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, Manudeep K Kalra
发表日期
2022/5/21
期刊
Diagnostics
卷号
12
期号
5
页码范围
1283
出版商
MDPI
简介
Background
COVID-19 is a disease with multiple variants, and is quickly spreading throughout the world. It is crucial to identify patients who are suspected of having COVID-19 early, because the vaccine is not readily available in certain parts of the world.
Methodology
Lung computed tomography (CT) imaging can be used to diagnose COVID-19 as an alternative to the RT-PCR test in some cases. The occurrence of ground-glass opacities in the lung region is a characteristic of COVID-19 in chest CT scans, and these are daunting to locate and segment manually. The proposed study consists of a combination of solo deep learning (DL) and hybrid DL (HDL) models to tackle the lesion location and segmentation more quickly. One DL and four HDL models—namely, PSPNet, VGG-SegNet, ResNet-SegNet, VGG-UNet, and ResNet-UNet—were trained by an expert radiologist. The training scheme adopted a fivefold cross-validation strategy on a cohort of 3000 images selected from a set of 40 COVID-19-positive individuals.
Results
The proposed variability study uses tracings from two trained radiologists as part of the validation. Five artificial intelligence (AI) models were benchmarked against MedSeg. The best AI model, ResNet-UNet, was superior to MedSeg by 9% and 15% for Dice and Jaccard, respectively, when compared against MD 1, and by 4% and 8%, respectively, when compared against MD 2. Statistical tests—namely, the Mann–Whitney test, paired t-test, and Wilcoxon test—demonstrated its stability and reliability, with p < 0.0001. The online system for each slice was <1 s.
Conclusions
The AI models reliably located and segmented …
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