Abstract

Malaria is a blood disease caused by the Plasmodium parasites transmitted through the bite of female Anopheles mosquito. Microscopists commonly examine thick and thin blood smears to diagnose disease and compute parasitemia. However, their accuracy depends on smear quality and expertise in classifying and counting parasitized and uninfected cells. Such an examination could be arduous for large-scale diagnoses resulting in poor quality. State-of-the-art image-analysis based computer-aided diagnosis (CADx) methods using machine learning (ML) techniques, applied to microscopic images of the smears using hand-engineered features demand expertise in analyzing morphological, textural, and positional variations of the region of interest (ROI). In contrast, Convolutional Neural Networks (CNN), a class of deep learning (DL) models promise highly scalable and superior results with end-to-end feature extraction and classification. Automated malaria screening using DL techniques could, therefore, serve as an effective diagnostic aid. In this study, we evaluate the performance of pre-trained CNN based DL models as feature extractors toward classifying parasitized and uninfected cells to aid in improved disease screening. We experimentally determine the optimal model layers for feature extraction from the underlying data. Statistical validation of the results demonstrates the use of pre-trained CNNs as a promising tool for feature extraction for this purpose.

Highlights

  • Malaria is a mosquito-borne blood disease caused by the Plasmodium parasites transmitted through the bite of the female Anopheles mosquito

  • We evaluated the performance of pre-trained Convolutional Neural Networks (CNN) based deep learning (DL) models as feature extractors toward classifying the parasitized and uninfected cells to aid in improved disease screening

  • If there was more than one point in the region, we considered this as an under-segmentation or false negative (FN)

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Summary

Introduction

Malaria is a mosquito-borne blood disease caused by the Plasmodium parasites transmitted through the bite of the female Anopheles mosquito. The diagnostic accuracy heavily depends on human expertise and can be adversely impacted by the inter-observer variability and the liability imposed by large-scale diagnoses in disease-endemic/resource-constrained regions (Mitiku, Mengistu & Gelaw, 2003). Alternative techniques such as polymerase chain reaction (PCR) and rapid diagnostic tests (RDT) are used; PCR analysis is limited in its performance (Hommelsheim et al, 2014) and RDTs are less cost-effective in disease-endemic regions (Hawkes, Katsuva & Masumbuko, 2009)

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