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• We analyze testing protocols used for Covid-19 detection used in the literature. • We successfully classify COVID images whose lungs areas are turned to black. • We try using different datasets for training and testing. • We show that many highly cited paper on this topic use biased testing protocols. In this paper, we compare and evaluate different testing protocols used for automatic COVID-19 diagnosis from X-Ray images in the recent literature. We show that similar results can be obtained using X-Ray images that do not contain most of the lungs. We are able to remove the lungs from the images by turning to black the center of the X-Ray scan and training our classifiers only on the outer part of the images. Hence, we deduce that several testing protocols for the recognition are not fair and that the neural networks are learning patterns in the dataset that are not correlated to the presence of COVID-19. Finally, we show that creating a fair testing protocol is a challenging task, and we provide a method to measure how fair a specific testing protocol is. In the future research we suggest to check the fairness of a testing protocol using our tools and we encourage researchers to look for better techniques than the ones that we propose. [ABSTRACT FROM AUTHOR]

Due to their open architecture, Internet of Things (IoT) devices have limited user access and are susceptible to various security vulnerabilities. When healthcare data is stored in the cloud, it often becomes vulnerable to side-channel attacks, Denial of Service (DoS) attacks, and eavesdropping. Consequently, there is a need for an efficient access control scheme to enhance the data-sharing processes of IoT devices. Different machine learning and rule-based decision support systems have been proposed to improve the security of cloud-based data storage. However, these models have exhibited increased false alarm rates, complex processing, and longer response times. To address this research gap, we propose a Fuzzy TOPSIS model based on Golden Search Optimization (GSO) to enhance the security of patient information at both IoT and cloud server levels. Additionally, we introduce a revolutionary Diagonal Kernel Convolution Neural Network with an adaptable kernel (DKCNN-AK) to enhance the accuracy of lung disease diagnosis. The GSO algorithm categorizes the security ranks determined by the fuzzy TOPSIS model into the best and worst security principles. We conducted simulations using the COVID-19 X-Ray detection dataset, the lung cancer dataset, and the data collected from IoT devices for analysis.The experiments were conducted to assess various aspects, including computational time, security level analysis, information leakage, privacy level, prediction accuracy, sensitivity, specificity, and confusion matrix. The improved prediction accuracy and security provided by our proposed approach demonstrate its efficiency • The IoT is now playing a vital role in the medical field's approach to providing people. • This paper presents DKCNN-AK architecture for disease prediction. • The DKCNN-AK architecture is used for both disease prediction and severity estimation. • The GSO optimized Fuzzy TOPSIS algorithm is used. [ABSTRACT FROM AUTHOR]

• A light weight CORONA-NET for diagnosing COVID-19 from chest X-ray images. • Deep feature extraction is performed by CNN, reduced yet strengthened by DWT. • The dataset included 3000 X-rays obtained locally through hospital in Denmark. • The method achieves excellent performance in comparison with the existing methods. • The proposed system has a 99.56 percent accuracy and 99.667 percent specificity. Since December 2019, COVID-19 has posed the most serious threat to living beings. With the advancement of vaccination programs around the globe, the need to quickly diagnose COVID-19 in general with little logistics is fore important. As a consequence, the fastest diagnostic option to stop COVID-19 from spreading, especially among senior patients, should be the development of an automated detection system. This study aims to provide a lightweight deep learning method that incorporates a convolutional neural network (CNN), discrete wavelet transform (DWT), and a long short-term memory (LSTM), called CORONA-NET for diagnosing COVID-19 from chest X-ray images. In this system, deep feature extraction is performed by CNN, the feature vector is reduced yet strengthened by DWT, and the extracted feature is detected by LSTM for prediction. The dataset included 3000 X-rays, 1000 of which were COVID-19 obtained locally. Within minutes of the test, the proposed test platform's prototype can accurately detect COVID-19 patients. The proposed method achieves state-of-the-art performance in comparison with the existing deep learning methods. We hope that the suggested method will hasten clinical diagnosis and may be used for patients in remote areas where clinical labs are not easily accessible due to a lack of resources, location, or other factors. [ABSTRACT FROM AUTHOR]

