journal article·2022-07-27Open access

A Soft-Voting Ensemble Classifier for Detecting Patients Affected by COVID-19

Andrea Manconi, Giuliano Armano, Matteo Gnocchi, Luciano Milanesi

Applied Sciences· Volume 12· Issue 15

Abstract

COVID-19 is an ongoing global pandemic of coronavirus disease 2019, which may cause severe acute respiratory syndrome. This disease highlighted the limitations of health systems worldwide regarding managing the pandemic. In particular, the lack of diagnostic tests that can quickly and reliably detect infected patients has contributed to the spread of the virus. Reverse Transcriptase—Polymerase Chain Reaction (RT-PCR) and antigen tests, which are the main diagnostic tests for COVID-19, showed their limitations during the pandemic. In fact, RT-PCR requires several hours to provide a diagnosis and is not properly accurate, thus generating a high number of false negatives. Unlike RT-PCR, antigen tests provide rapid diagnosis but are less accurate in detecting COVID-19 positive patients. Medical imaging is an alternative diagnostic test for COVID-19. In particular, chest computed tomography allows detecting lung infections related to the disease with high accuracy. However, visual analysis of a chest scan generated by computed tomography is a demanding activity for radiologists, making widespread use of this test unfeasible. Therefore, it is essential to lighten their work with automated tools able to provide accurate diagnosis in a short time. To deal with this challenge, in this work, an approach based on 3D Inception CNNs is proposed. Specifically, 3D Inception-V1 and Inception-V3 models have been built and compared. Then, soft-voting ensemble classifier models have been separately built on these models to boost the performance. As for the individual models, results showed that Inception-V1 outperformed Inception-V3 according to different measures. As for the ensemble classifier models, the outcome of experiments pointed out that the adopted voting strategy boosted the performance of individual models. The best results have been achieved enforcing soft voting on Inception-V1 models.
Source: crossref · Quality: baseline

Research context

OpenAlex topics: COVID-19 diagnosis using AI · Anomaly Detection Techniques and Applications · AI in cancer detection

SciVX discovery tags are terminology-based. OpenAlex topics are source-provided classifications.

Affiliations

Institute of Biomedical Technologies, National Research Council of Italy, 20054 Segrate, Italy

Department of Mathematics and Computer Science, University of Cagliari, 09124 Cagliari, Italy

Funding

BBMRI.it

References (32)

