Review Article

An Overview of Deep Learning Techniques on Chest X-Ray and CT Scan Identification of COVID-19

Table 2

Comparison of clinical and radiological features of COVID-19, SARS, and MERS [32].

FeatureCOVID-19SARSMERS

Clinical sign or symptom
 Fever or chillsYesYesYes
 DyspneaYesYesYes
 MalaiseYesYesYes
 MyalgiaYesYesYes
 HeadacheYesYesYes
 CoughDryDryDry or productive
 DiarrhoeaUncommonYesYes
 Nausea or vomitingUncommonYesYes
 Sore throatUncommonYesYes
 ArthralgiaYesUncommon
Imaging finding
Acute phase
 Initial imaging
  Normal15–20% of patients15–20% of patients17% of patients
 Abnormalities
  CommonPeripheral multifocal airspace opacities (GGO, consolidation, or both) on chest radiography and CT.Peripheral multifocal airspace opacities (GGO, consolidation, or both) on chest radiography and CT.Peripheral multifocal airspace opacities (GGO, consolidation, or both) on chest radiography and CT.
  RarePneumothoraxPneumothoraxPneumothorax
  Not seenCavitation or lymphadenopathyCavitation or lymphadenopathyCavitation or lymphadenopathy
  AppearanceBilateral, multifocal, basal airspace; normal chest radiography findings (15%)Bilateral, multifocal basal airspace on chest radiography or CT (80%); isolated unilateral (20%)Unilateral, focal (50%); multifocal (40%); diffuse (10%)
  Follow-up imaging appearancePersistent or progressive airspace opacitiesUnilateral, focal (25%); progressive (most common, can be unilateral and multifocal or bilateral with multifocal consolidation)Extension into upper lobes or perihilar areas, pleural effusion (33%), interlobular septal thickening (26%)
  Indications of poor prognosisConsolidation (vs. GGO)Bilateral (like ARDS), for or more lung zones, progressive involvement after 12 dGreater involvement of the lungs, pleural effusion, pneumothorax
  Chronic phaseUnknown, but pleural effusion and interlobar septal thickening have not yet been reported
  Transient reticular opacitiesYesYes
  Air trappingCommon (usually persistent)
  FibrosisMore than one-third of patientsRareOne-third of patients

Note: SARS: severe acute respiratory syndrome; MERS: Middle East respiratory syndrome; COVID-19: coronavirus disease 2019; GGO: ground-glass opacity; ARDS: acute respiratory distress syndrome [32].