In this survey we discuss the task of hierarchical classification. The literature about this field is scattered across very different application domains and for that reason research in one domain is often done unaware of methods developed in other domains. We define what is the task of hierarchical classification and discuss why some related tasks should not be considered hierarchical classification. We also present a new perspective about some existing hierarchical classification approaches, and based on that perspective we propose a new unifying framework to classify the existing approaches. We also present a review of empirical comparisons of the existing methods reported in the literature as well as a conceptual comparison of those methods at a high level of abstraction, discussing their advantages and disadvantages.

Background and Objective:The COVID-19 can cause severe pneumonia and is estimated to have a high impact on the healthcare system. Early diagnosis is crucial for correct treatment in order to possibly reduce the stress in the healthcare system. The standard image diagnosis tests for pneumonia are chest X-ray (CXR) and computed tomography (CT) scan. Although CT scan is the gold standard, CXR are still useful because it is cheaper, faster and more widespread. This study aims to identify pneumonia caused by COVID-19 from other types and also healthy lungs using only CXR images. Methods:In order to achieve the objectives, we have proposed a classification schema considering the following perspectives: i) a multi-class classification; ii) hierarchical classification, since pneumonia can be structured as a hierarchy. Given the natural data imbalance in this domain, we also proposed the use of resampling algorithms in the schema in order to re-balance the classes distribution. We observed that, texture is one of the main visual attributes of CXR images, our classification schema extract features using some well-known texture descriptors and also using a pre-trained CNN model. We also explored early and late fusion techniques in the schema in order to leverage the strength of multiple texture descriptors and base classifiers at once.To evaluate the approach, we composed a database, named RYDLS-20, containing CXR images of pneumonia caused by different pathogens as well as CXR images of healthy lungs. The classes distribution follows a real-world scenario in which some pathogens are more common than others. Results:The proposed approach tested in RYDLS-20 achieved a macro-avg F1-Score of 0.65 using a multiclass approach and a F1-Score of 0.89 for the COVID-19 identification in the hierarchical classification scenario. Conclusions:As far as we know, the top identification rate obtained in this paper is the best nominal rate obtained for COVID-19 identification in an unbalanced environment with more than three classes. We must also highlight the novel proposed hierarchical classification approach for this task, which considers the types of pneumonia caused by the different pathogens and lead us to the best COVID-19 recognition rate obtained here.

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