Coronavirus disease (COVID-19) is a pandemic disease, which has already caused thousands of causalities and infected several millions of people worldwide. Any technological tool enabling rapid screening of the COVID-19 infection with high accuracy can be crucially helpful to the healthcare professionals. The main clinical tool currently in use for the diagnosis of COVID-19 is the Reverse transcription polymerase chain reaction (RT-PCR), which is expensive, less-sensitive and requires specialized medical personnel. X-ray imaging is an easily accessible tool that can be an excellent alternative in the COVID-19 diagnosis. This research was taken to investigate the utility of artificial intelligence (AI) in the rapid and accurate detection of COVID-19 from chest X-ray images. The aim of this paper is to propose a robust technique for automatic detection of COVID-19 pneumonia from digital chest X-ray images applying pre-trained deep-learning algorithms while maximizing the detection accuracy. A public database was created by the authors combining several public databases and also by collecting images from recently published articles. The database contains a mixture of 423 COVID-19, 1485 viral pneumonia, and 1579 normal chest X-ray images. Transfer learning technique was used with the help of image augmentation to train and validate several pre-trained deep Convolutional Neural Networks (CNNs). The networks were trained to classify two different schemes: i) normal and COVID-19 pneumonia; ii) normal, viral and COVID-19 pneumonia with and without image augmentation. The classification accuracy, precision, sensitivity, and specificity for both the schemes were 99.7%, 99.7%, 99.7% and 99.55% and 97.9%, 97.95%, 97.9%, and 98.8%, respectively. The high accuracy of this computer-aided diagnostic tool can significantly improve the speed and accuracy of COVID-19 diagnosis. This would be extremely useful in this pandemic where disease burden and need for preventive measures are at odds with available resources.INDEX TERMS Artificial intelligence, COVID-19 pneumonia, machine learning, transfer learning, viral pneumonia, computer-aided diagnostic tool.The associate editor coordinating the review of this manuscript and approving it for publication was Xin Zhang .
Tuberculosis (TB) is a chronic lung disease that occurs due to bacterial infection and is one of the top 10 leading causes of death. Accurate and early detection of TB is very important, otherwise, it could be life-threatening. In this work, we have detected TB reliably from the chest X-ray images using image pre-processing, data augmentation, image segmentation, and deep-learning classification techniques. Several public databases were used to create a database of 3500 TB infected and 3500 normal chest X-ray images for this study. Nine different deep CNNs (ResNet18, ResNet50, ResNet101, ChexNet, InceptionV3, Vgg19, DenseNet201, SqueezeNet, and MobileNet) were used for transfer learning from their pre-trained initial weights and were trained, validated and tested for classifying TB and non-TB normal cases. Three different experiments were carried out in this work: segmentation of X-ray images using two different U-net models, classification using X-ray images and that using segmented lung images. The accuracy, precision, sensitivity, F1-score and specificity of best performing model, ChexNet in the detection of tuberculosis using X-ray images were 96.47%, 96.62%, 96.47%, 96.47%, and 96.51% respectively. However, classification using segmented lung images outperformed that with whole X-ray images; the accuracy, precision, sensitivity, F1-score and specificity of DenseNet201 were 98.6%, 98.57%, 98.56%, 98.56%, and 98.54% respectively for the segmented lung images. The paper also used a visualization technique to confirm that CNN learns dominantly from the segmented lung regions that resulted in higher detection accuracy. The proposed method with state-of-theart performance can be useful in the computer-aided faster diagnosis of tuberculosis.
Pneumonia is a life-threatening disease, which occurs in the lungs caused by either bacterial or viral infection. It can be life-endangering if not acted upon at the right time and thus the early diagnosis of pneumonia is vital. The paper aims to automatically detect bacterial and viral pneumonia using digital x-ray images. It provides a detailed report on advances in accurate detection of pneumonia and then presents the methodology adopted by the authors. Four different pre-trained deep Convolutional Neural Network (CNN): AlexNet, ResNet18, DenseNet201, and SqueezeNet were used for transfer learning. A total of 5247 chest X-ray images consisting of bacterial, viral, and normal chest x-rays images were preprocessed and trained for the transfer learning-based classification task. In this study, the authors have reported three schemes of classifications: normal vs. pneumonia, bacterial vs. viral pneumonia, and normal, bacterial, and viral pneumonia. The classification accuracy of normal and pneumonia images, bacterial and viral pneumonia images, and normal, bacterial, and viral pneumonia were 98%, 95%, and 93.3%, respectively. This is the highest accuracy, in any scheme, of the accuracies reported in the literature. Therefore, the proposed study can be useful in more quickly diagnosing pneumonia by the radiologist and can help in the fast airport screening of pneumonia patients.
COVID-19 is a public health emergency of international concern. Ensuring primary healthcare during this pandemic appeared to be a great challenge. Primary healthcare services are being disrupted due to lockdown, lack of protective gears and hospital facilities, risk of infection spread to non-COVID patients and health professionals. People with acute and chronic ailments including diabetes, pregnancy, obesity, chronic respiratory diseases, cardiovascular disease, cancer, mental health conditions are in trouble. In this article, the challenges in primary healthcare in developing countries during COVID-19 pandemic have been analyzed and the role of telemedicine in addressing these challenges has been discussed. Telemedicine can play an important role in this pandemic by minimizing virus spread, utilizing the time of healthcare professionals effectively and in alleviating mental health issues.
Electroencephalography (EEG) based biometric systems are gaining attention for their anti-spoofing capability but lack accuracy due to signal variability at different psychological and physiological conditions. On the other hand, keystroke dynamics-based systems achieve very high accuracy but have low anti-spoofing capability. To address these issues, a novel multimodal biometric system combining EEG and keystroke dynamics is proposed in this paper. A dataset was created by acquiring both keystroke dynamics and EEG signals simultaneously from 10 users. Each user participated in 500 trials at 10 different sessions (days) to replicate real-life signal variability. A machine learning classification pipeline is developed using multi-domain feature extraction (time, frequency, time-frequency), feature selection (Gini impurity), classifier design, and score level fusion. Different classifiers were trained, validated, and tested for two different classification experimentspersonalized and generalized. For identification and authentication, 99.9% and 99.6% accuracies are achieved, respectively for Random Forest classifier using 5 fold cross-validation. These results outperform the individual modalities with a significant margin (~5%). We also developed a binary template matching-based algorithm, which gives 6X faster system with 93.64% accuracy. The proposed method can be considered secure and reliable for any kind of biometric identification and authentication.
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