5. Applying Deep Learning Algorithms in Healthcare
Various deep learning algorithms are used in practical applications in the current situation with the COVID-19 pandemic. Deep learning has shown itself to be useful in healthcare for governments worldwide. These applications provide image-processing capabilities, classification, or clustering, or predict when life will resume as before.
As of the time of writing, it is reported that more than 213 million patients have been diagnosed with COVID-19, and 4.4 million of these cases have passed away, according to the Coronavirus Resource Centre at Johns Hopkins University
[68]. This pandemic poses a dire threat to human civilization. In the pre-COVID-19 era, deep learning was not viewed as a sustainable algorithm for health informatics due to the large amount of training data and computational resources it requires, compared to other algorithms that do not require similar efforts and tuning
[30]. Deep learning techniques were constantly negatively viewed due to their lack of interpretability
[14]. However, COVID-19 has created a need for robust research in order to find the best classification, screening, and diagnostic measures. Search code strategies were used to track the progress of machine learning and deep learning in predicting, detecting, and diagnosing COVID-19. Convolutional neural networks, deep neural networks, and support vector machine algorithms have exhibited accuracies of up to 99% while detecting the virus
[69].
In the medical field and healthcare, deep learning was used in detecting and differentiating among COVID-19, viral pneumonia, and healthy chest X-rays in patients using image-processing capabilities
[70]. The COVID-DeepNet system has been proposed for determining COVID-19 in chest X-ray (CX-R) images
[36]. This system helps radiologists who have experience in understanding the images quickly and accurately
[36]. The results taken from two dissimilar methods rely upon the combination of a convolutional deep belief network and deep belief network, trained from the beginning utilizing a big dataset
[36]. The developed system appears to offer precision and efficiency and can be utilized to identify COVID-19 by applying early diagnosis. Additionally, this system can be used to follow-up the treatment, with each image taking less than 3 s to be decided upon
[36].
Diagnosis, techniques such as Covid-Net CNN, ConoNet CNN, Bayes SqueezeNet, and CoroNet AutoEncoders, have performed superiorly with high accuracies. Other deep learning algorithms have diagnosed COVID-19 after being used on CT-scan datasets, such as the WOA-CNN, CRNet, and CNNs
[71].
An entirely automatic system of deep learning for the diagnosis of COVID-19, and analysis of prognosis, has utilized computed tomography
[36]. From seven cities or provinces, 5273 patients along with their computed tomography images have been gathered
[16]. For pre-training the deep learning system, 4106 patients along with their tomography images have been used, enabling the system to learn the features of the lung
[16]. Subsequently, 1266 patients from six cities or provinces have been registered with the intention of training and validating externally the system performance of deep learning
[16]. A total of 924 out 1266 patients had COVID-19 (471 were followed-up for > days)
[16]. In particular, 342 out of 1266 patients had other pneumonia
[16]. The system of deep learning accomplished satisfactory performance in distinguishing COVID-19 from viral and other pneumonia within the four sets of external validation
[16]. In addition, the system of deep learning has the ability to group patients into low and high risks whose time of stay at hospital has important dissimilarities
[16]. The rapid diagnosis of COVID-19 and determining the patients with high risks can be achieved using deep learning, which can help in enhancing the medical resources and also to help the patients before they will be in critical states
[16].
In order to classify the image tissue,
[72] utilized SegNet and U-NET as two recognized networks of deep learning. U-NET is a tool of medical segmentation
[72], and SegNet is the network of scene segmentation
[72]. SegNet and U-NET were used as binary segmentors in order to distinguish between infected and healthy lung tissue
[72]. Moreover, the two networks can be used as multi-class segmentors for the purpose of learning the infection within the lung
[72]. Every network used seventy-two images for training
[72], ten images for validation
[72] and eighteen images for testing
[72]. The results showed that SegNet is capable to differentiate between healthy and infected tissues. In addition, U-NET provided better results based on multi-class segmentor
[72].
Additionally, using models that apply convolutional neural networks and recurring neural networks, applications can be created to predict vaccination patterns in the future
[72]. Deterministic and stochastic recurrent neural networks were used to predict the geographic spreading of the active virus using unsupervised learning methods so as to plan vaccine distribution among the USA, as a case study
[73].
Machine learning helps governments and health ministries to prepare and schedule the dosages required for the public. In addition, algorithms have helped to forecast the case numbers and mortality statistics in many countries. Deep learning has improved the accuracy of predictions, enabling improved data-driven decisions regarding easing or enforcing lockdowns
[74]. A case study was conducted in India that took no external factors that could affect the rate of spread to predict lockdown extension time. A linear regression model was used to predict how long lockdowns should last in order to eradicate COVID-19 from India
[67].
The authors of
[70] discussed the ways that deep learning assisted in the COVID-19 pandemic and presents guidelines for upcoming research on COVID-19. The authors of
[69] provided applications of deep learning in different fields, such as computer vision, natural language processing, epidemiology, and life sciences. The authors of
[75] described the differences of the applications of big data and methods for building the tasks for learning. In addition, (
[74], p. 19) introduces deep learning’s limitations for application during COVID-19. The limitations are generalization metrics, interpretability, the privacy of data, and using limited labelled data for learning.
