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A Comparative Evaluation of Computed Tomography Images for the Classification of Spirometric Severity of the Chronic Obstructive Pulmonary Disease with Deep Learning

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Title: A Comparative Evaluation of Computed Tomography Images for the Classification of Spirometric Severity of the Chronic Obstructive Pulmonary Disease with Deep Learning
Authors: Sugimori, Hiroyuki Browse this author
Shimizu, Kaoruko Browse this author →KAKEN DB
Makita, Hironi Browse this author
Suzuki, Masaru Browse this author
Konno, Satoshi Browse this author
Keywords: image classification
chronic obstructive pulmonary disease
deep learning
Issue Date: Jun-2021
Publisher: MDPI
Journal Title: Diagnostics
Volume: 11
Issue: 6
Start Page: 929
Publisher DOI: 10.3390/diagnostics11060929
Abstract: Recently, deep learning applications in medical imaging have been widely applied. However, whether it is sufficient to simply input the entire image or whether it is necessary to preprocess the setting of the supervised image has not been sufficiently studied. This study aimed to create a classifier trained with and without preprocessing for the Global Initiative for Chronic Obstructive Lung Disease (GOLD) classification using CT images and to evaluate the classification accuracy of the GOLD classification by confusion matrix. According to former GOLD 0, GOLD 1, GOLD 2, and GOLD 3 or 4, eighty patients were divided into four groups (n = 20). The classification models were created by the transfer learning of the ResNet50 network architecture. The created models were evaluated by confusion matrix and AUC. Moreover, the rearranged confusion matrix for former stages 0 and >= 1 was evaluated by the same procedure. The AUCs of original and threshold images for the four-class analysis were 0.61 +/- 0.13 and 0.64 +/- 0.10, respectively, and the AUCs for the two classifications of former GOLD 0 and GOLD >= 1 were 0.64 +/- 0.06 and 0.68 +/- 0.12, respectively. In the two-class classification by threshold image, recall and precision were over 0.8 in GOLD >= 1, and in the McNemar-Bowker test, there was some symmetry. The results suggest that the preprocessed threshold image can be possibly used as a screening tool for GOLD classification without pulmonary function tests, rather than inputting the normal image into the convolutional neural network (CNN) for CT image learning.
Type: article
URI: http://hdl.handle.net/2115/82541
Appears in Collections:北海道大学病院 (Hokkaido University Hospital) > 雑誌発表論文等 (Peer-reviewed Journal Articles, etc)

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