Deep Learning Approach for Analysis and Characterization of COVID-19

Early diagnosis of a pandemic disease like COVID-19 can help deal with a dire situation and help radiologists and other experts manage human resources more effectively. In a recent pandemic, laboratories perform diagnostics manually, which requires a lot of time and expertise of the laboratorial technicians to yield accurate results. Moreover, the cost of kits is high, and well-equipped labs are needed to perform this test. Therefore, other means of diagnosis is highly desirable. Radiography is one of the existing methods that finds its use in the diagnosis of COVID-19. The radiography observes change in Computed Tomography (CT) chest images of patients, developing a deep learning-based method to extract graphical features which are used for automated diagnosis of the disease ahead of laboratory-based testing. The proposed work suggests an Artificial Intelligence (AI) based technique for rapid diagnosis of COVID-19 from given volumetric chest CT images of patients by extracting its visual features and then using these features in the deep learning module. The proposed convolutional neural network aims to classify the infectious and non-infectious SARS-COV2 subjects. The proposed network utilizes 746 chests scanned CT images of 349 images belonging to COVID-19 positive cases, while 397 belong to negative cases of COVID-19. Our experiment resulted in an accuracy of 98.4%, sensitivity of 98.5%, specificity of 98.3%, precision of 97.1%, and F1-score of 97.8%. The additional parameters of classification error, mean absolute error (MAE), root-mean-square error (RMSE), and Matthew’s correlation coefficient (MCC) are used to evaluate our proposed work. The obtained result shows the outstanding performance for the classification of infectious and non-infectious for COVID-19 cases.     

A hybrid convolutional neural network model to detect COVID-19 and pneumonia using chest X-ray images

A hybrid convolutional neural network (CNN)-based model is proposed in the article for accurate detection of COVID-19, pneumonia, and normal patients using chest X-ray images. The input images are first pre-processed to tackle problems associated with the formation of the dataset from different sources, image quality issues, and imbalances in the dataset. The literature suggests that several abnormalities can be found with limited medical image datasets by using transfer learning. Hence, various pre-trained CNN models: VGG-19, InceptionV3, MobileNetV2, and DenseNet are adopted in the present work. Finally, with the help of these models, four hybrid models: VID (VGG-19, Inception, and DenseNet), VMI(VGG-19, MobileNet, and Inception), VMD (VGG-19, MobileNet, and DenseNet), and IMD(Inception, MobileNet, and DenseNet) are proposed. The model outcome is also tested using five-fold cross-validation. The best-performing hybrid model is the VMD model with an overall testing accuracy of 97.3%. Thus, a new hybrid model architecture is presented in the work that combines three individual base CNN models in a parallel configuration to counterbalance the shortcomings of individual models. The experimentation result reveals that the proposed hybrid model outperforms most of the previously suggested models. This model can also be used in the identification of diseases, especially in rural areas where limited laboratory facilities are available.     

Optimal Synergic Deep Learning for COVID-19 Classification Using Chest X-Ray Images

A chest radiology scan can significantly aid the early diagnosis and management of COVID-19 since the virus attacks the lungs. Chest X-ray (CXR) gained much interest after the COVID-19 outbreak thanks to its rapid imaging time, widespread availability, low cost, and portability. In radiological investigations, computer-aided diagnostic tools are implemented to reduce intra- and inter-observer variability. Using lately industrialized Artificial Intelligence (AI) algorithms and radiological techniques to diagnose and classify disease is advantageous. The current study develops an automatic identification and classification model for CXR pictures using Gaussian Filtering based Optimized Synergic Deep Learning using Remora Optimization Algorithm (GF-OSDL-ROA). This method is inclusive of preprocessing and classification based on optimization. The data is preprocessed using Gaussian filtering (GF) to remove any extraneous noise from the image’s edges. Then, the OSDL model is applied to classify the CXRs under different severity levels based on CXR data. The learning rate of OSDL is optimized with the help of ROA for COVID-19 diagnosis showing the novelty of the work. OSDL model, applied in this study, was validated using the COVID-19 dataset. The experiments were conducted upon the proposed OSDL model, which achieved a classification accuracy of 99.83%, while the current Convolutional Neural Network achieved less classification accuracy, i.e., 98.14%.     