• In this research, we introduced a novel TB-UNet based on dilated fusion block (DF) and Attention gate (AG) mechanism for accurate segmentation of lung regions. • We also proposed TB-DenseNet, which is based on five dual convolution blocks, DenseNet-169 layer, and a feature fusion block for the precise classification of tuberculosis images. • The experiments have been performed on three chest X-ray (CXR) datasets, segmented images, and original images are fed to TB-DenseNet for better classification. Tuberculosis still significantly impacts the world's population, with more than 10 million people getting sick each year. Researchers have focused on developing computer-aided diagnosis (CAD) technology based on X-ray imaging to support the identification of tuberculosis, and deep learning is a popular and efficient method. However, deep learning-based CAD approaches usually ignore the relationship between the two vision tasks of specific region segmentation and classification. In this research, we introduced a novel TB-UNet, which is based on dilated fusion block (DF) and Attention block (AB) block for accurate segmentation of lungs regions and achieved the highest results in terms of Precision (0.9574), Recall (0.9512), and F1score (0.8988), IoU (0.8168) and Accuracy (0.9770). We also proposed TB-DenseNet which is based on five dual convolution blocks, DenseNet-169 layer, and a feature fusion block for the precise classification of tuberculosis images. The experiments have been performed on three chest X-ray (CXR) datasets, segmented images, and original images are fed to TB-DenseNet for better classification. Furthermore, the proposed method is tested against simultaneously three different diseases, such as Pneumonia, COVID-19, and Tuberculous. The highest results are achieved in terms of Precision (0.9567), Recall (0.9510), F1score (0.9538), and Accuracy (0.9510). The achieved results reflect that our proposed method produces the highest accuracy compared to the state-of-the-art methods. The source code is available at: https://github.com/ahmedeqbal/TB-DenseNet. [ABSTRACT FROM AUTHOR]

Pneumothorax can be life-threatening if not diagnosed on time. Most of the research studies for pneumothorax detection in chest X-rays (CXR) images have applied the transfer learning approach. In this study, we have explored the parameter-efficient attention based lightweight convolutional neural network (ALCNN) for pneumothorax detection in CXR images. It has stacked convolutional layers with the attention mechanism to re-calibrate channel-wise feature maps. Furthermore, we have also evaluated three different transfer learning approaches to compare the performance with ALCNN. The ALCNN has obtained the comparable results with 10x fewer parameters in comparison to VGG-19 and ResNet-50 architectures. The ALCNN achieved a 0.73 sensitivity and an area under curve (AUC) of 0.79 on the held-out test set. While pre-trained and fine-tuned, VGG, 19, achieved a sensitivity value of 0.52 and 0.71 and an AUC value of 0.72 and 0.81, respectively. Similarly, pre-trained and fine-tuned ResNet-50 achieved a sensitivity value of 0.69 and 0.74 and an AUC value of 0.77 and 0.80, respectively. In the third transfer learning approach, VGG, 19, and ResNet-50 obtained sensitivity values of 0.65 and 0.69, respectively, while the AUC value of 0.79 for both VGG-19 and ResNet-50. The results obtained in our study show that transfer learning did not have a significant impact on performance for pneumothorax detection in CXR. [Display omitted] • Parameter-efficient ALCNN model is proposed for pneumothorax detection in chest X-rays. • The ALCNN obtained comparable results with ten times less parameters when compared with three transfer learning approaches on two deep architectures. • Obtained results show that the transfer learning approaches did not have a significant effect on the performance for pneumothorax detection. [ABSTRACT FROM AUTHOR]

