Detection of blood cells in microscopic images has become a major focus of medical image analysis, playing a crucial role in gaining valuable insights into a patient's health. Manual blood cell checks for disease detection are known to be time-consuming, inefficient, and error-prone. To address these limitations, analyzing blood cells using deep learning-based object detectors can be regarded as a feasible solution. In this study, we propose automatic blood cell detection method (ABCD) based on an improved version of YOLOX, an object detector, for detecting various types of blood cells, including white blood cells, red blood cells, and platelets. Firstly, we introduce the Convolutional Block Attention Module (CBAM) into the network's backbone to enhance the efficiency of feature extraction. Furthermore, we introduce the Adaptively Spatial Feature Fusion (ASFF) into the network's neck, which optimizes the fusion of different features extracted from various stages of the network. Finally, to speed up the model's convergence, we substitute the Intersection over Union (IOU) loss function with the Complete Intersection over Union (CIOU) loss function. The experimental results demonstrat
Red blood cell (RBC) deformation is the consequence of several diseases, including sickle cell anemia, which causes recurring episodes of pain and severe pronounced anemia. Monitoring patients with these diseases involves the observation of peripheral blood samples under a microscope, a time-consuming procedure. Moreover, a specialist is required to perform this technique, and owing to the subjective nature of the observation of isolated RBCs, the error rate is high. In this paper, we propose an automated method for differentially enumerating RBCs that uses peripheral blood smear image analysis. In this method, the objects of interest in the image are segmented using a Chan-Vese active contour model. An analysis is then performed to classify the RBCs, also called erythrocytes, as normal or elongated or having other deformations, using the basic shape analysis descriptors: circular shape factor (CSF) and elliptical shape factor (ESF). To analyze cells that become partially occluded in a cluster during sample preparation, an elliptical adjustment is performed to allow the analysis of erythrocytes with discoidal and elongated shapes. The images of patient blood samples used in the stu
Blood cell classification and counting are vital for the diagnosis of various blood-related diseases, such as anemia, leukemia, and thrombocytopenia. The manual process of blood cell classification and counting is time-consuming, prone to errors, and labor-intensive. Therefore, we have proposed a DL based automated system for blood cell classification and counting from microscopic blood smear images. We classify total of nine types of blood cells, including Erythrocyte, Erythroblast, Neutrophil, Basophil, Eosinophil, Lymphocyte, Monocyte, Immature Granulocytes, and Platelet. Several preprocessing steps like image resizing, rescaling, contrast enhancement and augmentation are utilized. To segment the blood cells from the entire microscopic images, we employed the U-Net model. This segmentation technique aids in extracting the region of interest (ROI) by removing complex and noisy background elements. Both pixel-level metrics such as accuracy, precision, and sensitivity, and object-level evaluation metrics like Intersection over Union (IOU) and Dice coefficient are considered to comprehensively evaluate the performance of the U-Net model. The segmentation model achieved impressive pe
We present TXL-PBC, a curated and re-annotated peripheral blood cell dataset constructed by integrating four publicly available resources: Blood Cell Count and Detection (BCCD), Blood Cell Detection Dataset (BCDD), Peripheral Blood Cells (PBC), and Raabin White Blood Cell (Raabin-WBC). Through rigorous sample selection, semi-automatic annotation using the YOLOv8n model, and comprehensive manual review, we ensured high annotation accuracy and consistency. The final dataset contains 1,260 images and 18,143 bounding box annotations for three major blood cell types: white blood cells (WBC), red blood cells (RBC), and platelets. We provide detailed visual analyses of the data distribution, demonstrating the diversity and balance of the dataset. To further validate the quality and utility of TXL-PBC, we trained several mainstream object detection models, including YOLOv5s, YOLOv8s, YOLOv11s, SSD300, Faster R-CNN, and RetinaNet, and report their baseline performance. The TXL-PBC dataset is openly available on Figshare and GitHub, offering a valuable resource for the development and benchmarking of blood cell detection models and related machine learning research.
Accurate classification of blood cells plays a key role in improving automated blood analysis for both medical and veterinary applications. This work presents a two-stage deep clustering method for classifying blood cells from high-dimensional signal data. In the first stage, red blood cells (RBCs) and platelets (PLTs) are separated using a combination of an improved autoencoder and the IDEC algorithm. The second stage further classifies RBC subtypes, pure RBCs, reticulocytes, and clumped RBCs, through a variational deep embedding (VaDE) approach. Due to the lack of detailed cell-level labels, soft classification probabilities are generated from sample-level data to approximate the true distributions. The aim is to contribute to the development of low-cost, automated blood analysis systems suitable for veterinary and biomedical use. Initial results indicate this method shows promise in effectively distinguishing different blood cell populations, even with limited supervision.