Supervised Machine Learning-Based Prediction of COVID-19

COVID-19 turned out to be an infectious and life-threatening viral disease, and its swift and overwhelming spread has become one of the greatest challenges for the world. As yet, no satisfactory vaccine or medication has been developed that could guarantee its mitigation, though several efforts and trials are underway. Countries around the globe are striving to overcome the COVID-19 spread and while they are finding out ways for early detection and timely treatment. In this regard, healthcare experts, researchers and scientists have delved into the investigation of existing as well as new technologies. The situation demands development of a clinical decision support system to equip the medical staff ways to timely detect this disease. The state-of-the-art research in Artificial intelligence (AI), Machine learning (ML) and cloud computing have encouraged healthcare experts to find effective detection schemes. This study aims to provide a comprehensive review of the role of AI & ML in investigating prediction techniques for the COVID-19. A mathematical model has been formulated to analyze and detect its potential threat. The proposed model is a cloud-based smart detection algorithm using support vector machine (CSDC-SVM) with cross-fold validation testing. The experimental results have achieved an accuracy of 98.4% with 15-fold cross-validation strategy. The comparison with similar state-of-the-art methods reveals that the proposed CSDC-SVM model possesses better accuracy and efficiency.     

Intelligent Decision Support System for COVID-19 Empowered with Deep Learning

The prompt spread of Coronavirus (COVID-19) subsequently adorns a big threat to the people around the globe. The evolving and the perpetually diagnosis of coronavirus has become a critical challenge for the healthcare sector. Drastically increase of COVID-19 has rendered the necessity to detect the people who are more likely to get infected. Lately, the testing kits for COVID-19 are not available to deal it with required proficiency, along with-it countries have been widely hit by the COVID-19 disruption. To keep in view the need of hour asks for an automatic diagnosis system for early detection of COVID-19. It would be a feather in the cap if the early diagnosis of COVID-19 could reveal that how it has been affecting the masses immensely. According to the apparent clinical research, it has unleashed that most of the COVID-19 cases are more likely to fall for a lung infection. The abrupt changes do require a solution so the technology is out there to pace up, Chest X-ray and Computer tomography (CT) scan images could significantly identify the preliminaries of COVID-19 like lungs infection. CT scan and X-ray images could flourish the cause of detecting at an early stage and it has proved to be helpful to radiologists and the medical practitioners. The unbearable circumstances compel us to flatten the curve of the sufferers so a need to develop is obvious, a quick and highly responsive automatic system based on Artificial Intelligence (AI) is always there to aid against the masses to be prone to COVID-19. The proposed Intelligent decision support system for COVID-19 empowered with deep learning (ID2S-COVID19-DL) study suggests Deep learning (DL) based Convolutional neural network (CNN) approaches for effective and accurate detection to the maximum extent it could be, detection of coronavirus is assisted by using X-ray and CT-scan images. The primary experimental results here have depicted the maximum accuracy for training and is around 98.11 percent and for validation it comes out to be approximately 95.5 percent while statistical parameters like sensitivity and specificity for training is 98.03 percent and 98.20 percent respectively, and for validation 94.38 percent and 97.06 percent respectively. The suggested Deep Learning-based CNN model unleashed here opts for a comparable performance with medical experts and it is helpful to enhance the working productivity of radiologists. It could take the curve down with the downright contribution of radiologists, rapid detection of COVID-19, and to overcome this current pandemic with the proven efficacy.     

Deep Learning ResNet101 Deep Features of Portable Chest X-Ray Accurately Classify COVID-19 Lung Infection

This study is designed to develop Artificial Intelligence (AI) based analysis tool that could accurately detect COVID-19 lung infections based on portable chest x-rays (CXRs). The frontline physicians and radiologists suffer from grand challenges for COVID-19 pandemic due to the suboptimal image quality and the large volume of CXRs. In this study, AI-based analysis tools were developed that can precisely classify COVID-19 lung infection. Publicly available datasets of COVID-19 (N = 1525), non-COVID-19 normal (N = 1525), viral pneumonia (N = 1342) and bacterial pneumonia (N = 2521) from the Italian Society of Medical and Interventional Radiology (SIRM), Radiopaedia, The Cancer Imaging Archive (TCIA) and Kaggle repositories were taken. A multi-approach utilizing deep learning ResNet101 with and without hyperparameters optimization was employed. Additionally, the features extracted from the average pooling layer of ResNet101 were used as input to machine learning (ML) algorithms, which twice trained the learning algorithms. The ResNet101 with optimized parameters yielded improved performance to default parameters. The extracted features from ResNet101 are fed to the k-nearest neighbor (KNN) and support vector machine (SVM) yielded the highest 3-class classification performance of 99.86% and 99.46%, respectively. The results indicate that the proposed approach can be better utilized for improving the accuracy and diagnostic efficiency of CXRs. The proposed deep learning model has the potential to improve further the efficiency of the healthcare systems for proper diagnosis and prognosis of COVID-19 lung infection.     

