NIH Chest X-ray Dataset

National Institutes of Health Chest X-Ray Dataset

Chest X-ray exams are one of the most frequent and cost-effective medical imaging examinations available. However, clinical diagnosis of a chest X-ray can be challenging and sometimes more difficult than diagnosis via chest CT imaging. The lack of large publicly available datasets with annotations means it is still very difficult, if not impossible, to achieve clinically relevant computer-aided detection and diagnosis (CAD) in real world medical sites with chest X-rays. One major hurdle in creating large X-ray image datasets is the lack resources for labeling so many images. Prior to the release of this dataset, Openi was the largest publicly available source of chest X-ray images with 4,143 images available.

This NIH Chest X-ray Dataset is comprised of 112,120 X-ray images with disease labels from 30,805 unique patients. To create these labels, the authors used Natural Language Processing to text-mine disease classifications from the associated radiological reports. The labels are expected to be >90% accurate and suitable for weakly-supervised learning. The original radiology reports are not publicly available but you can find more details on the labeling process in this Open Access paper: "ChestX-ray8: Hospital-scale Chest X-ray Database and Benchmarks on Weakly-Supervised Classification and Localization of Common Thorax Diseases." (Wang et al.)

Link to paper

Data limitations:

1. The image labels are NLP extracted so there could be some erroneous labels but the NLP labeling accuracy is estimated to be >90%.
2. Very limited numbers of disease region bounding boxes (See BBox_list_2017.csv)
3. Chest x-ray radiology reports are not anticipated to be publicly shared. Parties who use this public dataset are encouraged to share their “updated” image labels and/or new bounding boxes in their own studied later, maybe through manual annotation

File contents

• Image format: 112,120 total images with size 1024 x 1024

• images_001.zip: Contains 4999 images

• images_002.zip: Contains 10,000 images

• images_003.zip: Contains 10,000 images

• images_004.zip: Contains 10,000 images

• images_005.zip: Contains 10,000 images

• images_006.zip: Contains 10,000 images

• images_007.zip: Contains 10,000 images

• images_008.zip: Contains 10,000 images

• images_009.zip: Contains 10,000 images

• images_010.zip: Contains 10,000 images

• images_011.zip: Contains 10,000 images

• images_012.zip: Contains 7,121 images

• README_ChestXray.pdf: Original README file

• BBox_list_2017.csv: Bounding box coordinates. Note: Start at x,y, extend horizontally w pixels, and vertically h pixels

  • Image Index: File name
  • Finding Label: Disease type (Class label)
  • Bbox x
  • Bbox y
  • Bbox w
  • Bbox h

• Data_entry_2017.csv: Class labels and patient data for the entire dataset

  • Image Index: File name
  • Finding Labels: Disease type (Class label)
  • Follow-up #
  • Patient ID
  • Patient Age
  • Patient Gender
  • View Position: X-ray orientation
  • OriginalImageWidth
  • OriginalImageHeight
  • OriginalImagePixelSpacing_x
  • OriginalImagePixelSpacing_y

Class descriptions

There are 15 classes (14 diseases, and one for "No findings"). Images can be classified as "No findings" or one or more disease classes:

• Atelectasis
• Consolidation
• Infiltration
• Pneumothorax
• Edema
• Emphysema
• Fibrosis
• Effusion
• Pneumonia
• Pleural_thickening
• Cardiomegaly
• Nodule Mass
• Hernia

Full Dataset Content

There are 12 zip files in total and range from ~2 gb to 4 gb in size. Additionally, we randomly sampled 5% of these images and created a smaller dataset for use in Kernels. The random sample contains 5606 X-ray images and class labels.

• Sample: sample.zip

Modifications to original data

• Original TAR archives were converted to ZIP archives to be compatible with the Kaggle platform

• CSV headers slightly modified to be more explicit in comma separation and also to allow fields to be self-explanatory

Citations

• Wang X, Peng Y, Lu L, Lu Z, Bagheri M, Summers RM. ChestX-ray8: Hospital-scale Chest X-ray Database and Benchmarks on Weakly-Supervised Classification and Localization of Common Thorax Diseases. IEEE CVPR 2017, ChestX-ray8_Hospital-Scale_Chest_CVPR_2017_paper.pdf

• NIH News release: NIH Clinical Center provides one of the largest publicly available chest x-ray datasets to scientific community

• Original source files and documents: https://nihcc.app.box.com/v/ChestXray-NIHCC/folder/36938765345

Acknowledgements

This work was supported by the Intramural Research Program of the NClinical Center (clinicalcenter.nih.gov) and National Library of Medicine (www.nlm.nih.gov).