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      A Few-Shot U-Net Deep Learning Model for COVID-19 Infected Area Segmentation in CT Images

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          Abstract

          Recent studies indicate that detecting radiographic patterns on CT chest scans can yield high sensitivity and specificity for COVID-19 identification. In this paper, we scrutinize the effectiveness of deep learning models for semantic segmentation of pneumonia-infected area segmentation in CT images for the detection of COVID-19. Traditional methods for CT scan segmentation exploit a supervised learning paradigm, so they (a) require large volumes of data for their training, and (b) assume fixed (static) network weights once the training procedure has been completed. Recently, to overcome these difficulties, few-shot learning (FSL) has been introduced as a general concept of network model training using a very small amount of samples. In this paper, we explore the efficacy of few-shot learning in U-Net architectures, allowing for a dynamic fine-tuning of the network weights as new few samples are being fed into the U-Net. Experimental results indicate improvement in the segmentation accuracy of identifying COVID-19 infected regions. In particular, using 4-fold cross-validation results of the different classifiers, we observed an improvement of 5.388 ± 3.046% for all test data regarding the IoU metric and a similar increment of 5.394 ± 3.015% for the F1 score. Moreover, the statistical significance of the improvement obtained using our proposed few-shot U-Net architecture compared with the traditional U-Net model was confirmed by applying the Kruskal-Wallis test ( p-value = 0.026).

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          Clinical features of patients infected with 2019 novel coronavirus in Wuhan, China

          Summary Background A recent cluster of pneumonia cases in Wuhan, China, was caused by a novel betacoronavirus, the 2019 novel coronavirus (2019-nCoV). We report the epidemiological, clinical, laboratory, and radiological characteristics and treatment and clinical outcomes of these patients. Methods All patients with suspected 2019-nCoV were admitted to a designated hospital in Wuhan. We prospectively collected and analysed data on patients with laboratory-confirmed 2019-nCoV infection by real-time RT-PCR and next-generation sequencing. Data were obtained with standardised data collection forms shared by WHO and the International Severe Acute Respiratory and Emerging Infection Consortium from electronic medical records. Researchers also directly communicated with patients or their families to ascertain epidemiological and symptom data. Outcomes were also compared between patients who had been admitted to the intensive care unit (ICU) and those who had not. Findings By Jan 2, 2020, 41 admitted hospital patients had been identified as having laboratory-confirmed 2019-nCoV infection. Most of the infected patients were men (30 [73%] of 41); less than half had underlying diseases (13 [32%]), including diabetes (eight [20%]), hypertension (six [15%]), and cardiovascular disease (six [15%]). Median age was 49·0 years (IQR 41·0–58·0). 27 (66%) of 41 patients had been exposed to Huanan seafood market. One family cluster was found. Common symptoms at onset of illness were fever (40 [98%] of 41 patients), cough (31 [76%]), and myalgia or fatigue (18 [44%]); less common symptoms were sputum production (11 [28%] of 39), headache (three [8%] of 38), haemoptysis (two [5%] of 39), and diarrhoea (one [3%] of 38). Dyspnoea developed in 22 (55%) of 40 patients (median time from illness onset to dyspnoea 8·0 days [IQR 5·0–13·0]). 26 (63%) of 41 patients had lymphopenia. All 41 patients had pneumonia with abnormal findings on chest CT. Complications included acute respiratory distress syndrome (12 [29%]), RNAaemia (six [15%]), acute cardiac injury (five [12%]) and secondary infection (four [10%]). 13 (32%) patients were admitted to an ICU and six (15%) died. Compared with non-ICU patients, ICU patients had higher plasma levels of IL2, IL7, IL10, GSCF, IP10, MCP1, MIP1A, and TNFα. Interpretation The 2019-nCoV infection caused clusters of severe respiratory illness similar to severe acute respiratory syndrome coronavirus and was associated with ICU admission and high mortality. Major gaps in our knowledge of the origin, epidemiology, duration of human transmission, and clinical spectrum of disease need fulfilment by future studies. Funding Ministry of Science and Technology, Chinese Academy of Medical Sciences, National Natural Science Foundation of China, and Beijing Municipal Science and Technology Commission.
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            U-Net: Convolutional Networks for Biomedical Image Segmentation

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              An introduction to ROC analysis

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                Author and article information

                Contributors
                Role: Academic Editor
                Journal
                Sensors (Basel)
                Sensors (Basel)
                sensors
                Sensors (Basel, Switzerland)
                MDPI
                1424-8220
                22 March 2021
                March 2021
                : 21
                : 6
                : 2215
                Affiliations
                [1 ]Department of Informatics and Computer Engineering, University of West Attica, 12243 Athens, Greece; eprotopapadakis@ 123456uniwa.gr
                [2 ]School of Rural and Surveying Engineering, National Technical University of Athens, 15780 Athens, Greece; iasonkatsamenis@ 123456mail.ntua.gr (I.K.); adoulam@ 123456cs.ntua.gr (A.D.); ndoulam@ 123456cs.ntua.gr (N.D.)
                Author notes
                [* ]Correspondence: avoulod@ 123456uniwa.gr
                Author information
                https://orcid.org/0000-0002-0632-9769
                https://orcid.org/0000-0001-9339-1546
                https://orcid.org/0000-0002-4064-8990
                Article
                sensors-21-02215
                10.3390/s21062215
                8004971
                33810066
                bf8c9864-38fd-41eb-9abd-784198f5a8f5
                © 2021 by the authors.

                Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license ( http://creativecommons.org/licenses/by/4.0/).

                History
                : 14 February 2021
                : 18 March 2021
                Categories
                Article

                Biomedical engineering
                deep learning,few-shot learning,semantic segmentation,ct images,covid-19
                Biomedical engineering
                deep learning, few-shot learning, semantic segmentation, ct images, covid-19

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