Differentiating novel coronavirus pneumonia from general pneumonia based on machine learning.

Background: Chest CT screening as supplementary means is crucial in diagnosing novel coronavirus pneumonia (COVID-19) with high sensitivity and popularity. Machine learning was adept in discovering intricate structures from CT images and achieved expert-level performance in medical image analysis.Me...

Descripción completa

Detalles Bibliográficos
Publicado en:BioMedical Engineering OnLine Vol. 19; no. 1
Autores principales: Liu, Chenglong, Wang, Xiaoyang, Liu, Chenbin, Sun, Qingfeng, Peng, Wenxian
Formato: Journal Article
Publicado: BioMed Central 8/19/2020
Acceso en línea:Ver este registro en EBSCOhost
fields @attributes:
  recordID: 1
pdfLink:
plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=145256711&site=ehost-live
header:
  @attributes:
    shortDbName: ccm
    uiTerm: 145256711
    longDbName: CINAHL Complete
    uiTag: AN
  controlInfo:
    bkinfo:
    dissinfo:
    jinfo:
      jid:
        1475925X
        1CGX
      jtl: BioMedical Engineering OnLine
      issn: 1475925X
      maglogo: N
    pubinfo:
      dt: 8/19/2020
      vid: 19
      iid: 1
      pid: 24147
      pub: BioMed Central
    artinfo:
      ui:
        145256711
        145256711
        NLM32814568
        10.1186/s12938-020-00809-9
        NLM32814568
        145256711
      ppct: 1
      formats:
      tig:
        atl: Differentiating novel coronavirus pneumonia from general pneumonia based on machine learning.
      aug:
        au:
          Liu, Chenglong
          Wang, Xiaoyang
          Liu, Chenbin
          Sun, Qingfeng
          Peng, Wenxian
        affil: School of Medical Instrument and Food Engineering, University of Shanghai for Science and Technology, 200093, Shanghai, China
      sug:
        subj:
          Pneumonia Diagnosis
          Image Processing, Computer Assisted
          Pneumonia, Viral Complications
          COVID-19 Complications
          Pneumonia Complications
          Female
          Male
          Tomography, X-Ray Computed
          Disease Outbreaks
          Impact of Events Scale
          Questionnaires
          Female
          Male
      ab: Background: Chest CT screening as supplementary means is crucial in diagnosing novel coronavirus pneumonia (COVID-19) with high sensitivity and popularity. Machine learning was adept in discovering intricate structures from CT images and achieved expert-level performance in medical image analysis.Methods: An integrated machine learning framework on chest CT images for differentiating COVID-19 from general pneumonia (GP) was developed and validated. Seventy-three confirmed COVID-19 cases were consecutively enrolled together with 27 confirmed general pneumonia patients from Ruian People's Hospital, from January 2020 to March 2020. To accurately classify COVID-19, region of interest (ROI) delineation was implemented based on ground-glass opacities (GGOs) before feature extraction. Then, 34 statistical texture features of COVID-19 and GP ROI images were extracted, including 13 gray-level co-occurrence matrix (GLCM) features, 15 gray-level-gradient co-occurrence matrix (GLGCM) features and 6 histogram features. High-dimensional features impact the classification performance. Thus, ReliefF algorithm was leveraged to select features. The relevance of each feature was the average weights calculated by ReliefF in n times. Features with relevance larger than the empirically set threshold T were selected. After feature selection, the optimal feature set along with 4 other selected feature combinations for comparison were applied to the ensemble of bagged tree (EBT) and four other machine learning classifiers including support vector machine (SVM), logistic regression (LR), decision tree (DT), and K-nearest neighbor with Minkowski distance equal weight (KNN) using tenfold cross-validation.Results and Conclusions: The classification accuracy (ACC), sensitivity (SEN), specificity (SPE) of our proposed method yield 94.16%, 88.62% and 100.00%, respectively. The area under the receiver operating characteristic curve (AUC) was 0.99. The experimental results indicate that the EBT algorithm with statistical textural features based on GGOs for differentiating COVID-19 from general pneumonia achieved high transferability, efficiency, specificity, sensitivity, and impressive accuracy, which is beneficial for inexperienced doctors to more accurately diagnose COVID-19 and essential for controlling the spread of the disease.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
    refInfo:
    holdings:
      @attributes:
        islocal: N