Hierarchical convolutional models for automatic pneu-monia diagnosis based on X-ray images: new strategies in public health.


Journal

Annali di igiene : medicina preventiva e di comunita
ISSN: 1120-9135
Titre abrégé: Ann Ig
Pays: Italy
ID NLM: 9002865

Informations de publication

Date de publication:
Historique:
entrez: 6 8 2021
pubmed: 7 8 2021
medline: 26 10 2021
Statut: ppublish

Résumé

Despite some limits, our findings support the notion that deep learning methods can be used to simplify the diagnostic process and improve disease management. In order to help physicians and radiologists in diagnosing pneumonia, deep learning and other artificial intelligence methods have been described in several researches to solve this task. The main objective of the present study is to build a stacked hierarchical model by combining several models in order to increase the procedure accuracy. Firstly, the best convolutional network in terms of accuracy were evaluated and described. Later, a stacked hierarchical model was built by using the most relevant features extracted by the selected two models. Finally, over the stacked model with the best accuracy, a hierarchically dependent second stage model for inner-classification was built in order to detect both inflammation of the pulmonary alveolar space (lobar pneumonia) and interstitial tissue involvement (interstitial pneumonia). The study shows how the adopted staked model lead to a higher accuracy. Having a high accuracy on pneumonia detection and classification can be a paramount asset to treat patients in real health-care environments.

Sections du résumé

Conclusions
Despite some limits, our findings support the notion that deep learning methods can be used to simplify the diagnostic process and improve disease management.
Background
In order to help physicians and radiologists in diagnosing pneumonia, deep learning and other artificial intelligence methods have been described in several researches to solve this task. The main objective of the present study is to build a stacked hierarchical model by combining several models in order to increase the procedure accuracy.
Methods
Firstly, the best convolutional network in terms of accuracy were evaluated and described. Later, a stacked hierarchical model was built by using the most relevant features extracted by the selected two models. Finally, over the stacked model with the best accuracy, a hierarchically dependent second stage model for inner-classification was built in order to detect both inflammation of the pulmonary alveolar space (lobar pneumonia) and interstitial tissue involvement (interstitial pneumonia).
Results
The study shows how the adopted staked model lead to a higher accuracy. Having a high accuracy on pneumonia detection and classification can be a paramount asset to treat patients in real health-care environments.

Identifiants

pubmed: 34357370
doi: 10.7416/ai.2021.2467
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

644-655

Auteurs

G Maselli (G)

Department of Computer, Control, and Management Engineering, Sapienza University of Rome, Rome, Italy.

E Bertamino (E)

Sant'Andrea Hospital, Rome, Italy.

C Capalbo (C)

Sant'Andrea Hospital, Rome, Italy.
Department of Molecular Medicine, Sapienza University of Rome, Rome, Italy.

R Mancini (R)

Sant'Andrea Hospital, Rome, Italy.
Department of Clinical and Molecular Medicine, Sapienza University of Rome, Rome, Italy.

G B Orsi (GB)

Sant'Andrea Hospital, Rome, Italy.
Department of Public Health and Infectious Diseases, Sapienza University of Rome, Rome, Italy.

C Napoli (C)

Sant'Andrea Hospital, Rome, Italy.
Department of Medical Surgical Sciences and Translational Medicine, Sapienza University of Rome, Rome, Italy.

C Napoli (C)

Department of Computer, Control, and Management Engineering, Sapienza University of Rome, Rome, Italy.

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