Review Article

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

Table 3

Summary of deep learning methods and CNN architectures for COVID-19 using radiology images. CT images are computer tomography images, and CXR images are chest X-ray images.

No.PapersDataTypes of imagesAI methods to establish the algorithmCNN architectureResults for detecting COVID

1[44, 45]Total images: 4,356, COVID-19 images: 1,296, pneumonia images: 1,735, nonpneumonia images: 1,325CT3D deep learningResNet-50 and COVNetArea under the curve (AUC): 0.96

2[44, 46]Total images: 618, COVID-19 images: 219, influenza-A (H1N1, H3N2, H5N1, H7N9, and others), images: 224, normal healthy lungs images: 175CT3D CNN model for segmentationLocation-attention network and ResNet-18Accuracy of 86.7%, average time: 30 s

3[44, 47](PA) posterior-anterior images: 5,941, normal images: 1,583, bacterial pneumonia images: 2,786, non-COVID-19 viral pneumonia images: 1,804, COVID-19 images: 68CXRDrop weights based Bayesian CNNsBayesian ResNet50V2Accuracy of 89.92%

4[44, 48]COVID-19 images: 453, training images: 217CTInception migration-learning modelInternal validation: accuracy: 82.9%, specificity: 80.5%, sensitivity: 84%; External testing dataset: accuracy: 73.1%, specificity: 67%, sensitivity: 74%

5[44, 48]Total images: 1,065, COVID-19 images: 325; viral pneumonia images: 740CTModified inception transfer-learning modelAccuracy: 79.30%, specificity: 0.83, sensitive: 0.67

6[44, 49]Total patients: 133, severe/critical patients: 54, nonsevere/critical patients: 79CTMultilayer perception and long short term memory (LSTM)Area under the curve (AUC): 0.954

7[44, 50]Total images: 4,266, COVID-19 images: 2,529, CAP images: 1,338, influenza A/B images: 135, standard images: 258, total patients: 3,177, COVID-19 patients: 1,502, influenza A/B patients: 83, CAP patients: 1,334, healthy subjects: 258CT2D deep learning CNNResNet 152Accuracy: 94.98%, AUC 97.71%, sensitivity: 90.19%, specificity: 95.76%, the average time is taken to read: 2.73 s

8[44, 51]Total 1,136 cases from 5 hospitals, COVID-19 images: 723, non-COVID-19 images: 413CT3D deep learning methodUNet ++ & ResNet-50Specificity: 0.922, sensitive: 0.974

9[44, 52] ,COVID-19 patients: 50, ordinary people: 50,CXR5 pretrained CNNResNet-50, ResNet101, ResNet52, InceptionV3, and inception-ResNetV2ResNet-50: accuracy: 98.0%
10[44, 53]Total images:13,975, total patients:13,870CXRDeep learning CNNCOVID-netAccuracy: 92.4%

11[44, 54]Total patients: 157CTCNNResNet-50Area under the curve (AUC): 0.996

12[34, 44]Normal images: 1,341, viral pneumonia images: 1,345, COVID-19 images: 190CXRCNNAlexNet, ResNet-18, DenseNet-201, SqueezeNetAccuracy: 98.3%

13[44, 55]Total COVID-19 images: 531, CXR images: 170, CT images: 361CT and CXRCNN with transfer learningPretrained AlexNetAccuracy: CXR images: 98.3%, CT image: 94.1%

14[6]Total images: 5,232, normal images: 1,346, bacterial pneumonia images: 2,538, viral pneumonia images: 1,345CXRDeep learning framework using transfer learningPretrained on ImageNet, trained using AlexNet, ResNet18, inception V3, DenseNet121, GoogLeNet, and ensemble modelEnsemble model: accuracy: 96.4%, recall: 99.62% (unseen data)

15[5]Total images: 5,247, bacterial pneumonia images: 2,561, viral pneumonia images 1,345, normal images: 1,341CXRPretrained deep CNN and used for transfer learningAlexNet, ResNet18, DenseNet201, and SqueezeNetDenseNet201 accuracy: normal and pneumonia: 98%, normal images, bacterial, and viral pneumonia: 93.3%, bacterial and viral pneumonia: 95%

16[17]Total images: 306, COVID-19 images: 69, normal images: 79, bacterial pneumonia images: 79, viral pneumonia images: 79. The dataset number increases to 8,100 images after using the GAN network.CXRDeep transfer learning: using GAN network to generate more images to help detect the virus. Three deep transfer models.AlexNet, GoogLeNet, Restnet18 with performance measures in different scenario and classesGoogLeNet accuracy: 80.56%

