Deep Learning for Detecting Malaria Parasites of Infected Red Blood Cells in Thin Blood Smear Images

Wongsathon Naksuwan, Picha Suwannahitatorn, Chakrit Watcharopas, Pakaket Wattuya
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Abstract

Malaria is a significant global health issue, with 241 million people infected and resulting in 627,000 deaths in 2020, officially reported by the World Health organization (WHO). In addition, during the Covid-19 pandemic, 47,000 people died because of a reluctance to receive treatment. In Thailand, Malaria still spreads in distant communities where restrictions are in place for military deployments due to the high risk of infection. Therefore, the 8,000 or so military personnel who deploy on missions close to the country’s borders are actively monitored by the Armed Forces Research Institute of Medical Sciences (AFRIMS). The lack of medical personnel in these remote settlements, however, slows detection and adversely impacts the health and lives of military soldiers working in these locations. Because of their comparative effectiveness to traditional learning algorithms, deep learning technologies are used as a tool for medical screenings. In this study, the YOLOv3 and the DenseNetl21 are used to diagnose malaria infection using thin film blood smears. The results show that testing on normal slide datasets can distinguish between normal red blood cells and malaria-infected red blood cells in four species, including Falciparum, Vivax, Malariae, and Ovale, with accuracy for infection classification at 98.08%, sensitivity at 98.05%, and specificity at 99.73%. Furthermore, when the hard slide dataset is examined, the infection classification’s accuracy, sensitivity, and specificity are 98.48%, 90%, and 99.24%, respectively. In normal slide datasets, this detection method yields a positive hit rate for malaria-infected red blood cells and normal red blood cells of 98.05% for the former and 92.65% for the latter.
深度学习检测薄血涂片图像中感染红细胞中的疟疾寄生虫
根据世界卫生组织(世卫组织)的正式报告,疟疾是一个重大的全球健康问题,2020年有2.41亿人感染疟疾,导致62.7万人死亡。此外,在2019冠状病毒病大流行期间,有4.7万人因不愿接受治疗而死亡。在泰国,疟疾仍然在偏远社区传播,由于感染风险高,这些社区对军事部署实施了限制。因此,部署在该国边境附近执行任务的约8 000名军事人员受到武装部队医学科学研究所的积极监测。然而,由于这些偏远定居点缺乏医务人员,因此无法及时发现疾病,并对在这些地点工作的军人的健康和生命造成不利影响。由于其相对于传统学习算法的有效性,深度学习技术被用作医疗筛查的工具。在本研究中,使用YOLOv3和DenseNetl21进行薄膜血涂片诊断疟疾感染。结果表明,在正常玻片数据集上进行检测,可以区分恶性疟、间日疟、疟、卵圆疟4种疟原虫的正常红细胞和感染疟疾的红细胞,其感染分类准确率为98.08%,灵敏度为98.05%,特异性为99.73%。此外,当检查硬切片数据集时,感染分类的准确性,敏感性和特异性分别为98.48%,90%和99.24%。在正常玻片数据集中,该检测方法对疟疾感染红细胞和正常红细胞的阳性率分别为98.05%和92.65%。
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