Abstract

Total count and differential count of leukocytes or white blood cells (WBC) in blood samples are very important pathological factors for diagnosing a disease. There are not enough pathological infrastructures in the remote places of India and other developing countries. The objective of this work is to design a system, compatible with telemedicine, for automatic calculation of the total count and differential count of WBC from the blood smear slides. Hemocytometer based WBC counting provides more accurate result than manual counting, but hemocytometer preparation process needs expertise. As this device is targeted for remote places, blood smear technique is adopted to reduce the overhead of the operator. In the proposed system, microscopic images of blood smear sample are processed to highlight the WBC for segmentation. Region segmentation procedure involves background scaling and redundant region elimination from the region set. After segmentation, the more accurate region boundary is restored by using gradient based region growing with neighbourhood influence. Individual regions are separately classified on the basis of shape, size, color and texture features independently using different fuzzy and non-fuzzy techniques. A final decision is taken by combining these classification results, which is a kind of hybridization. A set of rules has been generated for making final classification decision based on outputs from various classifiers. The sensitivity and specificity of the system are found to be 96.4% and 79.6%, respectively on a database of 150 blood smear slides collected from different health centres of Kolkata Municipal Corporation, Kolkata, India.

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