A Scenario-Based Evaluation of COVID-19-Related Essential Clinical Resource Demands in China

The coronavirus disease 2019 (COVID-19) pandemic is a global crisis, and medical systems in many countries are overwhelmed with supply shortages and increasing demands to treat patients due to the surge in cases and severe illnesses. This study aimed to assess COVID-19-related essential clinical resource demands in China, based on different scenarios involving COVID-19 spreads and interventions. We used a susceptible–exposed–infectious–hospitalized/isolated–removed (SEIHR) transmission dynamics model to estimate the number of COVID-19 infections and hospitalizations with corresponding essential healthcare resources needed. We found that, under strict non-pharmaceutical interventions (NPIs) or mass vaccination of the population, China would be able to contain community transmission and local outbreaks rapidly. However, under scenarios involving a low intensity of implemented NPIs and a small proportion of the population vaccinated, the use of a peacetime–wartime transition model would be needed for medical source stockpiles and preparations to ensure a normal functioning healthcare system. The implementation of COVID-19 vaccines and NPIs in different periods can influence the transmission of COVID-19 and subsequently affect the demand for clinical diagnosis and treatment. An increased proportion of asymptomatic infections in simulations will not reduce the demand for medical resources; however, attention must be paid to the increasing difficulty in containing COVID-19 transmission due to asymptomatic cases. This study provides evidence for emergency preparations and the adjustment of prevention and control strategies during the COVID-19 pandemic. It also provides guidance for essential healthcare investment and resource allocation.     

Pulmonary Diseases Decision Support System Using Deep Learning Approach

Pulmonary diseases are common throughout the world, especially in developing countries. These diseases include chronic obstructive pulmonary diseases, pneumonia, asthma, tuberculosis, fibrosis, and recently COVID-19. In general, pulmonary diseases have a similar footprint on chest radiographs which makes them difficult to discriminate even for expert radiologists. In recent years, many image processing techniques and artificial intelligence models have been developed to quickly and accurately diagnose lung diseases. In this paper, the performance of four popular pretrained models (namely VGG16, DenseNet201, DarkNet19, and XceptionNet) in distinguishing between different pulmonary diseases was analyzed. To the best of our knowledge, this is the first published study to ever attempt to distinguish all four cases normal, pneumonia, COVID-19 and lung opacity from Chest-X-Ray (CXR) images. All models were trained using Chest-X-Ray (CXR) images, and statistically tested using 5-fold cross validation. Using individual models, XceptionNet outperformed all other models with a 94.775% accuracy and Area Under the Curve (AUC) of Receiver Operating Characteristic (ROC) of 99.84%. On the other hand, DarkNet19 represents a good compromise between accuracy, fast convergence, resource utilization, and near real time detection (0.33 s). Using a collection of models, the 97.79% accuracy achieved by Ensemble Features was the highest among all surveyed methods, but it takes the longest time to predict an image (5.68 s). An efficient effective decision support system can be developed using one of those approaches to assist radiologists in the field make the right assessment in terms of accuracy and prediction time, such a dependable system can be used in rural areas and various healthcare sectors.     

Automatic Detection of COVID-19 Using Chest X-Ray Images and Modified ResNet18-Based Convolution Neural Networks

The latest studies with radiological imaging techniques indicate that X-ray images provide valuable details on the Coronavirus disease 2019 (COVID-19). The usage of sophisticated artificial intelligence technology (AI) and the radiological images can help in diagnosing the disease reliably and addressing the problem of the shortage of trained doctors in remote villages. In this research, the automated diagnosis of Coronavirus disease was performed using a dataset of X-ray images of patients with severe bacterial pneumonia, reported COVID-19 disease, and normal cases. The goal of the study is to analyze the achievements for medical image recognition of state-of-the-art neural networking architectures. Transfer Learning technique has been implemented in this work. Transfer learning is an ambitious task, but it results in impressive outcomes for identifying distinct patterns in tiny datasets of medical images. The findings indicate that deep learning with X-ray imagery could retrieve important biomarkers relevant for COVID-19 disease detection. Since all diagnostic measures show failure levels that pose questions, the scientific profession should determine the probability of integration of X-rays with the clinical treatment, utilizing the results. The proposed model achieved 96.73% accuracy outperforming the ResNet50 and traditional Resnet18 models. Based on our findings, the proposed system can help the specialist doctors in making verdicts for COVID-19 detection.     

