# Robust Multi-Source Covid-19 Detection in CT Images

arXiv: https://arxiv.org/abs/2604.03320 · HTML: https://mlsanity.com/paper/2604.03320/

## Key facts

- No citing papers in the map yet (data through 14 Oct 2026).
- Builds on 37 of its 52 references that are in the map.
- First posted on arXiv 2 Apr 2026.

## Builds on (most cited first, 30 of 37)

- [Adam: A Method for Stochastic Optimization](https://mlsanity.com/paper/1412.6980/) (2014)
- [EfficientNet: Rethinking Model Scaling for Convolutional Neural Networks](https://mlsanity.com/paper/1905.11946/) (2019)
- [Learning Imbalanced Datasets with Label-Distribution-Aware Margin Loss](https://mlsanity.com/paper/1906.07413/) (2019)
- [Long-tail learning via logit adjustment](https://mlsanity.com/paper/2007.07314/) (2020)
- [Albumentations: fast and flexible image augmentations](https://mlsanity.com/paper/1809.06839/) (2018)
- [ResNeSt: Split-Attention Networks](https://mlsanity.com/paper/2004.08955/) (2020)
- [Equalization Loss for Long-Tailed Object Recognition](https://mlsanity.com/paper/2003.05176/) (2020)
- [MIA-COV19D: COVID-19 Detection through 3-D Chest CT Image Analysis](https://mlsanity.com/paper/2106.07524/) (2021)
- [Preserving Fairness Generalization in Deepfake Detection](https://mlsanity.com/paper/2402.17229/) (2024)
- [Improving Fairness in Deepfake Detection](https://mlsanity.com/paper/2306.16635/) (2023)
- [A Deep Neural Architecture for Harmonizing 3-D Input Data Analysis and Decision Making in Medical Imaging](https://mlsanity.com/paper/2303.00175/) (2023)
- [LLM-MedQA: Enhancing Medical Question Answering through Case Studies in Large Language Models](https://mlsanity.com/paper/2501.05464/) (2024)
- [Domain adaptation, Explainability & Fairness in AI for Medical Image Analysis: Diagnosis of COVID-19 based on 3-D Chest CT-scans](https://mlsanity.com/paper/2403.02192/) (2024)
- [Robust Attentive Deep Neural Network for Exposing GAN-generated Faces](https://mlsanity.com/paper/2109.02167/) (2021)
- [AI-Face: A Million-Scale Demographically Annotated AI-Generated Face Dataset and Fairness Benchmark](https://mlsanity.com/paper/2406.00783/) (2024)
- [Rank-based Decomposable Losses in Machine Learning: A Survey](https://mlsanity.com/paper/2207.08768/) (2022)
- [Sum of Ranked Range Loss for Supervised Learning](https://mlsanity.com/paper/2106.03300/) (2021)
- [Robust CLIP-Based Detector for Exposing Diffusion Model-Generated Images](https://mlsanity.com/paper/2404.12908/) (2024)
- [Distributionally Robust Survival Analysis: A Novel Fairness Loss Without Demographics](https://mlsanity.com/paper/2211.10508/) (2022)
- [UU-Mamba: Uncertainty-aware U-Mamba for Cardiac Image Segmentation](https://mlsanity.com/paper/2405.17496/) (2024)
- [Fairness in Survival Analysis with Distributionally Robust Optimization](https://mlsanity.com/paper/2409.10538/) (2024)
- [Robust COVID-19 Detection in CT Images with CLIP](https://mlsanity.com/paper/2403.08947/) (2024)
- [Robustly Optimized Deep Feature Decoupling Network for Fatty Liver Diseases Detection](https://mlsanity.com/paper/2406.17338/) (2024)
- [Diffusion-empowered AutoPrompt MedSAM](https://mlsanity.com/paper/2502.06817/) (2025)
- [Neural Radiance Fields in Medical Imaging: A Survey](https://mlsanity.com/paper/2402.17797/) (2024)
- [Improving Generalization of Medical Image Registration Foundation Model](https://mlsanity.com/paper/2505.06527/) (2025)
- [Preserving AUC Fairness in Learning with Noisy Protected Groups](https://mlsanity.com/paper/2505.18532/) (2025)
- [Advancing COVID-19 Detection in 3D CT Scans](https://mlsanity.com/paper/2403.11953/) (2024)
- [An Explainable Non-local Network for COVID-19 Diagnosis](https://mlsanity.com/paper/2408.04300/) (2024)
- [Challenge Summary U-MedSAM: Uncertainty-aware MedSAM for Medical Image Segmentation](https://mlsanity.com/paper/2408.08881/) (2024)

## Abstract (arXiv)

Deep learning models for COVID-19 detection from chest CT scans generally perform well when the training and test data originate from the same institution, but they often struggle when scans are drawn from multiple centres with differing scanners, imaging protocols, and patient populations. One key reason is that existing methods treat COVID-19 classification as the sole training objective, without accounting for the data source of each scan. As a result, the learned representations tend to be biased toward centres that contribute more training data. To address this, we propose a multi-task learning approach in which the model is trained to predict both the COVID-19 diagnosis and the originating data centre. The two tasks share an EfficientNet-B7 backbone, which encourages the feature extractor to learn representations that hold across all four participating centres. Since the training data is not evenly distributed across sources, we apply a logit-adjusted cross-entropy loss [1] to the source classification head to prevent underrepresented centres from being overlooked. Our pre-processing follows the SSFL framework with KDS [2], selecting eight representative slices per scan. Our method achieves an F1 score of 0.9098 and an AUC-ROC of 0.9647 on a validation set of 308 scans. The code is publicly available at https://github.com/Purdue-M2/-multisource-covid-ct.
