# COVID-19 Classification of X-ray Images Using Deep Neural Networks

arXiv: https://arxiv.org/abs/2010.01362 · HTML: https://mlsanity.com/paper/2010.01362/

## Key facts

- Cited by 8 papers in the map (data through 14 Oct 2026).
- First posted on arXiv 3 Oct 2020.

## Built on by (most cited first, 8 of 8)

- [OSegNet: Operational Segmentation Network for COVID-19 Detection using Chest X-ray Images](https://mlsanity.com/paper/2202.10185/) (2022)
- [A Survey of Deep Learning Techniques for the Analysis of COVID-19 and their usability for Detecting Omicron](https://mlsanity.com/paper/2202.06372/) (2022)
- [Anatomy-XNet: An Anatomy Aware Convolutional Neural Network for Thoracic Disease Classification in Chest X-rays](https://mlsanity.com/paper/2106.05915/) (2021)
- [Reliable COVID-19 Detection Using Chest X-ray Images](https://mlsanity.com/paper/2101.12254/) (2021)
- [ThoraX-PriorNet: A Novel Attention-Based Architecture Using Anatomical Prior Probability Maps for Thoracic Disease Classification](https://mlsanity.com/paper/2210.02998/) (2022)
- [A Two-Stage Federated Transfer Learning Framework in Medical Images Classification on Limited Data: A COVID-19 Case Study](https://mlsanity.com/paper/2203.12803/) (2022)
- [In-Line Image Transformations for Imbalanced, Multiclass Computer Vision Classification of Lung Chest X-Rays](https://mlsanity.com/paper/2104.02238/) (2021)
- [Improving COVID-19 CXR Detection with Synthetic Data Augmentation](https://mlsanity.com/paper/2112.07529/) (2021)

## Abstract (arXiv)

In the midst of the coronavirus disease 2019 (COVID-19) outbreak, chest X-ray (CXR) imaging is playing an important role in the diagnosis and monitoring of patients with COVID-19. Machine learning solutions have been shown to be useful for X-ray analysis and classification in a range of medical contexts. The purpose of this study is to create and evaluate a machine learning model for diagnosis of COVID-19, and to provide a tool for searching for similar patients according to their X-ray scans. In this retrospective study, a classifier was built using a pre-trained deep learning model (ReNet50) and enhanced by data augmentation and lung segmentation to detect COVID-19 in frontal CXR images collected between January 2018 and July 2020 in four hospitals in Israel. A nearest-neighbors algorithm was implemented based on the network results that identifies the images most similar to a given image. The model was evaluated using accuracy, sensitivity, area under the curve (AUC) of receiver operating characteristic (ROC) curve and of the precision-recall (P-R) curve. The dataset sourced for this study includes 2362 CXRs, balanced for positive and negative COVID-19, from 1384 patients (63 +/- 18 years, 552 men). Our model achieved 89.7% (314/350) accuracy and 87.1% (156/179) sensitivity in classification of COVID-19 on a test dataset comprising 15% (350 of 2326) of the original data, with AUC of ROC 0.95 and AUC of the P-R curve 0.94. For each image we retrieve images with the most similar DNN-based image embeddings; these can be used to compare with previous cases.
