Automated tuberculosis diagnosis using fluorescence images from a mobile microscope

Med Image Comput Comput Assist Interv. 2012;15(Pt 3):345-52. doi: 10.1007/978-3-642-33454-2_43.

Abstract

In low-resource areas, the most common method of tuberculosis (TB) diagnosis is visual identification of rod-shaped TB bacilli in microscopic images of sputum smears. We present an algorithm for automated TB detection using images from digital microscopes such as CellScope, a novel, portable device capable of brightfield and fluorescence microscopy. Automated processing on such platforms could save lives by bringing healthcare to rural areas with limited access to laboratory-based diagnostics. Our algorithm applies morphological operations and template matching with a Gaussian kernel to identify candidate TB-objects. We characterize these objects using Hu moments, geometric and photometric features, and histograms of oriented gradients and then perform support vector machine classification. We test our algorithm on a large set of CellScope images (594 images corresponding to 290 patients) from sputum smears collected at clinics in Uganda. Our object-level classification performance is highly accurate, with average precision of 89.2% +/- 2.1%. For slide-level classification, our algorithm performs at the level of human readers, demonstrating the potential for making a significant impact on global healthcare.

MeSH terms

  • Equipment Design
  • Equipment Failure Analysis
  • Humans
  • Microscopy, Fluorescence / instrumentation*
  • Mycobacterium tuberculosis / cytology*
  • Pattern Recognition, Automated / methods*
  • Point-of-Care Systems
  • Reproducibility of Results
  • Sensitivity and Specificity
  • Sputum / cytology*
  • Sputum / microbiology*
  • Tuberculosis / microbiology*
  • Tuberculosis / pathology*