  Chronic obstructive pulmonary disease (COPD) is a lung disease which can be
quantified using chest computed tomography (CT) scans. Recent studies have
shown that COPD can be automatically diagnosed using weakly supervised learning
of intensity and texture distributions. However, up till now such classifiers
have only been evaluated on scans from a single domain, and it is unclear
whether they would generalize across domains, such as different scanners or
scanning protocols. To address this problem, we investigate classification of
COPD in a multi-center dataset with a total of 803 scans from three different
centers, four different scanners, with heterogenous subject distributions. Our
method is based on Gaussian texture features, and a weighted logistic
classifier, which increases the weights of samples similar to the test data. We
show that Gaussian texture features outperform intensity features previously
used in multi-center classification tasks. We also show that a weighting
strategy based on a classifier that is trained to discriminate between scans
from different domains, can further improve the results. To encourage further
research into transfer learning methods for classification of COPD, upon
acceptance of the paper we will release two feature datasets used in this study
on http://bigr.nl/research/projects/copd