Human blood primarily comprises plasma, red blood cells, white blood cells, and platelets. It plays a vital role in transporting nutrients to different organs, where it stores essential health-related data about the human body. Blood cells are utilized to defend the body against diverse infections, including fungi, viruses, and bacteria. Hence, blood analysis can help physicians assess an individual's physiological condition. Blood cells have been sub-classified into eight groups: Neutrophils, eosinophils, basophils, lymphocytes, monocytes, immature granulocytes (promyelocytes, myelocytes, and metamyelocytes), erythroblasts, and platelets or thrombocytes on the basis of their nucleus, shape, and cytoplasm. Traditionally, pathologists and hematologists in laboratories have examined these blood cells using a microscope before manually classifying them. The manual approach is slower and more prone to human error. Therefore, it is essential to automate this process. In our paper, transfer learning with CNN pre-trained models. VGG16, VGG19, ResNet-50, ResNet-101, ResNet-152, InceptionV3, MobileNetV2, and DenseNet-20 applied to the PBC dataset's normal DIB. The overall accuracy achieved
Machine learning has endless applications in the health care industry. White blood cell classification is one of the interesting and promising area of research. The classification of the white blood cells plays an important part in the medical diagnosis. In practise white blood cell classification is performed by the haematologist by taking a small smear of blood and careful examination under the microscope. The current procedures to identify the white blood cell subtype is more time taking and error-prone. The computer aided detection and diagnosis of the white blood cells tend to avoid the human error and reduce the time taken to classify the white blood cells. In the recent years several deep learning approaches have been developed in the context of classification of the white blood cells that are able to identify but are unable to localize the positions of white blood cells in the blood cell image. Following this, the present research proposes to utilize YOLOv3 object detection technique to localize and classify the white blood cells with bounding boxes. With exhaustive experimental analysis, the proposed work is found to detect the white blood cell with 99.2% accuracy and clas
The detection and segmentation of white blood cells in blood smear images is a key step in medical diagnostics, supporting various downstream tasks such as automated blood cell counting, morphological analysis, cell classification, and disease diagnosis and monitoring. Training robust and accurate models requires large amounts of labeled data, which is both time-consuming and expensive to acquire. In this work, we propose a novel approach for weakly supervised segmentation using neural cellular automata (NCA-WSS). By leveraging the feature maps generated by NCA during classification, we can extract segmentation masks without the need for retraining with segmentation labels. We evaluate our method on three white blood cell microscopy datasets and demonstrate that NCA-WSS significantly outperforms existing weakly supervised approaches. Our work illustrates the potential of NCA for both classification and segmentation in a weakly supervised framework, providing a scalable and efficient solution for medical image analysis.
Human immune system contains white blood cells (WBC) that are good indicator of many diseases like bacterial infections, AIDS, cancer, spleen, etc. White blood cells have been sub classified into four types: monocytes, lymphocytes, eosinophils and neutrophils on the basis of their nucleus, shape and cytoplasm. Traditionally in laboratories, pathologists and hematologists analyze these blood cells through microscope and then classify them manually. This manual process takes more time and increases the chance of human error. Hence, there is a need to automate this process. In this paper, first we have used different CNN pre-train models such as ResNet-50, InceptionV3, VGG16 and MobileNetV2 to automatically classify the white blood cells. These pre-train models are applied on Kaggle dataset of microscopic images. Although we achieved reasonable accuracy ranging between 92 to 95%, still there is need to enhance the performance. Hence, inspired by these architectures, a framework has been proposed to automatically categorize the four kinds of white blood cells with increased accuracy. The aim is to develop a convolution neural network (CNN) based classification system with decent genera
The deformability of human red blood cells (RBCs), which comprise almost 99% of the cells in whole blood, is largely related not only to pathophysiological blood flow but also to the levels of intracellular compounds. Therefore, statistical estimates of the deformability of individual RBCs are of paramount importance in the clinical diagnosis of blood diseases. Although the micro-scale hydrodynamic interactions of individual RBCs lead to non-Newtonian blood rheology, there is no established method to estimate individual RBC deformability from the rheological data of RBC suspensions, and the possibility of this estimation has not been proven. To address this issue, we conducted an integrated analysis of a model of the rheology of RBC suspensions, coupled with macro-rheological data of human RBCs suspended in plasma. Assuming a non-linear curve of the relative viscosity of the suspensions as a function of the cell volume fraction, the statistical average of the membrane shear elasticity was estimated for individual intact RBCs or hardened RBCs. Both estimated values reproduced well the experimentally observed shear-thinning non-Newtonian behavior in these suspensions. We hereby concl
White blood cells, also known as leukocytes are group of heterogeneously nucleated cells which act as salient immune system cells. These are originated in the bone marrow and are found in blood, plasma, and lymph tissues. Leukocytes kill the bacteria, virus and other kind of pathogens which invade human body through phagocytosis that in turn results immunity. Detection of a white blood cell count can reveal camouflaged infections and warn doctors about chronic medical conditions such as autoimmune diseases, immune deficiencies, and blood disorders. Segmentation plays an important role in identification of white blood cells (WBC) from microscopic image analysis. The goal of segmentation in a microscopic image is to divide the image into different distinct regions. In our paper, we tried to propose a novel instance segmentation method for segmenting the WBCs containing both the nucleus and the cytoplasm, from bone marrow images.
