Automated detection and staging of malaria parasites from cytological smears using convolutional neural networks
Author(s)
Type
Journal Article
Abstract
Microscopic examination of blood smears remains the gold standard for laboratory inspection and diagnosis of malaria. Smear inspection is, however, time consuming and dependent on trained microscopists with results varying in accuracy. We sought to develop an automated image analysis method to improve accuracy and standardisation of smear inspection that retains capacity for expert confirmation and image archiving. Here we present a machine-learning method that achieves red blood cell (RBC) detection, differentiation between infected/uninfected cells and parasite life stage categorisation from unprocessed, heterogeneous smear images. Based on a pre-trained Faster Region-Based Convolutional Neural Networks (R-CNN) model for RBC detection, our model performs accurately, with average precision of 0.99 at an intersection-over-union threshold of 0.5. Application of a residual neural network (ResNet)-50 model to infected cells also performs accurately, with an area under the receiver operating characteristic curve of 0.98. Lastly, combining our method with a regression model successfully recapitulates intra-erythrocytic developmental cycle with accurate lifecycle stage categorisation. Combined with a mobile-friendly web-based interface, called PlasmoCount, our method permits rapid navigation through and review of results for quality assurance. By standardising assessment of Giemsa smears, our method markedly improves inspection reproducibility and presents a realistic route to both routine lab but also future field-based automated malaria diagnosis.
Date Issued
2022
Date Acceptance
2021-07-14
Citation
Biological Imaging, 2022, 1, pp.1-13
ISSN
2633-903X
Publisher
CUP
Start Page
1
End Page
13
Journal / Book Title
Biological Imaging
Volume
1
Copyright Statement
© The Author(s), 2021. Published by Cambridge University Press.
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
License URL
Sponsor
Wellcome Trust
Wellcome Trust
Bill & Melinda Gates Foundation
Identifier
https://www.cambridge.org/core/journals/biological-imaging/article/automated-detection-and-staging-of-malaria-parasites-from-cytological-smears-using-convolutional-neural-networks/8573173B4952D45CA7618E548977EB50
Grant Number
100993/Z/13/Z
100993/Z/13/Z
OPP1181972
Subjects
Artificial intelligence
Giemsa stain
Plasmodium falciparum
gametocytes
residual neural networks (ResNets)
Publication Status
Published
Date Publish Online
2021-08-02