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Improving Tuberculosis Detection in Chest X-Ray Images Through Transfer Learning and Deep Learning: Comparative Study
Alex Mirugwe1, Lillian Tamale2, Juwa Nyirenda3
1School of Public Health, Makerere University, Kawalya Kaggwa Close, Plot 20A, Kampala, Uganda, 256 701120534.
Simpler convolutional neural network models, like VGG16, show high accuracy in detecting Tuberculosis (TB) from chest X-rays. These models offer efficient TB diagnostics without needing complex data augmentation.
Area of Science:
- Artificial Intelligence
- Medical Imaging
- Computer-Aided Diagnosis
Background:
- Tuberculosis (TB) poses a significant global health challenge, with current diagnostics often being resource-intensive and inaccessible.
- There is a critical need for efficient and accurate diagnostic methods for early TB detection and improved treatment outcomes.
Purpose of the Study:
- To evaluate six convolutional neural network (CNN) architectures for classifying chest X-ray (CXR) images as normal or TB-positive.
- To assess the impact of data augmentation on model performance, training times, and parameter counts.
Main Methods:
- Trained and tested six CNNs (VGG16, VGG19, ResNet50, ResNet101, ResNet152, Inception-ResNet-V2) on a dataset of 4200 CXR images (700 TB-positive, 3500 normal).
- Evaluated models using accuracy, precision, recall, F1-score, and AUC.
- Analyzed computational efficiency by comparing training times and parameter counts.
Main Results:
- VGG16 achieved the highest performance with 99.4% accuracy, 97.9% precision, 98.6% recall, 98.3% F1-score, and 98.25% AUC.
- Simpler models like VGG16 demonstrated superior diagnostic accuracy with fewer computational resources.
- Data augmentation did not improve performance, and larger models (ResNet152, Inception-ResNet-V2) required longer training times without proportional gains.
Conclusions:
- VGG16 offers an optimal balance of diagnostic accuracy and computational efficiency for TB detection in CXR images.
- Model selection should be tailored to specific task requirements for effective medical image classification.
- Findings provide valuable insights for future research and clinical implementation of AI in TB diagnostics.
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