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Last Updated: 09/04/2019
Detailed malaria diagnostics with intelligent microscopy
Objectives
This study aims to develop a novel automated microscope with software and hardware which can be used to locally diagnose malaria in rural communities. The key to reliable, useful diagnosis with an automated microscope lies in computer vision. Simply acquiring digital images and tilling them into a digital smear is an important first step, but robust analysis of the digital images means the technicians don’t need to sift through many images of healthy cells, and instead, they can concentrate their efforts on parts of the image where the algorithm identified suspicious features. Once trained, the algorithm will be able to identify many parasites, only asking for the technician opinion in challenging ambiguous cases when it could not identify objects with certainty. Fully automated counts of healthy and infected cells will then allow consistent qualification of test results, informing the clinician prescribing treatment and aiding in disease monitoring.
Computer vision is a powerful technique, but it requires high-resolution digital representations of blood smears in order to work. This project, therefore, has a hardware component, where the research team will build on their earlier work with the open Flexure microscope to create a slide-scanning instrument, capable of digitizing blood smears in the field. This instrument will use low-cost components and desktop digital manufacturing, so that it can be produced locally-freeing clinics from expensive international supply chains, and creating opportunities for local entrepreneurs that build valuable engineering and design skills.
This approach has been already tried with the first version of the microscope, which will shortly be available for purchase in Tanzania and Kenya.
Malaria is one of the world’s most prevalent infectious diseases. It affects 200 million people per year and causes around 400 thousand deaths- most of them children in ODA countries in sub-Saharan Africa. Impressive progress is being made in reducing the incidence of malaria, which makes a good diagnosis of the condition even more important; it is increasingly inaccurate to assume that every patient with fever has malaria, and doing so we waste drugs and leave potentially life-threatening fever untreated.
The gold standard for malaria diagnosis is microscopy, performed with a high power oil immersion microscope by a skilled technician. While DNA detection and rapid diagnostic tests are starting to offer an alternative, the high cost per test and relatively coarse information they provide mean microscopy is often still preferred.
Feb 2018 — Jan 2021
$248,083