COVID-19 quickly became a global pandemic after only four months of its first detection. It is crucial to detect this disease as soon as possible to decrease its spread. The use of chest X-ray (CXR) images became an effective screening strategy, complementary to the reverse transcription-polymerase chain reaction (RT-PCR). Convolutional neural networks (CNNs) are often used for automatic image classification and they can be very useful in CXR diagnostics. In this paper, 21 different CNN architectures are tested and compared in the task of identifying COVID-19 in CXR images. They were applied to the COVIDx8B dataset, a large COVID-19 dataset with 16,352 CXR images coming from patients of at least 51 countries. Ensembles of CNNs were also employed and they showed better efficacy than individual instances. The best individual CNN instance results were achieved by DenseNet169, with an accuracy of 98.15% and an F1 score of 98.12%. These were further increased to 99.25% and 99.24%, respectively, through an ensemble with five instances of DenseNet169. These results are higher than those obtained in recent works using the same dataset. • This paper compares 21 CNN architectures for COVID-19 detection in CXR images. • DenseNet169 achieved an accuracy of 98.15% and an F1 score of 98.12%. • An ensemble of DenseNet169 instances increased the F1 score to 99.24%. • The training was repeated five times for each model to get more reliable results. [ABSTRACT FROM AUTHOR]

The novel COVID-19 pandemic, has effectively turned out to be one of the deadliest events in modern history, with unprecedented loss of human life, major economic and financial setbacks and has set the entire world back quite a few decades. However, detection of the COVID-19 virus has become increasingly difficult due to the mutating nature of the virus, and the rise in asymptomatic cases. To counteract this and contribute to the research efforts for a more accurate screening of COVID-19, we have planned this work. Here, we have proposed an ensemble methodology for deep learning models to solve the task of COVID-19 detection from chest X-rays (CXRs) to assist Computer-Aided Detection (CADe) for medical practitioners. We leverage the strategy of transfer learning for Convolutional Neural Networks (CNNs), widely adopted in recent literature, and further propose an efficient ensemble network for their combination. The DenseNet-201 architecture has been trained only once to generate multiple snapshots, offering diverse information about the extracted features from CXRs. We follow the strategy of decision-level fusion to combine the decision scores using the blending algorithm through a Random Forest (RF) meta-learner. Experimental results confirm the efficacy of the proposed ensemble method, as shown through impressive results upon two open access COVID-19 CXR datasets — the largest COVID-X dataset, as well as a smaller scale dataset. On the large COVID-X dataset, the proposed model has achieved an accuracy score of 94.55% and on the smaller dataset by Chowdhury et al., the proposed model has achieved a 98.13% accuracy score. • Proposed a CNN ensemble framework for medical practitioners. • A COVID-19 Detection system for Chest X-ray images is established. • Generated base model snapshots for ensembling by training the CNN model. • Followed decision-level fusion to combine decision scores using blending algorithm. • Appreciable results on largest COVID-X public dataset verifies the efficacy of the method. [ABSTRACT FROM AUTHOR]

Despite advances in Deep Learning, the Convolutional Neural Networks methods still manifest limitations in medical applications because datasets are usually restricted in the number of samples or include poorly contrasted images. Such a case is found in stenosis detection using X-rays coronary angiography. In this study, the emerging field of quantum computing is applied in the context of hybrid neural networks. So, a hybrid transfer-learning paradigm is used for stenosis detection, where a quantum network drives and improves the performance of a pre-trained classical network. An intermediate layer between the classical and quantum network post-processes the classical features by mapping them into a hypersphere of fixed radius through a hyperbolic tangent function. Next, these normalized features are processed in the quantum network, and through a SoftMax function, the class probabilities are obtained: stenosis and non-stenosis. Furthermore, a distributed variational quantum circuit is implemented to split the data into multiple quantum circuits within the quantum network, improving the training time without compromising the stenosis detection performance. The proposed method is evaluated on a small X-ray coronary angiography dataset containing 250 image patches (50%–50% of positive and negative stenosis cases). The hybrid classical–quantum network significantly outperformed the classical network. Evaluation results showed a boost concerning the classical transfer learning paradigm in the accuracy of 9%, recall of 20%, and F 1 -score of 11%, reaching 91.8033%, 94.9153%, and 91.8033%, respectively. • A quantum network boosts the performance of classical neural architecture. • An L 2 hyperbolic tangent layer bounds the features between classical and quantum stages. • The X-ray angiography images are analyzed to develop a robust stenosis detector system. • Transfer learning and quantum network substantially improved stenosis detection. • An efficient hybrid classical–quantum architecture is focused on stenosis detection. [ABSTRACT FROM AUTHOR]

