Automated detection of tuberculosis in Ziehl-Neelsen-stained sputum smears using two one-class classifiers

J Microsc. 2010 Jan;237(1):96-102. doi: 10.1111/j.1365-2818.2009.03308.x.

Abstract

Screening for tuberculosis in high-prevalence countries relies on sputum smear microscopy. We present a method for the automated identification of Mycobacterium tuberculosis in images of Ziehl-Neelsen-stained sputum smears obtained using a bright-field microscope. We use two stages of classification. The first comprises a one-class pixel classifier for object segmentation. Geometric transformation invariant features are extracted for implementation of the second stage, namely one-class object classification. Different classifiers are compared; the sensitivity of all tested classifiers is above 90% for the identification of a single bacillus object using all extracted features. The mixture of Gaussians classifier performed well in both stages of classification. This method may be used as a step in the automation of tuberculosis screening, in order to reduce technician involvement in the process.

Publication types

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

MeSH terms

  • Algorithms
  • Automation, Laboratory
  • Color
  • Humans
  • Mass Screening
  • Mycobacterium tuberculosis* / cytology
  • Mycobacterium tuberculosis* / isolation & purification
  • Pattern Recognition, Automated*
  • Sensitivity and Specificity
  • Sputum / microbiology*
  • Staining and Labeling
  • Tuberculosis, Pulmonary / diagnosis*
  • Tuberculosis, Pulmonary / microbiology