Putzu Lorenzo, Caocci Giovanni, Di Ruberto Cecilia
Department of Mathematics and Computer Science, University of Cagliari, via Ospedale 72, 09124 Cagliari, Italy.
Hematology, Department of Medical Sciences, University of Cagliari, via Is Guadazzonis 2, 09126 Cagliari, Italy.
Artif Intell Med. 2014 Nov;62(3):179-91. doi: 10.1016/j.artmed.2014.09.002. Epub 2014 Sep 16.
The counting and classification of blood cells allow for the evaluation and diagnosis of a vast number of diseases. The analysis of white blood cells (WBCs) allows for the detection of acute lymphoblastic leukaemia (ALL), a blood cancer that can be fatal if left untreated. Currently, the morphological analysis of blood cells is performed manually by skilled operators. However, this method has numerous drawbacks, such as slow analysis, non-standard accuracy, and dependences on the operator's skill. Few examples of automated systems that can analyse and classify blood cells have been reported in the literature, and most of these systems are only partially developed. This paper presents a complete and fully automated method for WBC identification and classification using microscopic images.
In contrast to other approaches that identify the nuclei first, which are more prominent than other components, the proposed approach isolates the whole leucocyte and then separates the nucleus and cytoplasm. This approach is necessary to analyse each cell component in detail. From each cell component, different features, such as shape, colour and texture, are extracted using a new approach for background pixel removal. This feature set was used to train different classification models in order to determine which one is most suitable for the detection of leukaemia.
Using our method, 245 of 267 total leucocytes were properly identified (92% accuracy) from 33 images taken with the same camera and under the same lighting conditions. Performing this evaluation using different classification models allowed us to establish that the support vector machine with a Gaussian radial basis kernel is the most suitable model for the identification of ALL, with an accuracy of 93% and a sensitivity of 98%. Furthermore, we evaluated the goodness of our new feature set, which displayed better performance with each evaluated classification model.
The proposed method permits the analysis of blood cells automatically via image processing techniques, and it represents a medical tool to avoid the numerous drawbacks associated with manual observation. This process could also be used for counting, as it provides excellent performance and allows for early diagnostic suspicion, which can then be confirmed by a haematologist through specialised techniques.
血细胞的计数和分类有助于评估和诊断大量疾病。对白细胞(WBC)的分析有助于检测急性淋巴细胞白血病(ALL),这是一种血液癌症,如果不治疗可能会致命。目前,血细胞的形态分析由技术熟练的操作人员手动进行。然而,这种方法有许多缺点,如分析速度慢、准确性不标准以及依赖操作人员的技能。文献中报道的能够分析和分类血细胞的自动化系统实例很少,而且这些系统大多只是部分开发。本文提出了一种使用显微镜图像对白细胞进行识别和分类的完整且全自动的方法。
与其他先识别细胞核(细胞核比其他成分更突出)的方法不同,本文提出的方法先分离整个白细胞,然后再分离细胞核和细胞质。这种方法对于详细分析每个细胞成分是必要的。从每个细胞成分中,使用一种新的背景像素去除方法提取不同的特征,如形状、颜色和纹理。这个特征集用于训练不同的分类模型,以确定哪一个最适合白血病的检测。
使用我们的方法,在相同相机和相同光照条件下拍摄的33张图像中,267个白细胞中有245个被正确识别(准确率92%)。使用不同的分类模型进行评估使我们确定,具有高斯径向基核的支持向量机是识别ALL最合适的模型,准确率为93%,灵敏度为98%。此外,我们评估了新特征集的优良性,它在每个评估的分类模型中都表现出更好的性能。
所提出的方法允许通过图像处理技术自动分析血细胞,它代表了一种医疗工具,可以避免与人工观察相关的许多缺点。这个过程也可用于计数,因为它提供了出色的性能,并允许早期诊断怀疑,然后血液科医生可以通过专门技术进行确认。