• An deep learning system is proposed for automatic landmark detection in cephalometric X-ray images. • The proposed iterative method is used to fully extract and utilize the information associated with the landmarks in the images. • The transfer learning method between models is introduced, which allows the models between various types of landmarks to achieve the effect of shared learning and achieve mutual supplementation of information. • The system can effectively locate landmarks, providing considerable benefits in terms of reducing orthodontist workload and improving diagnostic accuracy and treatment efficiency. Cephalometric analysis is a commonly used method in modern orthodontic clinical diagnosis and treatment. The traditional way of manually marking cephalometric landmarks takes a long time, and it is difficult to obtain stable detection accuracy because of the uneven professionalism of doctors. In order to efficiently and accurately locate the landmarks of X-ray cephalograms, we propose a deep convolutional neural network (DCNN) system for automatic landmark detection in cephalometric X-ray images. And the system incorporates an iterative method while introducing the ideas of transfer learning and data enhancement. We first preprocess and expand the dataset of the cephalometric X-ray images. Then we use the preprocessed image to train a deep convolutional neural network and obtain preliminary prediction areas for various landmarks. Next, for each type of landmark, a detection process based on the iterative method is used to gradually reduce the prediction range in five iterations, which achieves more precise landmark positioning. Finally, the system restores the final predicted position in the original image by reversing the predicted coordinates. Our training set and test set proposed in the 2015 IEEE International Symposium on Biomedical Imaging each contain 150 cephalometric X-ray images. The accuracy of the system predicting 19 pairs of landmarks in the image within the error range of two millimeters reaches 87.51% on average. The experimental results and comparisons show that the iterative method does improve the accuracy and stability of location prediction and our cephalometric image landmark detector is effective in locating landmarks. [ABSTRACT FROM AUTHOR]

X-ray flaw detection is a key link in the detection of internal defects in titanium alloy castings which are used for most important components in aeroengines. However, the existing manual defect detection methods from the X-ray images have common drawbacks such as unstable artificial recognition, misdetection, misjudgment, fails of quantitative analysis, huge workload, and low-quality inspection efficiency. To avoid these drawbacks, this paper proposes a new artificial intelligent (AI) method to detect and recognize the aerospace titanium casting defects from the X-ray images. It includes the target defect positioning method named as filtered selective search algorithm (FSS) and the defect classification method named as evenly distributed convolutional neural network (ED-CNN). In the target positioning step, through statistical analysis of defect characteristics, a filtered selective search algorithm is built with two filters (size and edge curvature). In this way, the FSS algorithm can position the defects with almost 100 % of accuracy, hence avoid missed detection and false detection. In the target classification step, an ED-CNN is constructed with a similar structure of the same number of layers in each feature extraction stage, and its entire architecture is evenly distributed. Compared with other three classic high-performance convolutional neural network models (AlexNet, VGG16 and VGG19), the ED-CNN model has the best performance. The ED-CNN model was tested with 324 targets from 50 original images, a classification accuracy of nearly 90 % was obtained for low density holes, porosity, linear defects, high density inclusions and casting structure. The FSS/ED-CNN method of two phases defect detection proposed in this paper can achieve accurate positioning and high accurate classification of typical defect targets, and is expected to solve the common drawbacks of "manual defect detection". The newly-proposed FSS/ED-CNN method has important research significance and engineering value. [ABSTRACT FROM AUTHOR]