Utilization of HEVC ChaCha20-Based Selective Encryption for Secure Telehealth Video Conferencing

Coronavirus (COVID-19) is a contagious disease that causes exceptional effect on healthcare organizations worldwide with dangerous impact on medical services within the hospitals. Because of the fast spread of COVID-19, the healthcare facilities could be a big source of disease infection. So, healthcare video consultations should be used to decrease face-to-face communication between clinician and patients. Healthcare video consultations may be beneficial for some COVID-19 conditions and reduce the need for face-to-face contact with a potentially positive patient without symptoms. These conditions are like top clinicians who provide remote consultations to develop treatment methodology and follow-up remotely, patients who consult about COVID-19, and those who have mild symptoms suggestive of the COVID-19 virus. Video consultations are a supplement to, and not a substitute for, telephone consultations. It may also form part of a broader COVID-19 distance care strategy that contains computerized screening, separation of possibly infectious patients within medical services, and computerized video-intensive observing of their intensive care that helps reduce mixing. Nowadays, the spread of the COVID-19 virus helps to expand the use of video healthcare consultations because it helps to exchange experiences and remote medical consultations, save costs and health procedures used to cope with the pandemic of the COVID-19 virus, and monitor the progress of treatment plans, moment by moment from a distance with precision, clarity and ease. From this perspective, this paper introduces a high-efficiency video coding (HEVC) ChaCha20-based selective encryption (SE) scheme for secure healthcare video Consultations. The proposed HEVC ChaCha20-based SE scheme uses the ChaCha20 for encrypting the sign bits of the Discrete Cosine Transform (DCT) and Motion Vector Difference (MVD) in the HEVC entropy phase. The main achievement of HEVC ChaCha20-based SE scheme is encrypting the most sensitive video bits with keeping low delay time, fixed bit rate of the HEVC, and format compliance. Experimental tests guarantee that the proposed HEVC ChaCha20-based SE scheme can ensure the confidentiality of the healthcare video consultations which has become easy to transmit through the internet.     

A data driven agent-based model that recommends non-pharmaceutical interventions to suppress Coronavirus disease 2019 resurgence in megacities

Before herd immunity against Coronavirus disease 2019 (COVID-19) is achieved by mass vaccination, science-based guidelines for non-pharmaceutical interventions are urgently needed to reopen megacities. This study integrated massive mobile phone tracking records, census data and building characteristics into a spatially explicit agent-based model to simulate COVID-19 spread among 11.2 million individuals living in Shenzhen City, China. After validation by local epidemiological observations, the model was used to assess the probability of COVID-19 resurgence if sporadic cases occurred in a fully reopened city. Combined scenarios of three critical non-pharmaceutical interventions (contact tracing, mask wearing and prompt testing) were assessed at various levels of public compliance. Our results show a greater than 50% chance of disease resurgence if the city reopened without contact tracing. However, tracing household contacts, in combination with mandatory mask use and prompt testing, could suppress the probability of resurgence under 5% within four weeks. If household contact tracing could be expanded to work/class group members, the COVID resurgence could be avoided if 80% of the population wear facemasks and 40% comply with prompt testing. Our assessment, including modelling for different scenarios, helps public health practitioners tailor interventions within Shenzhen City and other world megacities under a variety of suppression timelines, risk tolerance, healthcare capacity and public compliance.     

