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COVID-Net L2C-ULTRA: An Explainable Linear-Convex Ultrasound Augmentation Learning Framework to Improve COVID-19

E Zhixuan Zeng1, Ashkan Ebadi1,2, Adrian Florea3

  • 1Department of Systems Design Engineering, University of Waterloo, Waterloo, ON N2L 3G1, Canada.

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|March 13, 2024
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Summary

Artificial intelligence aids COVID-19 detection using point-of-care ultrasound (POCUS) by overcoming probe differences. This AI framework enhances diagnostic accuracy and recall for COVID-19 screening with POCUS images.

Keywords:
COVID-19 assessmentdeep explainable architecturelinear–convex augmentationlung ultrasonic imaging

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Area of Science:

  • Medical Imaging
  • Artificial Intelligence
  • Infectious Disease Diagnostics

Background:

  • Point-of-care ultrasound (POCUS) is crucial for COVID-19 assessment but faces interpretation challenges.
  • Heterogeneity in ultrasound probe types (linear vs. convex) hinders AI model development for COVID-19 screening.
  • Artificial intelligence (AI) offers a solution to support clinical decision-making in POCUS-based COVID-19 diagnostics.

Purpose of the Study:

  • To develop an AI framework, COVID-Net L2C-ULTRA, for COVID-19 assessment using heterogeneous POCUS images.
  • To investigate the impact of extended linear-convex ultrasound augmentation learning on deep neural network performance.
  • To enhance the utility of linear probe images in AI-driven COVID-19 detection.

Main Methods:

  • Proposed an analytic framework, COVID-Net L2C-ULTRA, designed for linear and convex probe ultrasound images.
  • Implemented extended linear-convex ultrasound augmentation learning, transforming linear probe data to resemble convex probe data.
  • Utilized a machine-driven design exploration strategy for an efficient deep columnar anti-aliased convolutional neural network.

Main Results:

  • Achieved significant performance gains: 3.9% increase in test accuracy, 3.2% in AUC, 10.9% in recall, and 4.4% in precision.
  • Demonstrated improved utilization of linear probe images, with a 5.1% recall improvement when added to the training set.
  • Showcased superior performance compared to other methods when trained on a combined linear-convex dataset.

Conclusions:

  • Extended linear-convex ultrasound augmentation learning effectively enhances AI performance for COVID-19 assessment via POCUS.
  • The proposed COVID-Net L2C-ULTRA framework successfully addresses probe heterogeneity, improving diagnostic accuracy.
  • The study validates the model's clinical relevance by identifying critical image regions for interpretation.