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. 2023 Feb;153:106338.
doi: 10.1016/j.compbiomed.2022.106338. Epub 2022 Nov 22.

ACSN: Attention capsule sampling network for diagnosing COVID-19 based on chest CT scans

Affiliations
Free PMC article

ACSN: Attention capsule sampling network for diagnosing COVID-19 based on chest CT scans

Cuihong Wen et al. Comput Biol Med. 2023 Feb.
Free PMC article

Abstract

Automated diagnostic techniques based on computed tomography (CT) scans of the chest for the coronavirus disease (COVID-19) help physicians detect suspected cases rapidly and precisely, which is critical in providing timely medical treatment and preventing the spread of epidemic outbreaks. Existing capsule networks have played a significant role in automatic COVID-19 detection systems based on small datasets. However, extracting key slices is difficult because CT scans typically show many scattered lesion sections. In addition, existing max pooling sampling methods cannot effectively fuse the features from multiple regions. Therefore, in this study, we propose an attention capsule sampling network (ACSN) to detect COVID-19 based on chest CT scans. A key slices enhancement method is used to obtain critical information from a large number of slices by applying attention enhancement to key slices. Then, the lost active and background features are retained by integrating two types of sampling. The results of experiments on an open dataset of 35,000 slices show that the proposed ACSN achieve high performance compared with state-of-the-art models and exhibits 96.3% accuracy, 98.8% sensitivity, 93.8% specificity, and 98.3% area under the receiver operating characteristic curve.

Keywords: COVID-19 recognition; Capsule network; Chest CT scan; Deep learning; Feature sampling; Lung infections.

Conflict of interest statement

Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

Figures

Fig. 1
Fig. 1
Overall framework diagram of ACSN.
Fig. 2
Fig. 2
Key slices enhancement method.
Fig. 3
Fig. 3
Key pooling sampling method and subsequent structures of ACSN.
Fig. 4
Fig. 4
Training process of 4.ACSN and CT-CAPS.
Fig. 5
Fig. 5
Final feature maps were obtained by using the three methods. The salient features are marked in the red box.

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