Deep Rank-Based Average Pooling Network for Covid-19 Recognition

(Aim) To make a more accurate and precise COVID-19 diagnosis system, this study proposed a novel deep rank-based average pooling network (DRAPNet) model, i.e., deep rank-based average pooling network, for COVID-19 recognition. (Methods) 521 subjects yield 1164 slice images via the slice level selection method. All the 1164 slice images comprise four categories: COVID-19 positive; community-acquired pneumonia; second pulmonary tuberculosis; and healthy control. Our method firstly introduced an improved multiple-way data augmentation. Secondly, an n-conv rank-based average pooling module (NRAPM) was proposed in which rank-based pooling—particularly, rank-based average pooling (RAP)—was employed to avoid overfitting. Third, a novel DRAPNet was proposed based on NRAPM and inspired by the VGG network. Grad-CAM was used to generate heatmaps and gave our AI model an explainable analysis. (Results) Our DRAPNet achieved a micro-averaged F1 score of 95.49% by 10 runs over the test set. The sensitivities of the four classes were 95.44%, 96.07%, 94.41%, and 96.07%, respectively. The precisions of four classes were 96.45%, 95.22%, 95.05%, and 95.28%, respectively. The F1 scores of the four classes were 95.94%, 95.64%, 94.73%, and 95.67%, respectively. Besides, the confusion matrix was given. (Conclusions) The DRAPNet is effective in diagnosing COVID-19 and other chest infectious diseases. The RAP gives better results than four other methods: strided convolution, l₂-norm pooling, average pooling, and max pooling.     

Drone-based AI/IoT Framework for Monitoring,Tracking and Fighting Pandemics

Since World Health Organization (WHO) has declared the Coronavirus disease (COVID-19) a global pandemic, the world has changed. All life's fields and daily habits have moved to adapt to this new situation. According to WHO, the probability of such virus pandemics in the future is high, and recommends preparing for worse situations. To this end, this work provides a framework for monitoring, tracking, and fighting COVID-19 and future pandemics. The proposed framework deploys unmanned aerial vehicles (UAVs), e.g.; quadcopter and drone, integrated with artificial intelligence (AI) and Internet of Things (IoT) to monitor and fight COVID-19. It consists of two main systems; AI/IoT for COVID-19 monitoring and drone-based IoT system for sterilizing. The two systems are integrated with the IoT paradigm and the developed algorithms are implemented on distributed fog units connected to the IoT network and controlled by software-defined networking (SDN). The proposed work is built based on a thermal camera mounted in a face-shield, or on a helmet that can be used by people during pandemics. The detected images, thermal images, are processed by the developed AI algorithm that is built based on the convolutional neural network (CNN). The drone system can be called, by the IoT system connected to the helmet, once infected cases are detected. The drone is used for sterilizing the area that contains multiple infected people. The proposed framework employs a single centralized SDN controller to control the network operations. The developed system is experimentally evaluated, and the results are introduced. Results indicate that the developed framework provides a novel, efficient scheme for monitoring and fighting COVID-19 and other future pandemics.     

IoT & AI Enabled Three-Phase Secure and Non-Invasive COVID 19 Diagnosis System

Corona is a viral disease that has taken the form of an epidemic and is causing havoc worldwide after its first appearance in the Wuhan state of China in December 2019. Due to the similarity in initial symptoms with viral fever, it is challenging to identify this virus initially. Non-detection of this virus at the early stage results in the death of the patient. Developing and densely populated countries face a scarcity of resources like hospitals, ventilators, oxygen, and healthcare workers. Technologies like the Internet of Things (IoT) and artificial intelligence can play a vital role in diagnosing the COVID-19 virus at an early stage. To minimize the spread of the pandemic, IoT-enabled devices can be used to collect patient’s data remotely in a secure manner. Collected data can be analyzed through a deep learning model to detect the presence of the COVID-19 virus. In this work, the authors have proposed a three-phase model to diagnose covid-19 by incorporating a chatbot, IoT, and deep learning technology. In phase one, an artificially assisted chatbot can guide an individual by asking about some common symptoms. In case of detection of even a single sign, the second phase of diagnosis can be considered, consisting of using a thermal scanner and pulse oximeter. In case of high temperature and low oxygen saturation levels, the third phase of diagnosis will be recommended, where chest radiography images can be analyzed through an AI-based model to diagnose the presence of the COVID-19 virus in the human body. The proposed model reduces human intervention through chatbot-based initial screening, sensor-based IoT devices, and deep learning-based X-ray analysis. It also helps in reducing the mortality rate by detecting the presence of the COVID-19 virus at an early stage.     

