Detection of Human Visceral Leishmaniasis Parasites in Microscopy Images from Bone Marrow Parasitological Examination

Abstract

Visceral Leishmaniasis (VL) is a neglected disease that affects between 50,000 and 90,000 new cases annually worldwide. In Brazil, VL causes about 3500 cases/per year. This chronic disease can lead to death in 90% of untreated cases. Thus, it is necessary to study safe technologies for diagnosing, treating, and controlling VL. Specialized laboratories carry out the VL diagnosis, and this step has a significant automation power through methods based on computational tools. The gold standard for detecting VL is the microscopy of material aspirated from the bone marrow to search for amastigotes. This work aims to assist in detecting amastigotes from microscopy images using deep learning techniques. The proposed methodology consists of segmenting the Leishmania parasites in the images, precisely indicating the location of the amastigotes in the image. In the detection of VL parasites, in this methodology, a Dice of 80.4% was obtained, Intersection over Union (IoU) of 75.2%, Accuracy of 99.1%, Precision of 81.5%, Sensitivity of 72.2%, Specificity of 99.6%, and Area under the Receiver Operating Characteristics Curve (AUC) of 86.5%. The results are promising and demonstrate that deep learning models trained with images of microscopy slides of biological material can precisely help the specialist detect VL in humans.