We discuss the transfer learning performance over ten of the most common open-access convolutional neural networks (CNNs) across six different models trained over covid-synthetic images

  • We focused on the task of chest X-ray radiograph for the diagnosis of COVID-19 as a computational alternative to accelerate the development of machine learning technology to assist in the diagnosis of this medical condition

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Summary

Introduction

Coronaviruses are a family of microorganisms known to cause respiratory infections. Symptoms of COVID-19 share some visual similarities with other common respiratory diseases such as pneumonia [20] when observed using an X-ray scanning machine. One of the routine test techniques currently used to assist in diagnosing COVID-19 consists of chest radiological imaging such as computed tomography and X-ray radiographs [38]. Chan et al [3] show evidence that early symptoms can be observed in X-rays in infected areas of a patient’s chest. Yoon et al [35] have shown that X-ray images contain features helpful in distinguishing COVID-19 from other respiratory diseases, such as opacity in the lower lung, providing a more accurate diagnosis of COVID-19

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