National Institute of Technology Karnataka, Mangalore, India.
College of Engineering, Trikaripur, Kerala, India.
J Med Syst. 2016 Jan;40(1):17. doi: 10.1007/s10916-015-0388-y. Epub 2015 Oct 30.
Tuberculosis (TB) is an infectious disease caused by the bacteria Mycobacterium tuberculosis. It primarily affects the lungs, but it can also affect other parts of the body. TB remains one of the leading causes of death in developing countries, and its recent resurgences in both developed and developing countries warrant global attention. The number of deaths due to TB is very high (as per the WHO report, 1.5 million died in 2013), although most are preventable if diagnosed early and treated. There are many tools for TB detection, but the most widely used one is sputum smear microscopy. It is done manually and is often time consuming; a laboratory technician is expected to spend at least 15 min per slide, limiting the number of slides that can be screened. Many countries, including India, have a dearth of properly trained technicians, and they often fail to detect TB cases due to the stress of a heavy workload. Automatic methods are generally considered as a solution to this problem. Attempts have been made to develop automatic approaches to identify TB bacteria from microscopic sputum smear images. In this paper, we provide a review of automatic methods based on image processing techniques published between 1998 and 2014. The review shows that the accuracy of algorithms for the automatic detection of TB increased significantly over the years and gladly acknowledges that commercial products based on published works also started appearing in the market. This review could be useful to researchers and practitioners working in the field of TB automation, providing a comprehensive and accessible overview of methods of this field of research.
结核病(TB)是一种由结核分枝杆菌引起的传染病。它主要影响肺部,但也可能影响身体的其他部位。结核病仍然是发展中国家主要的死亡原因之一,近年来在发达国家和发展中国家的死灰复燃引起了全球关注。结核病导致的死亡人数非常高(根据世界卫生组织报告,2013 年有 150 万人死亡),但如果早期发现并治疗,大多数是可以预防的。有许多结核病检测工具,但最广泛使用的是痰涂片显微镜检查。它是手动进行的,通常很耗时;实验室技术人员预计每张载玻片至少要花费 15 分钟,这限制了可以筛选的载玻片数量。包括印度在内的许多国家都缺乏受过适当培训的技术人员,由于工作量大,他们经常无法检测到结核病病例。自动方法通常被认为是解决这个问题的一种方法。已经有人尝试开发自动方法来从显微镜下的痰涂片图像中识别结核细菌。在本文中,我们回顾了 1998 年至 2014 年间发表的基于图像处理技术的自动方法。该综述表明,用于自动检测结核病的算法的准确性多年来显著提高,并且很高兴地承认,基于已发表作品的商业产品也开始在市场上出现。这篇综述对于从事结核病自动化研究的研究人员和从业者可能很有用,为该研究领域的方法提供了全面而易于访问的概述。