COVID-Transformer: Interpretable COVID-19 Detection Using Vision Transformer for Healthcare.

Journal: International journal of environmental research and public health
Published Date:

Abstract

In the recent pandemic, accurate and rapid testing of patients remained a critical task in the diagnosis and control of COVID-19 disease spread in the healthcare industry. Because of the sudden increase in cases, most countries have faced scarcity and a low rate of testing. Chest X-rays have been shown in the literature to be a potential source of testing for COVID-19 patients, but manually checking X-ray reports is time-consuming and error-prone. Considering these limitations and the advancements in data science, we proposed a Vision Transformer-based deep learning pipeline for COVID-19 detection from chest X-ray-based imaging. Due to the lack of large data sets, we collected data from three open-source data sets of chest X-ray images and aggregated them to form a 30 K image data set, which is the largest publicly available collection of chest X-ray images in this domain to our knowledge. Our proposed transformer model effectively differentiates COVID-19 from normal chest X-rays with an accuracy of 98% along with an AUC score of 99% in the binary classification task. It distinguishes COVID-19, normal, and pneumonia patient's X-rays with an accuracy of 92% and AUC score of 98% in the Multi-class classification task. For evaluation on our data set, we fine-tuned some of the widely used models in literature, namely, EfficientNetB0, InceptionV3, Resnet50, MobileNetV3, Xception, and DenseNet-121, as baselines. Our proposed transformer model outperformed them in terms of all metrics. In addition, a Grad-CAM based visualization is created which makes our approach interpretable by radiologists and can be used to monitor the progression of the disease in the affected lungs, assisting healthcare.

Authors

  • Debaditya Shome
    School of Electronics Engineering, KIIT Deemed to be University, Odisha 751024, India.
  • T Kar
    School of Electronics Engineering, KIIT Deemed to be University, Odisha 751024, India.
  • Sachi Nandan Mohanty
    Department of Computer Science & Engineering, Vardhaman College of Engineering (Autonomous), Hyderabad 501218, India.
  • Prayag Tiwari
    Department of Information Engineering, University of Padova, Italy. Electronic address: prayag.tiwari@dei.unipd.it.
  • Khan Muhammad
    Visual Analytics for Knowledge Laboratory (VIS2KNOW Lab), School of Convergence, College of Computing and Informatics, Sungkyunkwan University, Seoul, South Korea.
  • Abdullah AlTameem
    Information Systems Department, College of Computer and Information Sciences, Imam Mohammad Ibn Saud Islamic University (IMSIU), Riyadh, Saudi Arabia.
  • Yazhou Zhang
    Software Engineering College, Zhengzhou University of Light Industry, No.136 Science Avenue, Zhengzhou, PR China. Electronic address: yzzhang@zzuli.edu.cn.
  • Abdul Khader Jilani Saudagar
    Information Systems Department, College of Computer and Information Sciences, Imam Mohammad Ibn Saud Islamic University (IMSIU), Riyadh, Saudi Arabia.