A Deep Learning Model for Diagnosing COVID-19 and Pneumonia through X-ray

Curr Med Imaging. 2023;19(4):333-346. doi: 10.2174/1573405618666220610093740.

Abstract

Background: The new global pandemic caused by the 2019 novel coronavirus (COVID-19), novel coronavirus pneumonia, has spread rapidly around the world, causing enormous damage to daily life, public health security, and the global economy. Early detection and treatment of COVID-19 infected patients are critical to prevent the further spread of the epidemic. However, existing detection methods are unable to rapidly detect COVID-19 patients, so infected individuals are not detected in a timely manner, which complicates the prevention and control of COVID-19 to some extent. Therefore, it is crucial to develop a rapid and practical COVID-19 detection method. In this work, we explored the application of deep learning in COVID-19 detection to develop a rapid COVID-19 detection method.

Methods: Existing studies have shown that novel coronavirus pneumonia has significant radiographic performance. In this study, we analyze and select the features of chest radiographs. We propose a chest X-Ray (CXR) classification method based on the selected features and investigate the application of transfer learning in detecting pneumonia and COVID-19. Furthermore, we combine the proposed CXR classification method based on selected features with transfer learning and ensemble learning and propose an ensemble deep learning model based on transfer learning called COVID-ensemble to diagnose pneumonia and COVID-19 using chest x-ray images. The model aims to provide an accurate diagnosis for binary classification (no finding/pneumonia) and multivariate classification (COVID-19/No findings/ Pneumonia).

Results: Our proposed CXR classification method based on selection features can significantly improve the CXR classification accuracy of the CNN model. Using this method, DarkNet19 improved its binary and triple classification accuracies by 3.5% and 5.78%, respectively. In addition, the COVIDensemble achieved 91.5% accuracy in the binary classification task and 91.11% in the multi-category classification task. The experimental results demonstrate that the COVID-ensemble can quickly and accurately detect COVID-19 and pneumonia automatically through X-ray images and that the performance of this model is superior to that of several existing methods.

Conclusion: Our proposed COVID-ensemble can not only overcome the limitations of the conventional COVID-19 detection method RT-PCR and provide convenient and fast COVID-19 detection but also automatically detect pneumonia, thereby reducing the pressure on the medical staff. Using deep learning models to automatically diagnose COVID-19 and pneumonia from X-ray images can serve as a fast and efficient screening method for COVID-19 and pneumonia.

Keywords: COVID-19; Deep learning; X-ray; ensemble learning; pneumonia; transfer learning.

MeSH terms

  • COVID-19 Testing
  • COVID-19* / diagnostic imaging
  • Deep Learning*
  • Humans
  • Pneumonia* / diagnostic imaging
  • Radiography
  • SARS-CoV-2
  • X-Rays