Classification of Mycobacterium tuberculosis in images of ZN-stained sputum smears

IEEE Trans Inf Technol Biomed. 2010 Jul;14(4):949-57. doi: 10.1109/TITB.2009.2028339. Epub 2009 Sep 1.

Abstract

Screening for tuberculosis (TB) in low- and middle-income countries is centered on the microscope. We present methods for the automated identification of Mycobacterium tuberculosis in images of Ziehl-Neelsen (ZN) stained sputum smears obtained using a bright-field microscope. We segment candidate bacillus objects using a combination of two-class pixel classifiers. The algorithm produces results that agree well with manual segmentations, as judged by the Hausdorff distance and the modified Williams index. The extraction of geometric-transformation-invariant features and optimization of the feature set by feature subset selection and Fisher transformation follow. Finally, different two-class object classifiers are compared. The sensitivity and specificity of all tested classifiers is above 95% for the identification of bacillus objects represented by Fisher-transformed features. Our results may be used to reduce technician involvement in screening for TB, and would be particularly useful in laboratories in countries with a high burden of TB, where, typically, ZN rather than auramine staining of sputum smears is the method of choice.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Algorithms
  • Humans
  • Mycobacterium tuberculosis / classification*
  • Sensitivity and Specificity
  • Sputum / microbiology*
  • Staining and Labeling