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Robust Medical Diagnosis: A Novel Two-Phase Deep Learning Framework for Adversarial Proof Disease Detection in
Sheikh Burhan Ul Haque1, Aasim Zafar2
1Department of Computer Science, Aligarh Muslim University, Uttar Pradesh, Aligarh, 202002, India. sbuhaque@myamu.ac.in.
Journal of Imaging Informatics in Medicine
|February 12, 2024
Summary
Deep learning models for medical imaging are vulnerable to adversarial attacks. A new defense framework enhances AI diagnostic reliability for COVID-19 detection by combining adversarial learning and image filtering.
Area of Science:
- Medical imaging analysis
- Artificial intelligence in diagnostics
- Deep learning applications
Background:
- Deep learning (DL) models excel at diagnosing diseases from radiology images, crucial during the COVID-19 pandemic.
- Despite their accuracy, DL models are vulnerable to adversarial attacks, which can compromise diagnostic reliability and patient care.
Purpose of the Study:
- To develop and evaluate a robust defense framework against adversarial attacks on deep learning models used for medical image diagnostics.
- To enhance the resilience and reliability of AI-powered diagnostic tools for conditions like COVID-19.
Main Methods:
- Proposed a two-phase defense framework incorporating adversarial learning during training and JPEG compression for filtering during inference.
- Evaluated the framework on ResNet-50, VGG-16, and Inception-V3 models for classifying lung radiology images (X-ray, CT) into normal, pneumonia, and COVID-19 pneumonia categories.
- Assessed model vulnerability against Fast Gradient Sign Method (FGSM), Projected Gradient Descent (PGD), and Basic Iterative Method (BIM) adversarial attacks.
Main Results:
- Adversarial attacks significantly degraded the performance of baseline DL models.
- The proposed defense framework substantially improved model resistance to adversarial attacks, maintaining high accuracy on perturbed data.
- The framework ensured the reliability of AI models in diagnosing COVID-19 from clean medical images.
Conclusions:
- The developed defense framework effectively mitigates adversarial attacks on deep learning diagnostic models.
- This approach enhances the trustworthiness of AI in medical diagnostics, particularly for critical applications like COVID-19 detection.
- Ensuring model robustness is vital for the safe and reliable deployment of AI in healthcare settings.