Leukemia is diagnosed with complete blood counts which is by calculating all blood cells and compare the number of white blood cells (White Blood Cells / WBC) and red blood cells (Red Blood Cells / RBC). Information obtained from a complete blood count, has become a cornerstone in the hematology laboratory for diagnostic purposes and monitoring of hematological disorders. However, the traditional procedure for counting blood cells manually requires effort and a long time, therefore this method is one of the most expensive routine tests in laboratory hematology clinic. Solution for such kind of time consuming task and necessity of data tracability can be found in image processing techniques based on blood cell morphology . This study aims to identify Acute Lymphocytic Leukemia (ALL) and Acute Myeloid Leukemia type M3 (AML M3) using Fuzzy Rule Based System based on morphology of white blood cells. Characteristic parameters witch extractedare WBC Area, Nucleus and Granule Ratio of white blood cells. Image processing algorithms such as thresholding, Canny edge detection and color identification filters are used.Then for identification of ALL, AML M3 and Healthy cells used Fuzzy Rule Ba
The flow dynamics of red blood cells in vivo in blood capillaries and in vitro in microfluidic channels is complex. Cells can obtain differnet shapes such as discoid, parachute, slipper-like shapes and various intermediate states depending on flow conditions and their viscoelastic properties. We use artificial intelligence based analysis of red blood cells (RBCs) in an oscillating mircorchannel to distinguish healthy red blood cells from red blood cells treated with formaldehyde to chemically modify their viscoelastic behavior. We used TensorFlow to train and validate a deep learning model and achived a testing accuracy of over 90%. This method is a first step to a non-invasive, label-free characterization of diseased red blood cells and will be useful for diagnostic purposes in haematology labs. This method provides quantitative data on the number of affected cells based on single cell classification.
Recent clinical results indicate that aberrant erythrocyte aggregation in hematological disorders is accompanied by endothelial damage and glycocalyx disruption, but the underlying biophysical mechanisms remain unclear. This study uses direct computational modeling to explore how red blood cell (RBC) aggregation impacts shear stress in small blood vessels, highlighting the increased risk of vascular damage. RBC aggregation creates a heterogeneous distribution, leading to variations in the cell-free layer thickness and fluctuating wall shear stress, especially near vessel walls. This effect aligns with experimental findings on endothelial disruption linked to RBC clustering near the wall, potentially reducing the protective glycocalyx layer. The power spectral density analysis of wall shear stress fluctuations reveals that, with RBC aggregation, there is a distinct peak near frequency f = 0.04, indicating increased fluctuations due to aggregated RBC clusters traveling close to the vessel wall. The presence of aberrant cells in blood disorders, modeled here by sickle cells, further amplifies these effects, as aggregation-enhanced margination drives sickle cells closer to vessel walls
The impact of cell segregation and margination in blood disorders on microcirculatory hemodynamics within bifurcated vessels are physiologically significant, yet poorly understood. This study presents a comprehensive computational investigation of red blood cell (RBC) suspension dynamics, with a focus on a model of sickle cell disease (SCD) as an example of a disorder associated with subpopulations of aberrant RBCs. The findings reveal how cell margination influences cellular partitioning and distributions as well as vessel wall shear stress (WSS) at vascular bifurcations. Normal RBCs, which migrate toward the channel center, exhibit the Zweifach-Fung effect, preferentially entering high-flow-rate branches. In contrast, sickle cells, which marginate near the vessel wall, demonstrate an anti-Zweifach-Fung effect, favoring lower-flow-rate branches due to their position within the cell-free layer (CFL). The upstream segregation of cells remains downstream through the bifurcation, where sickle cells accumulate along the outer branch walls. This accumulation of sickle cells increases the frequency of high WSS events via direct physical interactions, particularly on the outer side of hig
Rare diseases are collectively common, affecting approximately one in twenty individuals worldwide. In recent years, rapid progress has been made in rare disease diagnostics due to advances in DNA sequencing, development of new computational and experimental approaches to prioritize genes and genetic variants, and increased global exchange of clinical and genetic data. However, more than half of individuals suspected to have a rare disease lack a genetic diagnosis. The Genomics Research to Elucidate the Genetics of Rare Diseases (GREGoR) Consortium was initiated to study thousands of challenging rare disease cases and families and apply, standardize, and evaluate emerging genomics technologies and analytics to accelerate their adoption in clinical practice. Further, all data generated, currently representing ~7500 individuals from ~3000 families, is rapidly made available to researchers worldwide via the Genomic Data Science Analysis, Visualization, and Informatics Lab-space (AnVIL) to catalyze global efforts to develop approaches for genetic diagnoses in rare diseases (https://gregorconsortium.org/data). The majority of these families have undergone prior clinical genetic testing
