Poostchi Mahdieh, Ersoy Ilker, McMenamin Katie, Gordon Emile, Palaniappan Nila, Pierce Susan, Maude Richard J, Bansal Abhisheka, Srinivasan Prakash, Miller Louis, Palaniappan Kannappan, Thoma George, Jaeger Stefan
Lister Hill National Center for Biomedical Communications, National Library of Medicine, Bethesda, Maryland, United States.
University of Missouri-Columbia, Informatics Institute, Missouri, United States.
J Med Imaging (Bellingham). 2018 Oct;5(4):044506. doi: 10.1117/1.JMI.5.4.044506. Epub 2018 Dec 12.
Despite the remarkable progress that has been made to reduce global malaria mortality by 29% in the past 5 years, malaria is still a serious global health problem. Inadequate diagnostics is one of the major obstacles in fighting the disease. An automated system for malaria diagnosis can help to make malaria screening faster and more reliable. We present an automated system to detect and segment red blood cells (RBCs) and identify infected cells in Wright-Giemsa stained thin blood smears. Specifically, using image analysis and machine learning techniques, we process digital images of thin blood smears to determine the parasitemia in each smear. We use a cell extraction method to segment RBCs, in particular overlapping cells. We show that a combination of RGB color and texture features outperforms other features. We evaluate our method on microscopic blood smear images from human and mouse and show that it outperforms other techniques. For human cells, we measure an absolute error of 1.18% between the true and the automatic parasite counts. For mouse cells, our automatic counts correlate well with expert and flow cytometry counts. This makes our system the first one to work for both human and mouse.
尽管在过去5年里全球疟疾死亡率显著下降了29%,但疟疾仍然是一个严重的全球健康问题。诊断不足是抗击该疾病的主要障碍之一。疟疾诊断自动化系统有助于使疟疾筛查更快、更可靠。我们提出了一种自动化系统,用于在瑞氏-吉姆萨染色的薄血涂片上检测和分割红细胞(RBC)并识别受感染的细胞。具体而言,我们使用图像分析和机器学习技术处理薄血涂片的数字图像,以确定每个涂片的疟原虫血症。我们使用一种细胞提取方法来分割红细胞,特别是重叠细胞。我们表明,RGB颜色和纹理特征的组合优于其他特征。我们在来自人和小鼠的显微血涂片图像上评估我们的方法,并表明它优于其他技术。对于人类细胞,我们测量出真实寄生虫计数与自动寄生虫计数之间的绝对误差为1.18%。对于小鼠细胞,我们的自动计数与专家计数和流式细胞术计数相关性良好。这使得我们的系统成为第一个同时适用于人和小鼠的系统。