COLI‐Net : Deep learning‐assisted fully automated COVID ‐19 lung and infection pneumonia lesion detection and segmentation from chest computed tomography images

  1. Isaac Shiri
  2. Hossein Arabi
  3. Yazdan Salimi
  4. Amirhossein Sanaat
  5. Azadeh Akhavanallaf
  6. Ghasem Hajianfar
  7. Dariush Askari
  8. Shakiba Moradi
  9. Zahra Mansouri
  10. Masoumeh Pakbin
  11. Saleh Sandoughdaran
  12. Hamid Abdollahi
  13. Amir Reza Radmard
  14. Kiara Rezaei‐Kalantari
  15. Mostafa Ghelich Oghli
  16. Habib Zaidi

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Abstract

We present a deep learning (DL)‐based automated whole lung and COVID‐19 pneumonia infectious lesions (COLI‐Net) detection and segmentation from chest computed tomography (CT) images. This multicenter/multiscanner study involved 2368 (347′259 2D slices) and 190 (17 341 2D slices) volumetric CT exams along with their corresponding manual segmentation of lungs and lesions, respectively. All images were cropped, resized, and the intensity values clipped and normalized. A residual network with non‐square Dice loss function built upon TensorFlow was employed. The accuracy of lung and COVID‐19 lesions segmentation was evaluated on an external reverse transcription‐polymerase chain reaction positive COVID‐19 dataset (7′333 2D slices) collected at five different centers. To evaluate the segmentation performance, we calculated different quantitative metrics, including radiomic features. The mean Dice coefficients were 0.98 ± 0.011 (95% CI, 0.98–0.99) and 0.91 ± 0.038 (95% CI, 0.90–0.91) for lung and lesions segmentation, respectively. The mean relative Hounsfield unit differences were 0.03 ± 0.84% (95% CI, −0.12 to 0.18) and −0.18 ± 3.4% (95% CI, −0.8 to 0.44) for the lung and lesions, respectively. The relative volume difference for lung and lesions were 0.38 ± 1.2% (95% CI, 0.16–0.59) and 0.81 ± 6.6% (95% CI, −0.39 to 2), respectively. Most radiomic features had a mean relative error less than 5% with the highest mean relative error achieved for the lung for the range first‐order feature (−6.95%) and least axis length shape feature (8.68%) for lesions. We developed an automated DL‐guided three‐dimensional whole lung and infected regions segmentation in COVID‐19 patients to provide fast, consistent, robust, and human error immune framework for lung and pneumonia lesion detection and quantification.

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  1. Version published to 10.1002/ima.22672
  2. ScreenIT

    SciScore for 10.1101/2021.04.08.21255163: (What is this?)

    Please note, not all rigor criteria are appropriate for all manuscripts.

    Table 1: Rigor

    Institutional Review Board Statementnot detected.
    Randomizationnot detected.
    Blindingnot detected.
    Power Analysisnot detected.
    Sex as a biological variablenot detected.

    Table 2: Resources

    No key resources detected.

    Results from OddPub: We did not detect open data. We also did not detect open code. Researchers are encouraged to share open data when possible (see Nature blog).

    Results from LimitationRecognizer: An explicit section about the limitations of the techniques employed in this study was not found. We encourage authors to address study limitations.

    Results from TrialIdentifier: No clinical trial numbers were referenced.

    Results from Barzooka: We did not find any issues relating to the usage of bar graphs.

    Results from JetFighter: We did not find any issues relating to colormaps.

    Results from rtransparent:
    • Thank you for including a conflict of interest statement. Authors are encouraged to include this statement when submitting to a journal.
    • Thank you for including a funding statement. Authors are encouraged to include this statement when submitting to a journal.
    • No protocol registration statement was detected.

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  3. Version published to 10.1101/2021.04.08.21255163v1 on medRxiv