Skip to main content
Article
The Role of 3D CT Imaging in the Accurate Diagnosis of Lung Function in Coronavirus Patients
Diagnostics
  • Ibrahim Shawky Farahat, University of Louisville
  • Ahmed Sharafeldeen, University of Louisville
  • Mohamed Elsharkawy, University of Louisville
  • Ahmed Soliman, University of Louisville
  • Ali Mahmoud, University of Louisville
  • Mohammed Ghazal, Abu Dhabi University
  • Fatma Taher, Zayed University
  • Maha Bilal, Mansoura University, Faculty of Medicine
  • Ahmed Abdel Khalek Abdel Razek, Mansoura University, Faculty of Medicine
  • Waleed Aladrousy, Mansoura University
  • Samir Elmougy, Mansoura University
  • Ahmed Elsaid Tolba, Mansoura University
  • Moumen El-Melegy, Assiut University
  • Ayman El-Baz, University of Louisville
Document Type
Article
Publication Date
3-1-2022
Abstract

Early grading of coronavirus disease 2019 (COVID-19), as well as ventilator support machines, are prime ways to help the world fight this virus and reduce the mortality rate. To reduce the burden on physicians, we developed an automatic Computer-Aided Diagnostic (CAD) system to grade COVID-19 from Computed Tomography (CT) images. This system segments the lung region from chest CT scans using an unsupervised approach based on an appearance model, followed by 3D rotation invariant Markov–Gibbs Random Field (MGRF)-based morphological constraints. This system analyzes the segmented lung and generates precise, analytical imaging markers by estimating the MGRF-based analytical potentials. Three Gibbs energy markers were extracted from each CT scan by tuning the MGRF parameters on each lesion separately. The latter were healthy/mild, moderate, and severe lesions. To represent these markers more reliably, a Cumulative Distribution Function (CDF) was generated, then statistical markers were extracted from it, namely, 10th through 90th CDF percentiles with 10% increments. Subsequently, the three extracted markers were combined together and fed into a backpropagation neural network to make the diagnosis. The developed system was assessed on 76 COVID-19-infected patients using two metrics, namely, accuracy and Kappa. In this paper, the proposed system was trained and tested by three approaches. In the first approach, the MGRF model was trained and tested on the lungs. This approach achieved 95.83% accuracy and 93.39% kappa. In the second approach, we trained the MGRF model on the lesions and tested it on the lungs. This approach achieved 91.67% accuracy and 86.67% kappa. Finally, we trained and tested the MGRF model on lesions. It achieved 100% accuracy and 100% kappa. The results reported in this paper show the ability of the developed system to accurately grade COVID-19 lesions compared to other machine learning classifiers, such as k-Nearest Neighbor (KNN), decision tree, naïve Bayes, and random forest.

Publisher
MDPI AG
Disciplines
Keywords
  • Computer Assisted Diagnosis (CAD),
  • COVID-19,
  • Machine learning,
  • Markov–Gibbs Random Field (MGRF),
  • Neural network,
  • SARS-CoV-2
Scopus ID
85126561351
Creative Commons License
Creative Commons Attribution 4.0 International
Indexed in Scopus
Yes
Open Access
Yes
Open Access Type
Gold: This publication is openly available in an open access journal/series
Citation Information
Ibrahim Shawky Farahat, Ahmed Sharafeldeen, Mohamed Elsharkawy, Ahmed Soliman, et al.. "The Role of 3D CT Imaging in the Accurate Diagnosis of Lung Function in Coronavirus Patients" Diagnostics Vol. 12 Iss. 3 (2022) ISSN: <a href="https://v2.sherpa.ac.uk/id/publication/issn/2075-4418" target="_blank">
Available at: http://works.bepress.com/fatma-taher/35/