Portable Chest X-ray Synthetic Image Generation for the COVID-19 Screening

The global pandemic of COVID-19 raises the importance of having fast and reliable methods to perform an early detection and to visualize the evolution of the disease in every patient, which can be assessed with chest X-ray imaging. Moreover, in order to reduce the risk of cross contamination, radiologists are asked to prioritize the use of portable chest X-ray devices that provide a lower quality and lower level of detail in comparison with the fixed machinery. In this context, computer-aided diagnosis systems are very useful. During the last years, for the case of medical imaging, they are widely developed using deep learning strategies. However, there is a lack of sufficient representative datasets of the COVID-19 affectation, which are critical for supervised learning when training deep models. In this work, we propose a fully automatic method to artificially increase the size of an original portable chest X-ray imaging dataset that was specifically designed for the COVID-19 diagnosis, which can be developed in a non-supervised manner and without requiring paired data. The results demonstrate that the method is able to perform a reliable screening despite all the problems associated with images provided by portable devices, providing an overall accuracy of 92.50%.

COVID-19 Lung Radiography Segmentation by Means of Multiphase Transfer Learning

COVID-19 is characterized by its impact on the respiratory system and, during the global outbreak of 2020, specific protocols had to be designed to contain its spread within hospitals. This required the use of portable X-ray devices that allow for a greater flexibility in terms of their arrangement in rooms not specifically designed for such purpose. However, their poor image quality, together with the subjectivity of the expert, can hinder the diagnosis process. Therefore, the use of automatic methodologies is advised. Even so, their development is challenging due to the scarcity of available samples. For this reason, we present a COVID-19-specific methodology able to segment these portable chest radiographs with a reduced number of samples via multiple transfer learning phases. This allows us to extract knowledge from two related fields and obtain a robust methodology with limited data from the target domain. Our proposal aims to help both experts and other computer-aided diagnosis systems to focus their attention on the region of interest, ignoring unrelated information.