17[56]Dataset was collected from medRix and bioRxiv; COVID-19 images: 349, total patients: 216CTMultitask learning and self-supervisedDenseNet-169, ResNet-50F1 score: 0.90, AUC: 0.98, accuracy: 0.89

18[36]Total images: 2,200, COVID-19 images: 800, viral pneumonia images: 600CTMachine learning technique using Microsoft AzureResNetHigh accuracy: 91%, overall accuracy: 87.6%

19[57]Total images: 15,495, normal images: 12,544, COVID-19 image: 2,951CXRCNN modelUNet, UNet++, DLA, DenseNet-121, CheXNet; inception-v3, ResNet-50F1 score: 85.81%, sensitivity: 98.37%, specificity: 99.16%

20[58]Diverse datasets from a different sourceCTDeep fully convolutional networks (FCN)UNet, ResDense FCNDSC: 0.780, sensitivity: 0.822, specificity: 0.951

21[59]Total images: 954, COVID-19 images: 308, normal images: 323, pneumonia images: 323 imagesCXRDeep learning modules using stacked architecture conceptDenseNet; GoogleNetSensitivity: 0.91, specificity: 0.95, F1 score: 0.91, AUC: 0.97
22[52]Total images: 7,406, COVID-19 images: 341, normal images: 2,800, viral pneumonia images: 1,493, bacterial pneumonia images: 2,772CXR2D five pretrained CNN based modelsResNet50, ResNet101, ResNet152, InceptionV3, and inception-ResNetV2COVID-19 and normal: accuracy: 96.1%, COVID-19 and pneumonia accuracy: 99.5%, COVID-19 and bacterial accuracy: 99.7%

23[60]Total images (COVID-19, pneumonia, and normal): 1,266, COVID-19 images: 924CT3D pretrained the deep learning system and validate it.DNNSensitivity (train): 78.93%, specificity (train): 89.93%, sensitivity (val): 80.39%, specificity (val): 81.16%

24[61]Total images (COVID-19, bacterial, and normal): 275, COVID-19 images: 88CT2D pretrained ResNet 50 using the feature pyramid network (FPN)DRE-netSensitivity: 93%, specificity: 96%, accuracy: 99%

25[62]Total images: 624, COVID-19 images: 50CXR2D GAN + TLAlexNet, GoogLeNet, ResNet18, SqueezeNetAccuracy: 99%

26[63]Total images (COVID-19, bacterial, and normal): 1,427, COVID-19 images: 224, bacterial and viral pneumonia images: 714CXR2D transfer learning (TL)VGG19, MobileNet, Inception, Xception, Inception ResNet v2.Sensitivity: 98.66%, specificity: 96.46%, accuracy: 94.72%

27[64]Total images (COVID-19, pneumonia, normal): 6,008, COVID-19 images: 184CXR2D transfer learning (TL)Three ResNet modelsAccuracy: 93.9%

28[65]Total images (COVID-19, pneumonia, and normal): 8,850, COVID-19 images: 498CXR2D convolutional autoencoder (CAE)AE: COVIDomalyAccuracy: 76.52%

29[66]Total images (COVID-19, pneumonia, and normal): 2,905, COVID-19 images: 219CXR2DCNN + k-NN + SVMAccuracy: 98.70%

30[67]Total images (COVID-19, pneumonia, and normal): 2,905, COVID-19 images: 219CXR2D using hyperparameters Bayesian optimisation algorithmANN + AlexNetSensitivity: 89.39%, specificity: 99.75%, accuracy: 98.97%, F-score: 96.72%

31[68]Total images (COVID-19, pneumonia, and normal): 502, COVID-19 images: 180CXR2D patch-based convolutional neural networkResNet-18Sensitivity: 76.90%, specificity: 100.00%

32[69]Total images (COVID-19, pneumonia, and normal): 2,905, COVID-19 images: 219CXR2DEnsemble: Resnet50 and VGG16Sensitivity: 91.24%, specificity: 99.82%

33[70]Total images (COVID-19 and normal): 2,492, COVID-19 images: 1,262CT2DTL and DenseNet201Accuracy: 99.82%

34[71]COVID-19, pneumonia, and normal images from Cohen et al. [37]CXR2DXceptionSensitivity: 97.09%, specificity: 97.29%, accuracy: 97.40%
35[72]Total images (COVID-19 and normal): 380, COVID-19: 180CXR2D5 pretrained models+ SVMAccuracy: 94.7%

