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This study investigates techniques for medical image classification, specifically focusing on COVID-19 scans obtained through computer tomography (CT). Firstly, handcrafted methods based on feature engineering are explored due to their suitability for training traditional machine learning (TML) classifiers (e.g., Support Vector Machine (SVM)) when faced with limited medical image datasets. In this context, I comprehensively evaluate and compare 27 descriptor sets. More recently, deep learning (DL) models have successfully analyzed and classified natural and medical images. However, the scarcity of well-annotated medical images, particularly those related to COVID-19, presents challenges for training DL models from scratch. Consequently, I leverage deep features extracted from 12 pre-trained DL models for classification tasks. This work presents a comprehensive comparative analysis between TML and DL approaches in COVID-19 image classification. [ABSTRACT FROM AUTHOR]