Differential Diagnosis of Infectious Respiratory Diseases via Hybrid Deep Learning: Clinical Evaluation of COVID-19, Pneumonia, and Tuberculosis on Chest Radiography

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Ageng Salmanarrizqie
R.M. Yusuf Irzan

Abstract

 The timely and precise differentiation of infectious respiratory diseases is vital in ensuring optimal patient outcomes and reinforcing public health infection control measures. The present study presents a precise hybrid deep learning architecture for the classification of infectious respiratory diseases based on chest X-ray images. The model was able to classify images into COVID-19, Normal, Pneumonia, and Tuberculosis. The model was able to perform a comprehensive analysis of localized pathological features in the images through the employment of a seg-mental random patch-based sampling strategy. The model also employed a pretrained ResNet-18 model in combination with a Context Pooling layer and Long Short-Term Memory networks. The model was able to achieve a remarkable 96% overall accuracy on a comprehensive dataset of 7,132 images. Notably, the model achieved a remarkable level of diagnostic sensitivity for high-priority communicable diseases, including a 99% F1-score for Tuberculosis and 95% for COVID-19 after only three training epochs. The results indicate that the inclusion of spatial-temporal sequence modeling results in a potent and efficient Clinical Decision Support System (CDSS), which can aid in automated screening and triage in resource-constrained settings where access to radiological expertise may be limited.

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