Accurate classification of white blood cells in peripheral blood is essential for diagnosing hematological diseases. Due to constantly evolving clinical settings, data sources, and disease classifications, it is necessary to update machine learning classification models regularly for practical real-world use. Such models significantly benefit from sequentially learning from incoming data streams without forgetting previously acquired knowledge. However, models can suffer from catastrophic forgetting, causing a drop in performance on previous tasks when fine-tuned on new data. Here, we propose a rehearsal-based continual learning approach for class incremental and domain incremental scenarios in white blood cell classification. To choose representative samples from previous tasks, we employ exemplar set selection based on the model's predictions. This involves selecting the most confident samples and the most challenging samples identified through uncertainty estimation of the model. We thoroughly evaluated our proposed approach on three white blood cell classification datasets that differ in color, resolution, and class composition, including scenarios where new domains or new clas
Blood exhibits a heterogeneous nature of hematocrit, velocity, and effective viscosity in microcapillaries. Microvascular bifurcations have a significant influence on the distribution of the blood cells and blood flow behavior. This paper presents a simulation study performed on the two-dimensionalmotions and deformation of multiple red blood cells in microvessels with diverging and converging bifurcations. Fluid dynamics and membrane mechanics were incorporated. Effects of cell shape, hematocrit, and deformability of the cell membrane on rheological behavior of the red blood cells and the hemodynamics have been investigated. It was shown that the blood entering the daughter branch with a higher flow rate tended to receive disproportionally more cells. The results also demonstrate that red blood cells in microvessels experienced lateral migration in the parent channel and blunted velocity profiles in both straight section and daughter branches, and this effect was influenced by the shape and the initial position of the cells, the hematocrit, and the membrane deformability. In addition, a cell free region around the tip of the confluence was observed. The simulation results are qual
Blood cell detection in microscopic images is an essential branch of medical image processing research. Since disease detection based on manual checking of blood cells is time-consuming and full of errors, testing of blood cells using object detectors with Deep Convolutional Neural Network can be regarded as a feasible solution. In this work, an object detector based on YOLOF has been proposed to detect blood cell objects such as red blood cells, white blood cells and platelets. This object detector is called TE-YOLOF, Tiny and Efficient YOLOF, and it is a One-Stage detector using dilated encoder to extract information from single-level feature maps. For increasing efficiency and flexibility, the EfficientNet Convolutional Neural Network is utilized as the backbone for the proposed object detector. Furthermore, the Depthwise Separable Convolution is applied to enhance the performance and minimize the parameters of the network. In addition, the Mish activation function is employed to increase the precision. Extensive experiments on the BCCD dataset prove the effectiveness of the proposed model, which is more efficient than other existing studies for blood cell detection.
Bifurcations and branches in the microcirculation dramatically affect blood flow as they determine the spatiotemporal organization of red blood cells (RBCs). Such changes in vessel geometries can further influence the formation of a cell-free layer (CFL) close to the vessel walls. Biophysical cell properties, such as their deformability, which is impaired in various diseases, are often thought to impact blood flow and affect the distribution of flowing RBCs. This study investigates the flow behavior of healthy and artificially hardened RBCs in a bifurcating microfluidic T-junction. We determine the RBC distribution across the channel width at multiple positions before and after the bifurcation. Thus, we reveal distinct focusing profiles in the feeding mother channel for rigid and healthy RBCs that dramatically impact the cell organization in the successive daughter channels. Moreover, we experimentally show how the characteristic asymmetric CFLs in the daughter vessels develop along their flow direction. Complimentary numerical simulations indicate that the buildup of the CFL is faster for healthy than for rigid RBCs. Our results provide fundamental knowledge to understand the part