Deep learning algorithms can be used to forecast the number of COVID-19 cases and death cases. The multivariate CNN algorithm outperformed the LSTM in terms of validation accuracy and forecasting consistency. CNN has been suggested for long-term forecasting in the absence of seasonality and periodic patterns in time series datasets
[73]. The research mentioned that DL techniques have a significant impact on early detection of COVID-19 with high accuracy rate. Most of the studies used deep learning to detect COVID-19 cases in early stage based on different diagnostic techniques. The most widely used techniques are convolutional neural network (CNN) and transfer learning (TL)
[76]. The research detailed that the use of AI in COVID-19 investigation can be summarized in terms of clinical image examination, drug design and pandemic prediction against coronavirus. The study revealed that in a considerable number of patients with suspected COVID-19 pneumonia, CT should be examined following CXR, potentially causing impairment in the absence of pre-defined diagnostic work-up criteria. The DNN architectures are built from the ground up instead of applying transfer learning techniques
[77]. Deep Learning applications to detect the symptoms of COVID-19, AI based robots to maintain social distancing, Block chain technology to maintain patient records, Mathematical modeling to predict and assess the situation and Big Data to trace the spread of the virus and other technologies. These technologies have immensely contributed to curtailing this pandemic
[78]. In this research, they designed a weakly supervised deep learning architecture for fast and fully-automated detection and classification of COVID-19 cases using retrospectively extracted CT images from multiple scanners and multiple centers. It can distinguish COVID-19 cases accurately from CAP (Community Acquired Pneumonia) and NP(Non-Pneumonia) patients. It can also spot the exact position of the lesions or inflammations caused by the COVID-19, and can also provide details about the patient severity in order to guide the following triage and treatment. Experimental findings have indicated that the proposed model achieves high accuracy, precision and promising qualitative visualisation for the lesion detections
[79]. This research provide a solution for recognizing pneumonia due to COVID-19 and healthy lungs (normal person) using CXR (chest X-ray) images. They used the state-of-the-art technique, genetic deep learning convolutional neural network (GDCNN). It is trained from the scratch for extracting features for grouping them into COVID-19 and normal images. The proposed method do better compared to other transfer learning techniques. Classification accuracy of 98.84%, the precision of 93%, the sensitivity of 100%, and specificity of 97.0% in COVID-19 prediction is attained
[80]. As long as the number of patients is very high and the level of radiological expertise required is low, deep learning-based recommender systems can be of great assistance in diagnosing COVID-19. The study examined four different deep CNN architectures on chest X-ray images of COVID-19 patients for diagnosis recommendation. From all of the models, the Mobilenet model comes out on top. Based on the results, CNN-based architectures have the potential to diagnose COVID-19 correctly. Transfer learning plays a key role in improving detection accuracy. Further fine-tuning of these models may improve their accuracy
[81]. In this research they presented a clinical decision support system for the early detection of COVID-19 using deep learning based on chest X-ray images. For this, they developed an architecture made up of three stages. The first stage includes pre-processing of input images followed by data augmentation. The second stage includes feature extraction followed by learning. Finally, the third stage produces the classification and prediction process with a fully connected network of several classifiers. The proposed deep learning algorithm provided an AUC of 0.97 for internal validation and 0.95 for external validation based on the number of chest Xray images with an accuracy of 92.5% and 87.5% respectively
[82]. This research addresses how AI provides safe, accurate and efficient imaging solutions in COVID-19 applications. Two imaging techniques, i.e., X-ray and CT, are used to show the effectiveness of AI-empowered medical imaging for COVID-19. Imaging only gives partial information about patients with COVID-19. So, it is important to integrate imaging data with both clinical manifestations and laboratory examination results to help better screening, detection and diagnosis of COVID-19. AI will demonstrate its natural capability in fusing information from these multi-source data, for performing accurate and efficient diagnosis, analysis and follow-up
[79]. In this paper, the significance of the AI-driven tools and suitable training and testing models have been discussed. AI-driven tools are required to be implemented from the beginning of data collection, in parallel with the experts in the field, where active learning needs to be implemented. During the decision-making process, multiple data types should be used rather than just one in order to increase confidence. As part of active learning, multitudinal and multimodal data have been discussed
[83]. They presented an artificial intelligence (AI) system for rapid COVID-19 detection and extensively analyzed the CTs of COVID-19 based on Artificial Intelligence. They evaluated the system using large datasets consisting of more than 10 thousand CT scans from the COVID-19, influenza-A/B, community acquired pneumonia (CAP), and other subjects. On a test cohort of 3199 scans, the deep convolutional neural network-based system achieved an area under the receiver operating characteristic curve of 97.81%. This AI system outperformed all five radiologists in a reader study by two orders of magnitude when facing more challenging tasks
[84]. COVID-19 is a new disease announced on 11 February 2020. The major symptoms of COVID-19 are fever, breathing difficulty, dry cough, headache, runny nose, nasal blockage, body pain, and throat pain
[85]. The disease can easily transfer to others through droplets. Respiratory droplets >5–10 µm can spread the virus and are spread easily through direct contact compared to droplet nuclei with particle sizes <5 µm. The transmission of the droplet occurs within 1 m direct contact with a COVID-19-infected person. As of 22 May 202, there were 4,995,996 confirmed cases of coronavirus in over 216 countries and 3,27,821 confirmed deaths
[85]. The COVID-19 pandemic has exposed the vulnerability of healthcare services worldwide. There is a clear need to develop computer assisted diagnosis tools to provide rapid and cost-effective screening to identify SARS-CoV-2. CBC, chest X-ray, Polymerase Chain Reaction (PCR), chest CT, and the IgM/IgG combo test are the diagnosis methods that are generally utilized for COVID-19. Among these, CT scans produce the best performance in COVID-19 diagnosis
[86]. The artificial intelligence (AI) applications related to COVID-19 are involved in medical imaging, drug development, lung damage delineation, cough sample analysis, etc.
