Feature-level ensemble approach for COVID-19 detection using chest X-ray images

PLoS One. 2022 Jul 14;17(7):e0268430. doi: 10.1371/journal.pone.0268430. eCollection 2022.

Abstract

Severe acute respiratory syndrome coronavirus 2 (SARS CoV-2), also known as the coronavirus disease 2019 (COVID-19), has threatened many human beings around the world and capsized economies at unprecedented magnitudes. Therefore, the detection of this disease using chest X-ray modalities has played a pivotal role in producing fast and accurate medical diagnoses, especially in countries that are unable to afford laboratory testing kits. However, identifying and distinguishing COVID-19 from virtually similar thoracic abnormalities utilizing medical images is challenging because it is time-consuming, demanding, and susceptible to human-based errors. Therefore, artificial-intelligence-driven automated diagnoses, which excludes direct human intervention, may potentially be used to achieve consistently accurate performances. In this study, we aimed to (i) obtain a customized dataset composed of a relatively small number of images collected from publicly available datasets; (ii) present the efficient integration of the shallow handcrafted features obtained from local descriptors, radiomics features specialized for medical images, and deep features aggregated from pre-trained deep learning architectures; and (iii) distinguish COVID-19 patients from healthy controls and pneumonia patients using a collection of conventional machine learning classifiers. By conducting extensive experiments, we demonstrated that the feature-based ensemble approach provided the best classification metrics, and this approach explicitly outperformed schemes that used only either local, radiomic, or deep features. In addition, our proposed method achieved state-of-the-art multi-class classification results compared to the baseline reference for the currently available COVID-19 datasets.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • COVID-19* / diagnostic imaging
  • Deep Learning*
  • Humans
  • Neural Networks, Computer
  • SARS-CoV-2
  • X-Rays

Grants and funding

This work was supported in part by the Basic Science Research Program through the National Research Foundation of Korea (NRF) funded by the Ministry of Education (Grant No. NRF-2020R1I1A3074141), and the "Regional Innovation Strategy (RIS)" through the National Research Foundation of Korea(NRF) funded by the Ministry of Education(MOE) (2021RIS-001 (1345341783)). The funder had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.