作者
Arun Kumar Dubey, Gian Luca Chabert, Alessandro Carriero, Alessio Pasche, Pietro SC Danna, Sushant Agarwal, Lopamudra Mohanty, Nillmani, Neeraj Sharma, Sarita Yadav, Achin Jain, Ashish Kumar, Mannudeep K Kalra, David W Sobel, John R Laird, Inder M Singh, Narpinder Singh, George Tsoulfas, Mostafa M Fouda, Azra Alizad, George D Kitas, Narendra N Khanna, Klaudija Viskovic, Melita Kukuljan, Mustafa Al-Maini, Ayman El-Baz, Luca Saba, Jasjit S Suri
发表日期
2023/6/2
期刊
Diagnostics
卷号
13
期号
11
页码范围
1954
出版商
MDPI
简介
Background and motivation: Lung computed tomography (CT) techniques are high-resolution and are well adopted in the intensive care unit (ICU) for COVID-19 disease control classification. Most artificial intelligence (AI) systems do not undergo generalization and are typically overfitted. Such trained AI systems are not practical for clinical settings and therefore do not give accurate results when executed on unseen data sets. We hypothesize that ensemble deep learning (EDL) is superior to deep transfer learning (TL) in both non-augmented and augmented frameworks.
Methodology
The system consists of a cascade of quality control, ResNet–UNet-based hybrid deep learning for lung segmentation, and seven models using TL-based classification followed by five types of EDL’s. To prove our hypothesis, five different kinds of data combinations (DC) were designed using a combination of two multicenter cohorts—Croatia (80 COVID) and Italy (72 COVID and 30 controls)—leading to 12,000 CT slices. As part of generalization, the system was tested on unseen data and statistically tested for reliability/stability.
Results
Using the K5 (80:20) cross-validation protocol on the balanced and augmented dataset, the five DC datasets improved TL mean accuracy by 3.32%, 6.56%, 12.96%, 47.1%, and 2.78%, respectively. The five EDL systems showed improvements in accuracy of 2.12%, 5.78%, 6.72%, 32.05%, and 2.40%, thus validating our hypothesis. All statistical tests proved positive for reliability and stability.
Conclusion
EDL showed superior performance to TL systems for both (a) unbalanced and unaugmented and (b) balanced and augmented …
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