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This paper addresses the significant problem of identifying the relevant background and contextual literature related to deep learning (DL) as an evolving technology in order to provide a comprehensive analysis of the application of DL to the specific problem of pneumonia detection via chest X-ray (CXR) imaging, which is the most common and cost-effective imaging technique available worldwide for pneumonia diagnosis. This paper in particular addresses the key period associated with COVID-19, 2020–2023, to explain, analyze, and systematically evaluate the limitations of approaches and determine their relative levels of effectiveness. The context in which DL is applied as both an aid to and an automated substitute for existing expert radiography professionals, who often have limited availability, is elaborated in detail. The rationale for the undertaken research is provided, along with a justification of the resources adopted and their relevance. This explanatory text and the subsequent analyses are intended to provide sufficient detail of the problem being addressed, existing solutions, and the limitations of these, ranging in detail from the specific to the more general. Indeed, our analysis and evaluation agree with the generally held view that the use of transformers, specifically, vision transformers (ViTs), is the most promising technique for obtaining further effective results in the area of pneumonia detection using CXR images. However, ViTs require extensive further research to address several limitations, specifically the following: biased CXR datasets, data and code availability, the ease with which a model can be explained, systematic methods of accurate model comparison, the notion of class imbalance in CXR datasets, and the possibility of adversarial attacks, the latter of which remains an area of fundamental research. [ABSTRACT FROM AUTHOR]

In the domain of AI-driven healthcare, deep learning models have markedly advanced pneumonia diagnosis through X-ray image analysis, thus indicating a significant stride in the efficacy of medical decision systems. This paper presents a novel approach utilizing a deep convolutional neural network that effectively amalgamates the strengths of EfficientNetB0 and DenseNet121, and it is enhanced by a suite of attention mechanisms for refined pneumonia image classification. Leveraging pre-trained models, our network employs multi-head, self-attention modules for meticulous feature extraction from X-ray images. The model's integration and processing efficiency are further augmented by a channel-attention-based feature fusion strategy, one that is complemented by a residual block and an attention-augmented feature enhancement and dynamic pooling strategy. Our used dataset, which comprises a comprehensive collection of chest X-ray images, represents both healthy individuals and those affected by pneumonia, and it serves as the foundation for this research. This study delves deep into the algorithms, architectural details, and operational intricacies of the proposed model. The empirical outcomes of our model are noteworthy, with an exceptional performance marked by an accuracy of 95.19%, a precision of 98.38%, a recall of 93.84%, an F1 score of 96.06%, a specificity of 97.43%, and an AUC of 0.9564 on the test dataset. These results not only affirm the model's high diagnostic accuracy, but also highlight its promising potential for real-world clinical deployment. [ABSTRACT FROM AUTHOR]

The coronavirus occurred in Wuhan (China) first and it was declared a global pandemic. To detect coronavirus X-ray images can be used. Convolutional neural networks (CNNs) are used commonly to detect illness from images. There can be lots of different alternative deep CNN models or architectures. To find the best architecture, hyper-parameter optimization can be used. In this study, the problem is modeled as a multi-objective optimization (MOO) problem. Objective functions are multi-class cross entropy, error ratio, and complexity of the CNN network. For the best solutions to the objective functions, multi-objective hyper-parameter optimization is made by NSGA-III, NSGA-II, R-NSGA-II, SMS-EMOA, MOEA/D, and proposed Swarm Genetic Algorithms (SGA). SGA is a swarm-based algorithm with a cross-over process. All six algorithms are run and give Pareto optimal solution sets. When the figures obtained from the algorithms are analyzed and algorithm hypervolume values are compared, SGA outperforms the NSGA-III, NSGA-II, R-NSGA-II, SMS-EMOA, and MOEA/D algorithms. It can be concluded that SGA is better than others for multi-objective hyper-parameter optimization algorithms for COVID-19 detection from X-ray images. Also, a sensitivity analysis has been made to understand the effect of the number of the parameters of CNN on model success. [ABSTRACT FROM AUTHOR]