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      From Hume to Wuhan: An Epistemological Journey on the Problem of Induction in COVID-19 Machine Learning Models and its Impact Upon Medical Research

      research-article
      Ieee Access
      IEEE
      Biomedical imaging, machine learning, philosophical considerations, computational systems biology, X-rays

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          Abstract

          Advances in computer science have transformed the way artificial intelligence is employed in academia, with Machine Learning (ML) methods easily available to researchers from diverse areas thanks to intuitive frameworks that yield extraordinary results. Notwithstanding, current trends in the mainstream ML community tend to emphasise wins over knowledge, putting the scientific method aside, and focusing on maximising metrics of interest. Methodological flaws lead to poor justification of method choice, which in turn leads to disregard the limitations of the methods employed, ultimately putting at risk the translation of solutions into real-world clinical settings. This work exemplifies the impact of the problem of induction in medical research, studying the methodological issues of recent solutions for computer-aided diagnosis of COVID-19 from chest X-Ray images.

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          Most cited references63

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          Automated detection of COVID-19 cases using deep neural networks with X-ray images

          The novel coronavirus 2019 (COVID-2019), which first appeared in Wuhan city of China in December 2019, spread rapidly around the world and became a pandemic. It has caused a devastating effect on both daily lives, public health, and the global economy. It is critical to detect the positive cases as early as possible so as to prevent the further spread of this epidemic and to quickly treat affected patients. The need for auxiliary diagnostic tools has increased as there are no accurate automated toolkits available. Recent findings obtained using radiology imaging techniques suggest that such images contain salient information about the COVID-19 virus. Application of advanced artificial intelligence (AI) techniques coupled with radiological imaging can be helpful for the accurate detection of this disease, and can also be assistive to overcome the problem of a lack of specialized physicians in remote villages. In this study, a new model for automatic COVID-19 detection using raw chest X-ray images is presented. The proposed model is developed to provide accurate diagnostics for binary classification (COVID vs. No-Findings) and multi-class classification (COVID vs. No-Findings vs. Pneumonia). Our model produced a classification accuracy of 98.08% for binary classes and 87.02% for multi-class cases. The DarkNet model was used in our study as a classifier for the you only look once (YOLO) real time object detection system. We implemented 17 convolutional layers and introduced different filtering on each layer. Our model (available at (https://github.com/muhammedtalo/COVID-19)) can be employed to assist radiologists in validating their initial screening, and can also be employed via cloud to immediately screen patients.
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            Covid-19: automatic detection from X-ray images utilizing transfer learning with convolutional neural networks

            In this study, a dataset of X-ray images from patients with common bacterial pneumonia, confirmed Covid-19 disease, and normal incidents, was utilized for the automatic detection of the Coronavirus disease. The aim of the study is to evaluate the performance of state-of-the-art convolutional neural network architectures proposed over the recent years for medical image classification. Specifically, the procedure called Transfer Learning was adopted. With transfer learning, the detection of various abnormalities in small medical image datasets is an achievable target, often yielding remarkable results. The datasets utilized in this experiment are two. Firstly, a collection of 1427 X-ray images including 224 images with confirmed Covid-19 disease, 700 images with confirmed common bacterial pneumonia, and 504 images of normal conditions. Secondly, a dataset including 224 images with confirmed Covid-19 disease, 714 images with confirmed bacterial and viral pneumonia, and 504 images of normal conditions. The data was collected from the available X-ray images on public medical repositories. The results suggest that Deep Learning with X-ray imaging may extract significant biomarkers related to the Covid-19 disease, while the best accuracy, sensitivity, and specificity obtained is 96.78%, 98.66%, and 96.46% respectively. Since by now, all diagnostic tests show failure rates such as to raise concerns, the probability of incorporating X-rays into the diagnosis of the disease could be assessed by the medical community, based on the findings, while more research to evaluate the X-ray approach from different aspects may be conducted.
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              COVID-Net: a tailored deep convolutional neural network design for detection of COVID-19 cases from chest X-ray images

              The Coronavirus Disease 2019 (COVID-19) pandemic continues to have a devastating effect on the health and well-being of the global population. A critical step in the fight against COVID-19 is effective screening of infected patients, with one of the key screening approaches being radiology examination using chest radiography. It was found in early studies that patients present abnormalities in chest radiography images that are characteristic of those infected with COVID-19. Motivated by this and inspired by the open source efforts of the research community, in this study we introduce COVID-Net, a deep convolutional neural network design tailored for the detection of COVID-19 cases from chest X-ray (CXR) images that is open source and available to the general public. To the best of the authors’ knowledge, COVID-Net is one of the first open source network designs for COVID-19 detection from CXR images at the time of initial release. We also introduce COVIDx, an open access benchmark dataset that we generated comprising of 13,975 CXR images across 13,870 patient patient cases, with the largest number of publicly available COVID-19 positive cases to the best of the authors’ knowledge. Furthermore, we investigate how COVID-Net makes predictions using an explainability method in an attempt to not only gain deeper insights into critical factors associated with COVID cases, which can aid clinicians in improved screening, but also audit COVID-Net in a responsible and transparent manner to validate that it is making decisions based on relevant information from the CXR images. By no means a production-ready solution, the hope is that the open access COVID-Net, along with the description on constructing the open source COVIDx dataset, will be leveraged and build upon by both researchers and citizen data scientists alike to accelerate the development of highly accurate yet practical deep learning solutions for detecting COVID-19 cases and accelerate treatment of those who need it the most.
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                Author and article information

                Contributors
                Journal
                IEEE Access
                IEEE Access
                0063500
                ACCESS
                IAECCG
                Ieee Access
                IEEE
                2169-3536
                2021
                06 July 2021
                : 9
                : 97243-97250
                Affiliations
                [1] divisionLuxembourg Centre for Systems Biomedicine, Bioinformatics Core Group, institutionUniversité du Luxembourg, institutionringgold 81872; 4365 Esch-sur-Alzette Luxembourg
                Article
                10.1109/ACCESS.2021.3095222
                8545192
                34812399
                ef2796f1-62c3-4018-a5ab-c215a67d0b19
                This work is licensed under a Creative Commons Attribution 4.0 License. For more information, see https://creativecommons.org/licenses/by/4.0/

                This work is licensed under a Creative Commons Attribution 4.0 License. For more information, see https://creativecommons.org/licenses/by/4.0/

                History
                : 07 June 2021
                : 03 July 2021
                : 14 July 2021
                Page count
                Figures: 3, Tables: 1, Equations: 40, References: 64, Pages: 8
                Categories
                Biomedical Engineering
                Science - general

                biomedical imaging,machine learning,philosophical considerations,computational systems biology,x-rays

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