Abstract
Interstitial lung disease (ILD) encompasses a spectrum of more than 200 fatal lung disorders affecting the interstitium, contributing to substantial mortality rates. The intricate process of diagnosing ILDs is compounded by their diverse symptomatology and resemblance to other pulmonary conditions. High-resolution computed tomography (HRCT) assumes the role of the primary diagnostic tool for ILD, playing a pivotal role in the medical landscape. In response, this study introduces a computational framework powered by artificial intelligence (AI) to support medical professionals in the identification and classification of ILD from HRCT images. Our dataset comprises 3045 HRCT images sourced from distinct patient cases. The proposed framework presents a novel approach to predicting ILD categories using a two-tier ensemble strategy that integrates outcomes from convolutional neural networks (CNNs), transfer learning, and machine learning (ML) models. This approach outperforms existing methods when evaluated on previously unseen data. Initially, ML models, including Logistic Regression, BayesNet, Stochastic Gradient Descent (SGD), RandomForest, and J48, are deployed to detect ILD based on statistical measures derived from HRCT images. Notably, the J48 model achieves a notable accuracy of 93.08%, with the diagnostic significance of diagonal-wise standard deviation emphasized through feature analysis. Further refinement is achieved through the application of Marker-controlled Watershed Transformation Segmentation and Morphological Masking techniques to HRCT images, elevating accuracy to 95.73% with the J48 model. The computational framework also embraces deep learning techniques, introducing three innovative CNN models that achieve test accuracies of 94.08%, 92.04%, and 93.72%. Additionally, we evaluate five full-training and transfer learning models (InceptionV3, VGG16, MobileNetV2, VGG19, and ResNet50), with the InceptionV3 model achieving peak accuracy at 78.41% for full training and 92.48% for transfer learning. In the concluding phase, a soft-voting ensemble mechanism amplifies training outcomes, yielding ensemble test accuracies of 76.56% for full-training models and 92.81% for transfer learning models. Notably, the ensemble comprising the three newly introduced CNN models attains the pinnacle of test accuracy at 97.42%. This research is poised to drive advancements in ILD diagnosis, presenting a resilient computational framework that enhances accuracy and ultimately betters patient outcomes within the medical domain.
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Data Availability
The data that support the findings of this study are available from St. John's Medical College, Bengaluru, India but restrictions apply to the availability of these data, which were used under licence for the current study, and so are not publicly available. Data are, however, available from the authors upon reasonable request and with permission of St. John's Medical College, Bengaluru, India.
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Raju, N., Augustine, D.P. & Chandra, J. A Novel Artificial Intelligence System for the Prediction of Interstitial Lung Diseases. SN COMPUT. SCI. 5, 143 (2024). https://doi.org/10.1007/s42979-023-02524-3
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DOI: https://doi.org/10.1007/s42979-023-02524-3