论文标题

使用胸部X射线筛查肺结核的深度学习方法

Deep Learning Methods for Screening Pulmonary Tuberculosis Using Chest X-rays

论文作者

Dasanayakaa, Chirath, Dissanayake, Maheshi Buddhinee

论文摘要

结核病(TB)是一种传染性的细菌空气传播疾病,是全球死亡的十大原因之一。根据世界卫生组织(WHO)的数据,2018年大约有18亿人感染了结核病和160万人死亡。更重要的是,95%的病例和死亡人数来自发展中国家。然而,通过早期诊断,结核病是一种完全可以治愈的疾病。为了实现这一目标,关键要求之一是有效利用现有的诊断技术,其中胸部X射线是用于筛选活动性结核的第一线诊断工具。提出的深度学习管道由三种不同的艺术状态组成,以生成,细分和分类肺X射线。除了此图像预处理,图像增强,基于遗传算法的超级参数调整和模型结合量还用于改善诊断过程。我们能够达到97.1%的分类准确性(Youden的指数-0.941,敏感性为97.9%,特异性为96.2%),与文献中现有的工作相比,这是一个很大的提高。在我们的工作中,我们使用胸部X射线介绍了高度准确,自动化的结核病筛查系统,这对少于合格的医疗专业人员的低收入国家有帮助。

Tuberculosis (TB) is a contagious bacterial airborne disease, and is one of the top 10 causes of death worldwide. According to the World Health Organization (WHO), around 1.8 billion people are infected with TB and 1.6 million deaths were reported in 2018. More importantly,95% of cases and deaths were from developing countries. Yet, TB is a completely curable disease through early diagnosis. To achieve this goal one of the key requirements is efficient utilization of existing diagnostic technologies, among which chest X-ray is the first line of diagnostic tool used for screening for active TB. The presented deep learning pipeline consists of three different state of the art deep learning architectures, to generate, segment and classify lung X-rays. Apart from this image preprocessing, image augmentation, genetic algorithm based hyper parameter tuning and model ensembling were used to to improve the diagnostic process. We were able to achieve classification accuracy of 97.1% (Youden's index-0.941,sensitivity of 97.9% and specificity of 96.2%) which is a considerable improvement compared to the existing work in the literature. In our work, we present an highly accurate, automated TB screening system using chest X-rays, which would be helpful especially for low income countries with low access to qualified medical professionals.

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