Deep learning models for COVID-19 chest x-ray classification: Preventing shortcut learning using feature disentanglement.

Journal: PloS one
Published Date:

Abstract

In response to the COVID-19 global pandemic, recent research has proposed creating deep learning based models that use chest radiographs (CXRs) in a variety of clinical tasks to help manage the crisis. However, the size of existing datasets of CXRs from COVID-19+ patients are relatively small, and researchers often pool CXR data from multiple sources, for example, using different x-ray machines in various patient populations under different clinical scenarios. Deep learning models trained on such datasets have been shown to overfit to erroneous features instead of learning pulmonary characteristics in a phenomenon known as shortcut learning. We propose adding feature disentanglement to the training process. This technique forces the models to identify pulmonary features from the images and penalizes them for learning features that can discriminate between the original datasets that the images come from. We find that models trained in this way indeed have better generalization performance on unseen data; in the best case we found that it improved AUC by 0.13 on held out data. We further find that this outperforms masking out non-lung parts of the CXRs and performing histogram equalization, both of which are recently proposed methods for removing biases in CXR datasets.

Authors

  • Anusua Trivedi
    AI for Good Research Lab, Microsoft, Redmond, WA, United States of America.
  • Caleb Robinson
    AI for Good Research Lab, Microsoft, Redmond, WA, United States of America.
  • Marian Blazes
    From the Department of Ophthalmology, University of Washington, Seattle, Washington.
  • Anthony Ortiz
    AI for Good Research Lab, Microsoft, Redmond, WA, United States of America.
  • Jocelyn Desbiens
    Intelligent Retinal Imaging Systems, Pensacola, FL, United States of America.
  • Sunil Gupta
    Applied Artificial Intelligence Institute, Deakin University, Melbourne, Australia.
  • Rahul Dodhia
    AI for Good Research Lab, Microsoft, Redmond, Washington 98052, USA.
  • Pavan K Bhatraju
    Division of Pulmonary Critical Care and Sleep Medicine, Department of Medicine, University of Washington School of Medicine, Seattle, Washington.
  • W Conrad Liles
    Department of Global Health, University of Washington, Seattle, Washington, USA.
  • Jayashree Kalpathy-Cramer
    Department of Radiology, MGH/Harvard Medical School, Charlestown, Massachusetts.
  • Aaron Y Lee
    Department of Ophthalmology, University of Washington, Seattle, Washington.
  • Juan M Lavista Ferres
    AI for Good Research Lab, Microsoft, Redmond, WA, United States of America.