Abstract
Manual counting and evaluation of red blood cells with the presence of malaria parasites is a tiresome, time-consuming process that can be altered by environmental conditions and human error. Many algorithms were presented to segment red blood cells for subsequent parasitemia evaluation by machine learning algorithms. However, the segmentation of overlapping red blood cells always has been a challenge. Marker-controlled watershed segmentation is one of the methods that was implemented to separate overlapping red blood cells. However, a high number of overlapped red blood cells were still an issue. We propose a novel approach to improve the segmentation efficiency of marker-controlled watershed segmentation. Local minimum histogram background segmentation with a selective hole filling algorithm was introduced to improve segmentation efficiency of marker-controlled watershed segmentation on a high number of overlapping red blood cells. The local minimum was selected on the smoothed histogram for background segmentation. The combination of selective filling, convex hull, and Hough circle detection algorithms was utilized for the intact segmentation of red blood cells. The markers were computed from the resulted mask, and finally, marker-controlled watershed segmentation was applied to separate overlapping red blood cells. As a result, the proposed algorithm achieved higher background segmentation accuracy compared to popular background segmentation algorithms, and the inclusion of corner details improved watershed segmentation efficiency.
Highlights
According to the World Malaria Report 2018, 219 million cases were reported in 2017 worldwide
We evaluated the contribution of local minimum histogram segmentation by replacing it with k-means clustering with k = 2
The proposed study introduces a novel background segmentation algorithm that outperformed popular background segmentation algorithms that have been utilized for red blood cells (RBCs) segmentation
Summary
According to the World Malaria Report 2018, 219 million cases were reported in 2017 worldwide. Global Health Estimates 2016 stated that malaria is in the top 10 causes of deaths in low-income countries [1]. African region carries the largest burden with 200 million reported cases that make up 92% of all the reports. South-East Asia region comes second with 5%, followed by the Eastern Mediterranean Region with 2% of all the cases [1]. There are 5 species of malaria parasites such as Plasmodium falciparum, Plasmodium vivax, Plasmodium malariae, Plasmodium ovale, and plasmodium knowlesi [2]. In World Malaria Report 2018, Plasmodium falciparum accounted for 99.7% of all the cases in Africa. Malaria diagnosis is carried out manually through a microscopic examination of blood by trained microscopists
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