A deep learning approach for classification of COVID and pneumonia using DenseNet-201

In the present paper, our model consists of deep learning approach: DenseNet201 for detection of COVID and Pneumonia using the Chest X-ray Images. The model is a framework consisting of the modeling software which assists in Health Insurance Portability and Accountability Act Compliance which protects and secures the Protected Health Information . The need of the proposed framework in medical facilities shall give the feedback to the radiologist for detecting COVID and pneumonia though the transfer learning methods. A Graphical User Interface tool allows the technician to upload the chest X-ray Image. The software then uploads chest X-ray radiograph (CXR) to the developed detection model for the detection. Once the radiographs are processed, the radiologist shall receive the Classification of the disease which further aids them to verify the similar CXR Images and draw the conclusion. Our model consists of the dataset from Kaggle and if we observe the results, we get an accuracy of 99.1%, sensitivity of 98.5%, and specificity of 98.95%. The proposed Bio-Medical Innovation is a user-ready framework which assists the medical providers in providing the patients with the best-suited medication regimen by looking into the previous CXR Images and confirming the results. There is a motivation to design more such applications for Medical Image Analysis in the future to serve the community and improve the patient care.     

On the Detection of COVID-19 from Chest X-Ray Images Using CNN-Based Transfer Learning

Coronavirus disease (COVID-19) is an extremely infectious disease and possibly causes acute respiratory distress or in severe cases may lead to death. There has already been some research in dealing with coronavirus using machine learning algorithms, but few have presented a truly comprehensive view. In this research, we show how convolutional neural network (CNN) can be useful to detect COVID-19 using chest X-ray images. We leverage the CNN-based pre-trained models as feature extractors to substantiate transfer learning and add our own classifier in detecting COVID-19. In this regard, we evaluate performance of five different pre-trained models with fine-tuning the weights from some of the top layers. We also develop an ensemble model where the predictions from all chosen pre-trained models are combined to generate a single output. The models are evaluated through 5-fold cross validation using two publicly available data repositories containing healthy and infected (both COVID-19 and other pneumonia) chest X-ray images. We also leverage two different visualization techniques to observe how efficiently the models extract important features related to the detection of COVID- 19 patients. The models show high degree of accuracy, precision, and sensitivity. We believe that the models will aid medical professionals with improved and faster patient screening and pave a way to further COVID-19 research.     

An integrated feature frame work for automated segmentation of COVID‐19 infection from lung CT images

The novel coronavirus disease (SARS‐CoV‐2 or COVID‐19) is spreading across the world and is affecting public health and the world economy. Artificial Intelligence (AI) can play a key role in enhancing COVID‐19 detection. However, lung infection by COVID‐19 is not quantifiable due to a lack of studies and the difficulty involved in the collection of large datasets. Segmentation is a preferred technique to quantify and contour the COVID‐19 region on the lungs using computed tomography (CT) scan images. To address the dataset problem, we propose a deep neural network (DNN) model trained on a limited dataset where features are selected using a region‐specific approach. Specifically, we apply the Zernike moment (ZM) and gray level co‐occurrence matrix (GLCM) to extract the unique shape and texture features. The feature vectors computed from these techniques enable segmentation that illustrates the severity of the COVID‐19 infection. The proposed algorithm was compared with other existing state‐of‐the‐art deep neural networks using the Radiopedia and COVID‐19 CT Segmentation datasets presented specificity, sensitivity, sensitivity, mean absolute error (MAE), enhance‐alignment measure (EM_φ), and structure measure (S_m) of 0.942, 0.701, 0.082, 0.867, and 0.783, respectively. The metrics demonstrate the performance of the model in quantifying the COVID‐19 infection with limited datasets.     

Towards an Artificial Intelligence Framework for Data-Driven Prediction of Coronavirus Clinical Severity

The virus SARS-CoV2, which causes coronavirus disease (COVID-19) has become a pandemic and has spread to every inhabited continent. Given the increasing caseload, there is an urgent need to augment clinical skills in order to identify from among the many mild cases the few that will progress to critical illness. We present a first step towards building an artificial intelligence (AI) framework, with predictive analytics (PA) capabilities applied to real patient data, to provide rapid clinical decision-making support. COVID-19 has presented a pressing need as a) clinicians are still developing clinical acumen to this novel disease and b) resource limitations in a surging pandemic require difficult resource allocation decisions. The objectives of this research are: (1) to algorithmically identify the combinations of clinical characteristics of COVID-19 that predict outcomes, and (2) to develop a tool with AI capabilities that will predict patients at risk for more severe illness on initial presentation. The predictive models learn from historical data to help predict who will develop acute respiratory distress syndrome (ARDS), a severe outcome in COVID-19. Our results, based on data from two hospitals in Wenzhou, Zhejiang, China, identified features on initial presentation with COVID-19 that were most predictive of later development of ARDS. A mildly elevated alanine aminotransferase (ALT) (a liver enzyme), the presence of myalgias (body aches), and an elevated hemoglobin (red blood cells), in this order, are the clinical features, on presentation, that are the most predictive. The predictive models that learned from historical data of patients from these two hospitals achieved 70% to 80% accuracy in predicting severe cases.     