36[73]Total images (COVID-19, pneumonia, normal, and non-COVID-19): 2,905, COVID-19 images: 219CXR2D pretrained models such as ResNet101, Xception, InceptionV3, MobileNet, and NASNetInstaCovNet-19Accuracy: 99.08%, accuracy: 99.53%

37[74]Datasets contain COVID-19, pneumonia and normal images.CXR2D5 pretrained CNNsAccuracy: 95.00%

38[75]Datasets contain bacterial pneumonia, non-COVID viral pneumonia, and COVID-19 images.CXR2D5 COVID-CAPSSensitivity: 90%, specificity: 95.8%, accuracy: 95.7%

39[76]Total images (COVID-19 and normal): 5,000, COVID-19 images: 184CXR2D5 TL + pretrained modelsSensitivity: 100%, specificity: 98.38%

40[55]Total images (COVID-19 and normal): 526, COVID-19 images: 238CXR + CT2DTL + AlexNet modelSensitivity: 72%, specificity: 100%, accuracy: 94.1%

41[77]Total images (COVID-19 and normal): 320, COVID-19 images: 160CXR + CT2D Apache spark frameworkTL + inceptionV3 & ResNet5Sensitivity: 72%, specificity: 100%, accuracy: 99.01%

42[78]Total images (COVID-19, pneumonia, and normal): 4,575, COVID-19 images: 1,525CXR2D CNN used for deep feature extraction, and LSTM is used for detection using the extracted featureLSTM+CNNSensitivity: 99.2%, specificity: 99.9%, accuracy: 99.4%

43[79]Dataset 1 images (COVID-19, pneumonia, and normal): 4,448, COVID-19 images: 2,479, dataset 2 images (COVID-19, pneumonia, and normal): 101, COVID-19 images: 52CXR2D3D inception V1Dataset 1: accuracy: 99.4%; dataset 2: sensitivity: 98.08%, specificity: 91.30%, accuracy: 93.3%

44[80]Total images (COVID-19, pneumonia, and normal): 1,343, COVID-19 images: 446CXR2DConditional GAN: LightCovidNetAccuracy: 97.28%

45[81]Total images (COVID-19 and normal): 8,504, COVID-19 images: 445CXR2DTL VGG-16 modelSensitivity: 98.0%, specificity: 100.00%, accuracy: 94.5%

46[82]Total images (COVID-19 and normal): 746, COVID-19 images: 349CT2DTL+ ensemble of 15 pretrained models: EfficientNets(B0-B5), NasNetLarge, NasNetMobile, InceptionV3, ResNet-50, SeResnet 50, Xception, DenseNet121, ResNext50, and Inception_resnet_v2Accuracy: 85.0%
47[83]Total images (COVID-19 and normal): 2,482, COVID-19 images: 1,252CT2DAE + random forestSpecificity: 98.77%, accuracy: 97.87%

48[84]Total images (COVID-19 and normal1): 50, COVID-19 images: 25CXR3DCOVIDX-netSensitivity: 100.00%, specificity: 80.00%

49[85]Total images (COVID-19 and Normal): 800, COVID-19 images: 400CXR2D using modern and traditional machine learning methods: (ANN), (SVM), linear kernel and (RBF), -nearest neighbor (-NN), decision tree (DT), and CN 2 rule inducer techniquesDeep learning models: MobileNets V2, ResNet50, GoogleNet, DarkNet, and XceptionResNet50 accuracy: 98.8%

50[86]Total images (COVID-19 and Normal): 800, COVID-19 images: 400CXR2D CLAHE and Butterworth bandpass filter was applied to enhance the contrast and eliminate the noise.The hybrid multimodal deep learning system COVID-deep net system.Sensitivity: 99.9%, specificity: 100.0%, accuracy: 99.3%

51[87]Datasets from Cohen et al. [37]. Total images (COVID-19 and normal): 800, COVID-19 images: 400CXR2D benchmarking and diagnostic models: decision matrix that embedded a mix of 10 evaluation criteria and 12 diagnostic models, also known as multicriteria decision making (MCDM)TOPSIS is applied for benchmarking and ranking purpose, while entropy is used to calculate the criteria’s weights. SVM is selected as the best diagnosis modelCoefficient value: 0.9899

52[88]Total images (COVID-19 and normal): 800, COVID-19 images: 400CXR2D hybrid deep learning framework, pretrained deep learning models incorporating of a ResNet34, and high-resolution network modelCOVID-CheXNet systemSensitivity: 99.98%, specificity: 100.0%, accuracy: 99.99%