AI algorithms can take CT images of patients with clinical symptoms to diagnose COVID-19 result rapidly. A CNN is used to classify the medical image and diagnose the disease as pneumonia or COVID19. A linear support vector machine, VGG16, and Inception V3 were used in one study
[87]. Supervised machine learning algorithms such as SVM, random forest, and I Bayes are mostly utilized to predict the disease easily. The random forest provided the highest accuracy in 9 of 17 studies, with 53% overall. Among these studies, three SVMs produced the best classification for prediction of disease
[88]. Automatic investigative systems based on AI and ML devices have been developed to detect the coronavirus accurately and rapidly to protect healthcare workers in direct contact with COVID-19 patients
[89]. DeTraC DCNN is utilized to classify chest X-ray images (suspected COVID-19) accurately. It achieved 95.12% accuracy in the finding of coronavirus X-ray images
[87]. Extracting CT image features using a deep learning model could provide clinical diagnosis to save time
[90]. One of the challenging issues is distinguishing COVID-19 coughing sounds from non-COVID-19 coughing sounds. The AI4COVID19 application is used to record cough sound samples for 2 s. Matching the voice samples with coronavirus patients and non-COVID-19 patients was done with 90% accuracy
[91]. Deep learning techniques are utilized for computed tomography (CT) images to distinguish between coronavirus and pneumonia
[92]. COVID-19 and pneumonia X-ray image data classes were created using a fuzzy coloring technique for a preprocessing step. The preprocessing datasets were trained with DL models such as SqueezeNet and MobileNetV2. With up to 99.27% accuracy, a support vector machine is used to extract and classify the data features of COVID-19
[93].
Ten convolution neural network techniques were utilized to distinguish between coronavirus and non-coronavirus groups. Among all these networks, Xception and ResNet-101 both achieved high performance area under the curve (AUC) of 0.994. The radiologist’s performance was moderate with an AUC of 0.873
[94].
RestNet-100, a classifier made of a convolutional neural network (RCNN), combined with logistic regression (LR), was used to identify COVID-19. The CT scan image input is given to the Restnet101 deep convolutional neural network model that has 101 layers deep with 33 residual blocks. Then the result is passed to a logistic regression classifier. The logistic regression classifier classifies the result as COVID-19, normal, or pneumonia. The test produces 99.15% accuracy with COVID-19-positive patients. The COVID19 diagnosis has threshold values of 0 and 1. 1 indicates the person is affected with coronavirus or pneumonia, and the result zero indicates the person is not affected with coronavirus. To identify the patient’s condition from the initial stage to a severe stage, the threshold value is utilized for CT image classification. Threshold value 0.5 indicates the initial stage, and 1 indicates a severe condition
[86]. One of the latest techniques for COVID-19 diagnosis and classification is the depthwise separable convolution neural network (DWS-CNN) with a deep support vector machine (DSVM) enabled by the Internet of Things (IoT). The procedure consists of two stages, training and testing. It starts with collecting data from patients using IoT devises, and sending them to the cloud server via 5G networks. The aim of DWS-CNN is to determine the binary and multiple class labels of COVID-19 using CXR images. CNN is involved as the basis of new models used for predicting diseases, due to its efficiency at detecting structural abnormalities. This model was developed to improve the accuracy of COVID-19 detection from chest X-ray scans, and it minimizes manual interaction dependent on radiologists
[95].
Parkinson’s disease (PD) is an illness which could be diagnosed and detected by a CNN from drawing movements, using the Digitized Graphics Tablet dataset. This CNN includes two parts: feature extraction (convolutional layers) and classification (fully connected layers). The fast Fourier’s transform has the range of frequencies between 0 and 25 Hz, which are used as inputs to the CNN
[96][97][98]. Skin cancer is one of the most widespread causes of death, and early detection could increase the survival rate to 90%. For that purpose, deep convolutional neural networks (DCNNs) have been developed and applied to classify the color images of skin cancer into three types: melanoma, atypical nevus, and common nevus
[99][100][101].