Efficient Deep CNN Model for COVID-19 Classification

Coronavirus (COVID-19) infection was initially acknowledged as a global pandemic in Wuhan in China. World Health Organization (WHO) stated that the COVID-19 is an epidemic that causes a 3.4% death rate. Chest X-Ray (CXR) and Computerized Tomography (CT) screening of infected persons are essential in diagnosis applications. There are numerous ways to identify positive COVID-19 cases. One of the fundamental ways is radiology imaging through CXR, or CT images. The comparison of CT and CXR scans revealed that CT scans are more effective in the diagnosis process due to their high quality. Hence, automated classification techniques are required to facilitate the diagnosis process. Deep Learning (DL) is an effective tool that can be utilized for detection and classification this type of medical images. The deep Convolutional Neural Networks (CNNs) can learn and extract essential features from different medical image datasets. In this paper, a CNN architecture for automated COVID-19 detection from CXR and CT images is offered. Three activation functions as well as three optimizers are tested and compared for this task. The proposed architecture is built from scratch and the COVID-19 image datasets are directly fed to train it. The performance is tested and investigated on the CT and CXR datasets. Three activation functions: Tanh, Sigmoid, and ReLU are compared using a constant learning rate and different batch sizes. Different optimizers are studied with different batch sizes and a constant learning rate. Finally, a comparison between different combinations of activation functions and optimizers is presented, and the optimal configuration is determined. Hence, the main objective is to improve the detection accuracy of COVID-19 from CXR and CT images using DL by employing CNNs to classify medical COVID-19 images in an early stage. The proposed model achieves a classification accuracy of 91.67% on CXR image dataset, and a classification accuracy of 100% on CT dataset with training times of 58 min and 46 min on CXR and CT datasets, respectively. The best results are obtained using the ReLU activation function combined with the SGDM optimizer at a learning rate of 10⁻⁵ and a minibatch size of 16.     

An Efficient CNN-Based Hybrid Classification and Segmentation Approach for COVID-19 Detection

COVID-19 remains to proliferate precipitously in the world. It has significantly influenced public health, the world economy, and the persons’ lives. Hence, there is a need to speed up the diagnosis and precautions to deal with COVID-19 patients. With this explosion of this pandemic, there is a need for automated diagnosis tools to help specialists based on medical images. This paper presents a hybrid Convolutional Neural Network (CNN)-based classification and segmentation approach for COVID-19 detection from Computed Tomography (CT) images. The proposed approach is employed to classify and segment the COVID-19, pneumonia, and normal CT images. The classification stage is firstly applied to detect and classify the input medical CT images. Then, the segmentation stage is performed to distinguish between pneumonia and COVID-19 CT images. The classification stage is implemented based on a simple and efficient CNN deep learning model. This model comprises four Rectified Linear Units (ReLUs), four batch normalization layers, and four convolutional (Conv) layers. The Conv layer depends on filters with sizes of 64, 32, 16, and 8. A 2 × 2 window and a stride of 2 are employed in the utilized four max-pooling layers. A soft-max activation function and a Fully-Connected (FC) layer are utilized in the classification stage to perform the detection process. For the segmentation process, the Simplified Pulse Coupled Neural Network (SPCNN) is utilized in the proposed hybrid approach. The proposed segmentation approach is based on salient object detection to localize the COVID-19 or pneumonia region, accurately. To summarize the contributions of the paper, we can say that the classification process with a CNN model can be the first stage a highly-effective automated diagnosis system. Once the images are accepted by the system, it is possible to perform further processing through a segmentation process to isolate the regions of interest in the images. The region of interest can be assesses both automatically and through experts. This strategy helps so much in saving the time and efforts of specialists with the explosion of COVID-19 pandemic in the world. The proposed classification approach is applied for different scenarios of 80%, 70%, or 60% of the data for training and 20%, 30, or 40% of the data for testing, respectively. In these scenarios, the proposed approach achieves classification accuracies of 100%, 99.45%, and 98.55%, respectively. Thus, the obtained results demonstrate and prove the efficacy of the proposed approach for assisting the specialists in automated medical diagnosis services.