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Automatic Diagnose of Drug-Resistance Tuberculosis from CT Images Based on Deep Neural Networks

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Abstract

Tuberculosis was discovered about 130 years ago and has remained a persistent threat and leading cause of death worldwide. Drug therapy is currently one of the effective treatments for pulmonary tuberculosis. Tuberculosis can be divided into drug-sensitive and drug-resistant tuberculosis in terms of its drug resistance. The timely identification of drug-resistant from drug-sensitive tuberculosis is vital for effective clinical treatment and improving the cure rate of patients. The most commonly used methods of drug-resistant detection are either expensive or time-consuming (up to several months). Therefore, an effective and affordable method for early drug-resistant screening is urgently required. Automatic diagnosis using computed Tomography is one of the possible approaches for this requirement. Although there have been some applications of deep learning-based algorithms on this task, open-source datasets are lacking to support clinical significance. In this paper, a novel method is proposed to distinguish drug-resistant tuberculosis from drug-sensitive tuberculosis. First, an annotated dataset is constructed based on the clinical pathological report, in which 101 drug-sensitive cases and 304 drug-resistant cases are collected and preprocessed. Then, we employ a three-dimensional residual network as the backbone and propose a lesion slice selection strategy to train the constructed model effectively. At last, we reimplement existing methods using the constructed dataset for comparison. Extensive experimental results demonstrate that the proposed method performs the best classification with a rate of 92.21% and an AUC value of 93.50%, significantly exceeding the current baseline results.

This work was supported by the National Natural Science Foundation of China under Grant 62106163 and by the National Natural Science Foundation of China under Grant 82100119 and the CAAI-Huawei MindSpore Open Fund.

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Correspondence to Chengdi Wang or Xiuyuan Xu .

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Du, Q. et al. (2022). Automatic Diagnose of Drug-Resistance Tuberculosis from CT Images Based on Deep Neural Networks. In: Fang, L., Povey, D., Zhai, G., Mei, T., Wang, R. (eds) Artificial Intelligence. CICAI 2022. Lecture Notes in Computer Science(), vol 13605. Springer, Cham. https://doi.org/10.1007/978-3-031-20500-2_21

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  • DOI: https://doi.org/10.1007/978-3-031-20500-2_21

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