Intelligent analysis of medical imaging plays a crucial role in assisting clinical diagnosis, especially for identifying subtle pathological features. This paper introduces a novel multi-branch ConvNeXt architecture designed specifically for the nuanced challenges of medical image analysis. While applied here to the specific problem of COVID-19 diagnosis, the methodology offers a generalizable framework for classifying a wide range of pathologies from CT scans. The proposed model incorporates a rigorous end-to-end pipeline, from meticulous data preprocessing and augmentation to a disciplined two-phase training strategy that leverages transfer learning effectively. The architecture uniquely integrates features extracted from three parallel branches: Global Average Pooling, Global Max Pooling, and a new Attention-weighted Pooling mechanism. The model was trained and validated on a combined dataset of 2,609 CT slices derived from two distinct datasets. Experimental results demonstrate a superior performance on the validation set, achieving a final ROC-AUC of 0.9937, a validation accuracy of 0.9757, and an F1-score of 0.9825 for COVID-19 cases, outperforming all previously reported models on this dataset. These findings indicate that a modern, multi-branch architecture, coupled with careful data handling, can achieve performance comparable to or exceeding contemporary state-of-the-art models, thereby proving the efficacy of advanced deep learning techniques for robust medical diagnostics.

Purpose: Limited studies exploring concrete methods or approaches to tackle and enhance model fairness in the radiology domain. Our proposed AI model utilizes supervised contrastive learning to minimize bias in CXR diagnosis. Materials and Methods: In this retrospective study, we evaluated our proposed method on two datasets: the Medical Imaging and Data Resource Center (MIDRC) dataset with 77,887 CXR images from 27,796 patients collected as of April 20, 2023 for COVID-19 diagnosis, and the NIH Chest X-ray (NIH-CXR) dataset with 112,120 CXR images from 30,805 patients collected between 1992 and 2015. In the NIH-CXR dataset, thoracic abnormalities include atelectasis, cardiomegaly, effusion, infiltration, mass, nodule, pneumonia, pneumothorax, consolidation, edema, emphysema, fibrosis, pleural thickening, or hernia. Our proposed method utilizes supervised contrastive learning with carefully selected positive and negative samples to generate fair image embeddings, which are fine-tuned for subsequent tasks to reduce bias in chest X-ray (CXR) diagnosis. We evaluated the methods using the marginal AUC difference ($\delta$ mAUC). Results: The proposed model showed a significant decrease in bias across all subgroups when compared to the baseline models, as evidenced by a paired T-test (p<0.0001). The $\delta$ mAUC obtained by our method were 0.0116 (95\% CI, 0.0110-0.0123), 0.2102 (95% CI, 0.2087-0.2118), and 0.1000 (95\% CI, 0.0988-0.1011) for sex, race, and age on MIDRC, and 0.0090 (95\% CI, 0.0082-0.0097) for sex and 0.0512 (95% CI, 0.0512-0.0532) for age on NIH-CXR, respectively. Conclusion: Employing supervised contrastive learning can mitigate bias in CXR diagnosis, addressing concerns of fairness and reliability in deep learning-based diagnostic methods.

The unprecedented global challenge posed by the COVID-19 pandemic has underscored the critical need for advanced diagnostic methodologies to effectively curb the virus's spread. Among these methodologies, Computed Tomography (CT) imaging has emerged as a vital tool in providing detailed insights into the manifestations of the disease. In this context, the utilization of CT scan images has proven instrumental in detecting the presence of the virus and understanding its impact on the respiratory system. The intricate details captured by CT scans offer a comprehensive view of the pulmonary structures, making them invaluable for early and accurate diagnosis [1]. To address the urgency of timely and precise COVID-19 diagnosis, the integration of advanced computational techniques has become imperative. Deep learning, particularly through the lens of transfer learning, has demonstrated remarkable potential in enhancing diagnostic accuracy and efficiency.

In here, we introduce a novel approach to enhance the accuracy and efficiency of COVID-19 diagnosis using CT images. Leveraging state-of-the-art Transformer models in computer vision, we employed the base ViT Transformer configured for 224x224-sized input images, modifying the output to suit the binary classification task. Notably, input images were resized from the standard CT scan size of 512x512 to match the model's expectations. Our method implements a systematic patient-level prediction strategy, classifying individual CT slices as COVID-19 or non-COVID. To determine the overall diagnosis for each patient, a majority voting approach as well as other thresholding approaches were employed. This method involves evaluating all CT slices for a given patient and assigning the patient the diagnosis that relates to the thresholding for the CT scan. This meticulous patient-level prediction process contributes to the robustness of our solution as it starts from 2D-slices to 3D-patient level. Throughout the evaluation process, our approach resulted in 0.7 macro F1 score on the COV19-CT -DB validation set. To ensure the reliability and effectiveness of our model, we rigorously validate it on the extensive COV-19 CT dataset, which is meticulously annotated for the task. This dataset, with its comprehensive annotations, reinforces the overall robustness of our solution.

