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基于数字化痰涂片显微镜图像的结核分枝杆菌自动检测的计算技术:系统评价。

Computational techniques for the automated detection of mycobacterium tuberculosis from digitized sputum smear microscopic images: A systematic review.

机构信息

School of Information Technology and Engineering, Vellore Institute of Technology, Vellore, India.

School of Information Technology and Engineering, Vellore Institute of Technology, Vellore, India.

出版信息

Prog Biophys Mol Biol. 2022 Jul;171:4-16. doi: 10.1016/j.pbiomolbio.2022.03.004. Epub 2022 Mar 23.

Abstract

BACKGROUND

Tuberculosis is an infectious disease that is caused by Mycobacterium tuberculosis (MTB), which mostly affects the lungs of humans. Bright-field microscopy and fluorescence microscopy are two major testing techniques used for tuberculosis (TB) detection. TB bacilli were identified and counted manually from sputum under a microscope and were found to be tedious, laborious and error prone. To eliminate this problem, traditional image processing techniques and deep learning (DL) models were deployed here to build computer-aided diagnosis (CADx) systems for TB detection.

METHODS

In this paper, we performed a systematic review on image processing techniques used in developing computer-aided diagnosis systems for TB detection. Articles selected for this review were retrieved from publication databases such as Science Direct, ACM, IEEE Xplore, Springer Link and PubMed. After a rigorous pruning exercise, 42 articles were selected, of which 21 were journal articles and 21 were conference articles.

RESULT

Image processing techniques and deep neural networks such as CNN and DCNN proposed in the literature along with clinical applications are presented and discussed. The performance of these techniques has been evaluated on metrics such as accuracy, sensitivity, specificity, precision and F-1 score and is presented accordingly.

CONCLUSION

CADx systems built on DL models performed better in TB detection and classification due to their abstraction of low-level features, better generalization and minimal or no human intervention in their operations. Research gaps identified in the literature have been highlighted and discussed for further investigation.

摘要

背景

结核病是一种由结核分枝杆菌(MTB)引起的传染病,主要影响人类肺部。明场显微镜和荧光显微镜是两种主要的结核病(TB)检测技术。从显微镜下的痰液中手动识别和计数结核杆菌,既繁琐又费力,且容易出错。为了解决这个问题,传统的图像处理技术和深度学习(DL)模型被用于构建结核病检测的计算机辅助诊断(CADx)系统。

方法

本文对用于开发结核病检测计算机辅助诊断系统的图像处理技术进行了系统评价。从 Science Direct、ACM、IEEE Xplore、Springer Link 和 PubMed 等出版物数据库中检索到本文所选的文章。经过严格的修剪过程,共选择了 42 篇文章,其中 21 篇是期刊文章,21 篇是会议文章。

结果

本文提出并讨论了文献中提出的图像处理技术和深度神经网络,如卷积神经网络(CNN)和深度卷积神经网络(DCNN),以及它们的临床应用。这些技术的性能根据准确性、灵敏度、特异性、精度和 F1 分数等指标进行了评估,并相应地进行了呈现。

结论

基于 DL 模型的 CADx 系统在结核病检测和分类方面表现更好,因为它们可以抽象出低水平特征,具有更好的泛化能力,并且在操作过程中几乎不需要或不需要人为干预。本文还强调并讨论了文献中的研究空白,以进一步研究。

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