Abstract (english) | COVID-19 has infected 77.4 million people worldwide and has caused 1.7 million fatalities as of December 21,
2020. The primary cause of death due to COVID-19 is Acute Respiratory Distress Syndrome (ARDS). According to
the World Health Organization (WHO), people who are at least 60 years old or have comorbidities that have
primarily been targeted are at the highest risk from SARS-CoV-2.
Medical imaging provides a non-invasive, touch-free, and relatively safer alternative tool for diagnosis during
the current ongoing pandemic. Artificial intelligence (AI) scientists are developing several intelligent computeraided diagnosis (CAD) tools in multiple imaging modalities, i.e., lung computed tomography (CT), chest X-rays,
and lung ultrasounds. These AI tools assist the pulmonary and critical care clinicians through (a) faster detection
of the presence of a virus, (b) classifying pneumonia types, and (c) measuring the severity of viral damage in
COVID-19-infected patients. Thus, it is of the utmost importance to fully understand the requirements of for a fast
and successful, and timely lung scans analysis.
This narrative review first presents the pathological layout of the lungs in the COVID-19 scenario, followed by
understanding and then explains the comorbid statistical distributions in the ARDS framework. The novelty of
this review is the approach to classifying the AI models as per the by school of thought (SoTs), exhibiting based
on segregation of techniques and their characteristics. The study also discusses the identification of AI models
and its extension from non-ARDS lungs (pre-COVID-19) to ARDS lungs (post-COVID-19). Furthermore, it also
presents AI workflow considerations of for medical imaging modalities in the COVID-19 framework. Finally,
clinical AI design considerations will be discussed.
We conclude that the design of the current existing AI models can be improved by considering comorbidity as
an independent factor. Furthermore, ARDS post-processing clinical systems must involve include (i) the clinical
validation and verification of AI-models, (ii) reliability and stability criteria, and (iii) easily adaptable, and (iv)
generalization assessments of AI systems for their use in pulmonary, critical care, and radiological settings. |