Since the onset of the COVID-19 pandemic in 2019, there has been a concerted effort to develop cost-effective, non-invasive, and rapid AI-based tools. These tools were intended to alleviate the burden on healthcare systems, control the rapid spread of the virus, and enhance intervention outcomes, all in response to this unprecedented global crisis. As we transition into a post-COVID era, we retrospectively evaluate these proposed studies and offer a review of the techniques employed in AI diagnostic models, with a focus on the solutions proposed for different challenges. This review endeavors to provide insights into the diverse solutions designed to address the multifaceted challenges that arose during the pandemic. By doing so, we aim to prepare the AI community for the development of AI tools tailored to address public health emergencies effectively.

The novel 2019 Coronavirus disease (COVID-19) global pandemic is a defining health crisis. Recent efforts have been increasingly directed towards achieving quick and accurate detection of COVID-19 across symptomatic patients to mitigate the intensity and spread of the disease. Artificial intelligence (AI) algorithms applied to chest X-ray (CXR) images have emerged as promising diagnostic tools, and previous work has demonstrated impressive classification performances. However, such methods have faced criticisms from physicians due to their black-box reasoning process and unpredictable nature. In contrast to professional radiologist diagnosis, AI systems often lack generalizability, explainability, and robustness in the clinical decision making process. In our work, we address these issues by first proposing an extensive baseline study, training and evaluating 21 convolutional neural network (CNN) models on a diverse set of 33,000+ CXR images to classify between healthy, COVID-19, and non-COVID-19 pneumonia CXRs. Our resulting models achieved a 3-way classification accuracy, recall, and precision of up to 97.03\%, 97.97\%, and 99.95\%, respectively. Next, we investigate the effectiveness of adversarial training on model robustness and explainability via Gradient-weighted Class Activation Mapping (Grad-CAM) heatmaps. We find that adversarially trained models not only significantly outperform their standard counterparts on classifying perturbed images, but also yield saliency maps that 1) better specify clinically relevant features, 2) are robust against extraneous artifacts, and 3) agree considerably more with expert radiologist findings.

This paper presents models created for the Social Media Mining for Health 2023 shared task. Our team addressed the first task, classifying tweets that self-report Covid-19 diagnosis. Our approach involves a classification model that incorporates diverse textual augmentations and utilizes R-drop to augment data and mitigate overfitting, boosting model efficacy. Our leading model, enhanced with R-drop and augmentations like synonym substitution, reserved words, and back translations, outperforms the task mean and median scores. Our system achieves an impressive F1 score of 0.877 on the test set.

The paper describes a system developed for Task 1 at SMM4H 2023. The goal of the task is to automatically distinguish tweets that self-report a COVID-19 diagnosis (for example, a positive test, clinical diagnosis, or hospitalization) from those that do not. We investigate the use of different techniques for preprocessing tweets using four transformer-based models. The ensemble of fine-tuned language models obtained an F1-score of 84.5%, which is 4.1% higher than the average value.

Many studies have investigated deep-learning-based artificial intelligence (AI) models for medical imaging diagnosis of the novel coronavirus (COVID-19), with many reports of near-perfect performance. However, variability in performance and underlying data biases raise concerns about clinical generalizability. This retrospective study involved the development and evaluation of artificial intelligence (AI) models for COVID-19 diagnosis using both diverse clinical and virtually generated medical images. In addition, we conducted a virtual imaging trial to assess how AI performance is affected by several patient- and physics-based factors, including the extent of disease, radiation dose, and imaging modality of computed tomography (CT) and chest radiography (CXR). AI performance was strongly influenced by dataset characteristics including quantity, diversity, and prevalence, leading to poor generalization with up to 20% drop in receiver operating characteristic area under the curve. Model performance on virtual CT and CXR images was comparable to overall results on clinical data. Imaging dose proved to have negligible influence on the results, but the extent of the disease had a marked affect. CT results were consistently superior to those from CXR. Overall, the study highlighted the significant impact of dataset characteristics and disease extent on COVID assessment, and the relevance and potential role of virtual imaging trial techniques on developing effective evaluation of AI algorithms and facilitating translation into diagnostic practice.

Such applications are, for example, 3-D chest CT scan analysis for pneumonia, COVID-19, or Lung cancer diagnosis [1], [2]; 3-D magnetic resonance image (MRI) analysis for Parkinson's, or Alzheimer's disease prediction [3], [4]; 3-D subject's movement analysis for action recognition & Parkinson's detection [5]; analysis of audiovisual data showing subject's behaviour for affect recognition [6]; anomaly detection in nuclear power plants [7]. Dealing with a single annotation per volumetric input and harmonizing the input variable length constitutes a significant problem when training Deep Neural Networks (DNNs) to perform the respective prediction, or classification task. Furthermore, in each of the above application fields, public, or private datasets are produced in different environments and contexts and are used to train deep learning systems to successfully perform the respective tasks. Extensive research is currently made on using data-driven knowledge, extracted from a single, or from multiple datasets, so as to deal with other datasets. Transfer learning, domain adaptation, meta-learning, domain generalization, continual or life long learning are specific topics of this research, based on different conditions related to the considered datasets [8].