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      Stacking Ensemble and ECA-EfficientNetV2 Convolutional Neural Networks on Classification of Multiple Chest Diseases Including COVID-19

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          Abstract

          Rationale and Objectives

          Early detection and treatment of COVID-19 patients is crucial. Convolutional neural networks have been proven to accurately extract features in medical images, which accelerates time required for testing and increases the effectiveness of COVID-19 diagnosis. This study proposes two classification models for multiple chest diseases including COVID-19.

          Materials and Methods

          The first is Stacking-ensemble model, which stacks six pretrained models including EfficientNetV2-B0, EfficientNetV2-B1, EfficientNetV2-B2, EfficientNetV2-B3, EfficientNetV2-S and EfficientNetV2-M. The second model is self-designed model ECA-EfficientNetV2 based on ECA-Net and EfficientNetV2. Ten-fold cross validation was performed for each model on chest X-ray and CT images. One more dataset, COVID-CT dataset, was tested to verify the performance of the proposed Stacking-ensemble and ECA-EfficientNetV2 models.

          Results

          The best performance comes from the proposed ECA-EfficientNetV2 model with the highest Accuracy of 99.21%, Precision of 99.23%, Recall of 99.25%, F1-score of 99.20%, and (area under the curve) AUC of 99.51% on chest X-ray dataset; the best performance comes from the proposed ECA-EfficientNetV2 model with the highest Accuracy of 99.81%, Precision of 99.80%, Recall of 99.80%, F1-score of 99.81%, and AUC of 99.87% on chest CT dataset. The differences for five metrics between Stacking-ensemble and ECA-EfficientNetV2 models are not significant.

          Conclusion

          Ensemble model achieves better performance than single pretrained models. Compared to the SOTA, Stacking-ensemble and ECA-EfficientNetV2 models proposed in this study demonstrate promising performance on classification of multiple chest diseases including COVID-19.

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          Most cited references38

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          Artificial Intelligence Distinguishes COVID-19 from Community Acquired Pneumonia on Chest CT

          Background Coronavirus disease has widely spread all over the world since the beginning of 2020. It is desirable to develop automatic and accurate detection of COVID-19 using chest CT. Purpose To develop a fully automatic framework to detect COVID-19 using chest CT and evaluate its performances. Materials and Methods In this retrospective and multi-center study, a deep learning model, COVID-19 detection neural network (COVNet), was developed to extract visual features from volumetric chest CT exams for the detection of COVID-19. Community acquired pneumonia (CAP) and other non-pneumonia CT exams were included to test the robustness of the model. The datasets were collected from 6 hospitals between August 2016 and February 2020. Diagnostic performance was assessed by the area under the receiver operating characteristic curve (AUC), sensitivity and specificity. Results The collected dataset consisted of 4356 chest CT exams from 3,322 patients. The average age is 49±15 years and there were slightly more male patients than female (1838 vs 1484; p-value=0.29). The per-exam sensitivity and specificity for detecting COVID-19 in the independent test set was 114 of 127 (90% [95% CI: 83%, 94%]) and 294 of 307 (96% [95% CI: 93%, 98%]), respectively, with an AUC of 0.96 (p-value<0.001). The per-exam sensitivity and specificity for detecting CAP in the independent test set was 87% (152 of 175) and 92% (239 of 259), respectively, with an AUC of 0.95 (95% CI: 0.93, 0.97). Conclusions A deep learning model can accurately detect COVID-19 and differentiate it from community acquired pneumonia and other lung diseases.
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            Popular Ensemble Methods: An Empirical Study

            An ensemble consists of a set of individually trained classifiers (such as neural networks or decision trees) whose predictions are combined when classifying novel instances. Previous research has shown that an ensemble is often more accurate than any of the single classifiers in the ensemble. Bagging (Breiman, 1996c) and Boosting (Freund & Shapire, 1996; Shapire, 1990) are two relatively new but popular methods for producing ensembles. In this paper we evaluate these methods on 23 data sets using both neural networks and decision trees as our classification algorithm. Our results clearly indicate a number of conclusions. First, while Bagging is almost always more accurate than a single classifier, it is sometimes much less accurate than Boosting. On the other hand, Boosting can create ensembles that are less accurate than a single classifier -- especially when using neural networks. Analysis indicates that the performance of the Boosting methods is dependent on the characteristics of the data set being examined. In fact, further results show that Boosting ensembles may overfit noisy data sets, thus decreasing its performance. Finally, consistent with previous studies, our work suggests that most of the gain in an ensemble's performance comes in the first few classifiers combined; however, relatively large gains can be seen up to 25 classifiers when Boosting decision trees.
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              A Light CNN for detecting COVID-19 from CT scans of the chest

              Highlights • a light CNN for efficient detection of COVID-19 from chest CT scans is proposed • the accuracy is comparable with that of more complex CNN designs • the efficiency is 10 times better than more complex CNNs using pre-processing • no GPU acceleration is required and can be executed on middle class computers
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                Author and article information

                Contributors
                Role: PhD. in Industrial Engineering & Management
                Role: Master in Industrial Engineering & Management
                Journal
                Acad Radiol
                Acad Radiol
                Academic Radiology
                The Association of University Radiologists. Published by Elsevier Inc.
                1076-6332
                1878-4046
                25 November 2022
                25 November 2022
                Affiliations
                [0001]Department of Industrial Engineering & Management, National Chin-Yi University of Technology, 57, Sec. 2, Zhongshan Rd., Taiping Dist., Taichung, 411030, Taiwan
                Author notes
                [* ] Address correspondence to: M-L.H.
                Article
                S1076-6332(22)00632-8
                10.1016/j.acra.2022.11.027
                9748720
                36526533
                c9ccd18d-930a-4e6c-9c0e-1a08b7bd2b4c
                © 2022 The Association of University Radiologists. Published by Elsevier Inc. All rights reserved.

                Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.

                History
                : 6 September 2022
                : 15 November 2022
                : 20 November 2022
                Categories
                Original Investigation

                covid-19,convolutional neural network,ensemble learning,stacking

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