Abstract
A critical step in the fight against COVID-19, which continues to have a catastrophic impact on peoples lives, is the effective screening of patients presented in the clinics with severe COVID-19 symptoms. Chest radiography is one of the promising screening approaches. Many studies reported detecting COVID-19 in chest X-rays accurately using deep learning. A serious limitation of many published approaches is insufficient attention paid to explaining decisions made by deep learning models. Using explainable artificial intelligence methods, we demonstrate that model decisions may rely on confounding factors rather than medical pathology. After an analysis of potential confounding factors found on chest X-ray images, we propose a novel method to minimise their negative impact. We show that our proposed method is more robust than previous attempts to counter confounding factors such as ECG leads in chest X-rays that often influence model classification decisions. In addition to being robust, our method achieves results comparable to the state-of-the-art. The source code and pre-trained weights are publicly available at (https://github.com/tomek1911/POTHER).
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Acknowledgements
This work is supported in part by the European Union’s Horizon 2020 research and innovation programme under grant agreement Sano No. 857533 and the International Research Agendas programme of the Foundation for Polish Science, co-financed by the EU under the European Regional Development Fund. This research was funded by Foundation for Polish Science (grant no POIR.04.04.00-00-14DE/18-00 carried out within the Team-Net program co-financed by the European Union under the European Regional Development Fund), National Science Centre, Poland (grant no 2020/39/B/ST6/01511).
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Szczepański, T., Sitek, A., Trzciński, T., Płotka, S. (2022). POTHER: Patch-Voted Deep Learning-Based Chest X-ray Bias Analysis for COVID-19 Detection. In: Groen, D., de Mulatier, C., Paszynski, M., Krzhizhanovskaya, V.V., Dongarra, J.J., Sloot, P.M.A. (eds) Computational Science – ICCS 2022. ICCS 2022. Lecture Notes in Computer Science, vol 13351. Springer, Cham. https://doi.org/10.1007/978-3-031-08754-7_51
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