ABSTRACT
Chest radiography (CXR) is one of the first choices in epidemiological analyses such as tuberculosis, cancer, pneumonia, and, recently, COVID-19. It provides crucial information for decision making, treatment, and monitoring the evolution of clinical cases from small to high complexity. Thus, it is a valuable source of information for the study, training, research, and development of computational support to medical diagnoses. In this work, we introduce a new method for chest X-ray adjustment to identifying and correcting radiographic images orientation. So, they can be automatically rotated to a standard position. Our proposal uses structural characteristics and statistics of pixel intensity patterns of CXR images. Divided into three steps, our method begins with the preparation of the photos, followed by a feature extraction strategy, and it ends with the X-ray image orientation identification. We use three different databases that include pediatric and adult radiographic imaging. A result showed 99.4% accuracy in the databases in our experiments. The code prepared by the authors is publicly available. © 2020 IEEE.