Show source-provided references
1. Diagnostic Performance of an Antigen Test with RT-PCR for the Detection of SARS-CoV-2 in a Hospital Setting—Los Angeles County, California, June–August 202010.15585/mmwr.mm7019a3 ↗
2. CT features of SARS-CoV-2 pneumonia according to clinical presentation: A retrospective analysis of 120 consecutive patients from Wuhan city10.1007/s00330-020-06854-1 ↗
3. Performance of radiologists in differentiating COVID-19 from non-COVID-19 viral pneumonia at chest CT10.1148/radiol.2020200823 ↗
4. A survey on deep learning in medical image analysis10.1016/j.media.2017.07.005 ↗
5. Brain tumor classification using deep CNN features via transfer learning10.1016/j.compbiomed.2019.103345 ↗
6. Jadoon, M., Zhang, Q., Haq, I., Butt, S., and Jadoon, A. (2017). Three-class mammogram classification based on descriptive CNN features. BioMed Res. Int., 2017.10.1155/2017/3640901 ↗
7. Rahman, T., Chowdhury, M., Khandakar, A., Islam, K., Islam, K., Mahbub, Z., and Kashem, M.K.S. (2020). Transfer learning with deep convolutional neural network (CNN) for pneumonia detection using chest X-ray. Appl. Sci., 10.10.3390/app10093233 ↗
8. Lung cancer detection and classification with 3D convolutional neural network (3D-CNN)
9. Classification of CT brain images based on deep learning networks10.1016/j.cmpb.2016.10.007 ↗
10. COVID-19 detection in CT images with deep learning: A voting-based scheme and cross-datasets analysis10.1016/j.imu.2020.100427 ↗
11. Tan, M., and Le, Q. (2019, January 2–5). Efficientnet: Rethinking model scaling for convolutional neural networks. Proceedings of the International Conference on Machine Learning (PMLR), Long Beach, CA, USA.
12. CoVNet-19: A Deep Learning model for the detection and analysis of COVID-19 patients10.1016/j.asoc.2021.107184 ↗
13. Cristianini, N., and Shawe-Taylor, J. (2000). An Introduction to Support Vector Machines and other Kernel-Based Learning Methods, Cambridge University Press.10.1017/CBO9780511801389 ↗
14. Clinically applicable AI system for accurate diagnosis, quantitative measurements, and prognosis of COVID-19 pneumonia using computed tomography10.1016/j.cell.2020.04.045 ↗
15. Tahir, A., Qiblawey, Y., Khandakar, A., Rahman, T., Khurshid, U., Musharavati, F., Islam, M., Kiranyaz, S., Al-Maadeed, S., and Chowdhury, M. (2022). Deep learning for reliable classification of COVID-19, MERS, and SARS from chest X-ray images. Cogn. Comput., 1–21.10.1007/s12559-021-09955-1 ↗
16. Development and evaluation of an artificial intelligence system for COVID-19 diagnosis10.1038/s41467-020-18685-1 ↗
17. An artificial intelligence deep learning platform achieves high diagnostic accuracy for COVID-19 pneumonia by reading chest X-ray images10.1016/j.isci.2022.104031 ↗
18. Deep Transfer Learning Based Classification Model for COVID-19 Disease10.1016/j.irbm.2020.05.003 ↗
19. DCML: Deep contrastive mutual learning for COVID-19 recognition10.1016/j.bspc.2022.103770 ↗
20. Fast autoaugment
21. Aggarwal, P., Mishra, N., Fatimah, B., Singh, P., Gupta, A., and Joshi, S. (2022). COVID-19 image classification using deep learning: Advances, challenges and opportunities. Comput. Biol. Med., 105350.10.1016/j.compbiomed.2022.105350 ↗
22. Szegedy, C., Liu, W., Jia, Y., Sermanet, P., Reed, S., Anguelov, D., Erhan, D., Vanhoucke, V., and Rabinovich, A. (2015, January 7–12). Going deeper with convolutions. Proceedings of the IEEE Conference on Computer Vision and Pattern Recognition, Boston, MA, USA.10.1109/CVPR.2015.7298594 ↗
23. Szegedy, C., Vanhoucke, V., Ioffe, S., Shlens, J., and Wojna, Z. (2016, January 27–30). Rethinking the inception architecture for computer vision. Proceedings of the IEEE Conference on Computer Vision and Pattern Recognition, Las Vegas, NV, USA.10.1109/CVPR.2016.308 ↗
24. Zhou, Z.H. (2012). Ensemble Methods: Foundations and Algorithms, CRC Press.10.1201/b12207 ↗
25. Efron, B., and Tibshirani, R. (1994). An Introduction to the Bootstrap, CRC Press.10.1201/9780429246593 ↗
26. He, X., Wang, S., Shi, S., Chu, X., Tang, J., Liu, X., Yan, C., Zhang, J., and Ding, G. (2020). Benchmarking deep learning models and automated model design for COVID-19 detection with chest ct scans. medRxiv.10.1101/2020.06.08.20125963 ↗
27. Bellman, R. (1957). Dynamic Programming, Press Princeton.
28. Dropout: A simple way to prevent neural networks from overfitting
29. Imagenet classification with deep convolutional neural networks
30. Chen, L.C., Papandreou, G., Schroff, F., and Adam, H. (2017). Rethinking atrous convolution for semantic image segmentation. arXiv.
31. Hara, K., Kataoka, H., and Satoh, Y. (2017, January 22–29). Learning spatio-temporal features with 3d residual networks for action recognition. Proceedings of the IEEE International Conference on Computer Vision Workshops, Venice, Italy.10.1109/ICCVW.2017.373 ↗
32. Nguyen, D., Kay, F., Tan, J., Yan, Y., Ng, Y., Iyengar, P., Peshock, R., and Jiang, S. (2021). Deep learning-based COVID-19 pneumonia classification using chest CT images: Model generalizability. arXiv.10.3389/frai.2021.694875 ↗