Alcaraz-Chavez Jesus E, Téllez-Anguiano Adriana C, Olivares-Rojas Juan C, Chávez-Campos Gerardo M
Graduate Studies and Research Division, TecNM Instituto Tecnológico de Morelia, Morelia, MEX.
Cureus. 2025 Feb 4;17(2):e78519. doi: 10.7759/cureus.78519. eCollection 2025 Feb.
Cervical cancer remains one of the leading causes of mortality among women worldwide, and its early detection is crucial to improve survival rates. While a Pap smear is widely used as a diagnostic tool, it has limitations in sensitivity and specificity due to the inherent subjectivity of cytological analysis. This study proposes a methodology for cervical cell segmentation and extraction based on the Laplacian of Gaussian (LoG) algorithm, which enables the generation of regions of interest to detect and segment cells precisely in cervical cytology samples. Over 2,000 digital images of Pap smear slides were analyzed, derived from 500 cervical cytology slides provided by the State Public Health Laboratory of Michoacán, México. The dataset results demonstrated an accuracy of 96.5%, a recall rate of 99.2%, and an F-measure of 97.8%. Furthermore, the methodology was optimized for real-time analysis, allowing efficient segmentation and detection of cells and their morphological variations. This methodology not only significantly improves accuracy and efficiency in cervical cell segmentation but also has a high potential for application in other experiments that require precise cell segmentation despite morphological variations. In this regard, it offers an adaptable and versatile approach, making a substantial contribution to cytological studies and establishing itself as an effective process to extract cervical cells automatically in real time.
宫颈癌仍然是全球女性死亡的主要原因之一,其早期检测对于提高生存率至关重要。虽然巴氏涂片被广泛用作诊断工具,但由于细胞学分析固有的主观性,它在敏感性和特异性方面存在局限性。本研究提出了一种基于高斯拉普拉斯(LoG)算法的宫颈细胞分割和提取方法,该方法能够生成感兴趣区域,以便在宫颈细胞学样本中精确检测和分割细胞。分析了来自墨西哥米却肯州国家公共卫生实验室提供的500张宫颈细胞学玻片的2000多张巴氏涂片玻片数字图像。数据集结果显示准确率为96.5%,召回率为99.2%,F值为97.8%。此外,该方法针对实时分析进行了优化,能够高效地分割和检测细胞及其形态变化。这种方法不仅显著提高了宫颈细胞分割的准确性和效率,而且在其他需要精确细胞分割(尽管存在形态变化)的实验中具有很高的应用潜力。在这方面,它提供了一种适应性强且通用的方法,为细胞学研究做出了重大贡献,并成为一种实时自动提取宫颈细胞的有效方法。