作者
Jasjit S Suri, Sushant Agarwal, Gian Luca Chabert, Alessandro Carriero, Alessio Paschè, Pietro SC Danna, Luca Saba, Armin Mehmedović, Gavino Faa, Inder M Singh, Monika Turk, Paramjit S Chadha, Amer M Johri, Narendra N Khanna, Sophie Mavrogeni, John R Laird, Gyan Pareek, Martin Miner, David W Sobel, Antonella Balestrieri, Petros P Sfikakis, George Tsoulfas, Athanasios D Protogerou, Durga Prasanna Misra, Vikas Agarwal, George D Kitas, Jagjit S Teji, Mustafa Al-Maini, Surinder K Dhanjil, Andrew Nicolaides, Aditya Sharma, Vijay Rathore, Mostafa Fatemi, Azra Alizad, Pudukode R Krishnan, Ferenc Nagy, Zoltan Ruzsa, Mostafa M Fouda, Subbaram Naidu, Klaudija Viskovic, Mannudeep K Kalra
发表日期
2022/6/16
期刊
Diagnostics
卷号
12
期号
6
页码范围
1482
出版商
MDPI
简介
Background
The previous COVID-19 lung diagnosis system lacks both scientific validation and the role of explainable artificial intelligence (AI) for understanding lesion localization. This study presents a cloud-based explainable AI, the “COVLIAS 2.0-cXAI” system using four kinds of class activation maps (CAM) models.
Methodology
Our cohort consisted of ~6000 CT slices from two sources (Croatia, 80 COVID-19 patients and Italy, 15 control patients). COVLIAS 2.0-cXAI design consisted of three stages: (i) automated lung segmentation using hybrid deep learning ResNet-UNet model by automatic adjustment of Hounsfield units, hyperparameter optimization, and parallel and distributed training, (ii) classification using three kinds of DenseNet (DN) models (DN-121, DN-169, DN-201), and (iii) validation using four kinds of CAM visualization techniques: gradient-weighted class activation mapping (Grad-CAM), Grad-CAM++, score-weighted CAM (Score-CAM), and FasterScore-CAM. The COVLIAS 2.0-cXAI was validated by three trained senior radiologists for its stability and reliability. The Friedman test was also performed on the scores of the three radiologists.
Results
The ResNet-UNet segmentation model resulted in dice similarity of 0.96, Jaccard index of 0.93, a correlation coefficient of 0.99, with a figure-of-merit of 95.99%, while the classifier accuracies for the three DN nets (DN-121, DN-169, and DN-201) were 98%, 98%, and 99% with a loss of ~0.003, ~0.0025, and ~0.002 using 50 epochs, respectively. The mean AUC for all three DN models was 0.99 (p < 0.0001). The COVLIAS 2.0-cXAI showed 80% scans for mean alignment index (MAI …
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