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The development of flow cytometry techniques began in 1934 with initial attempts by Andrew Moldavan, a bacteriologist who counted the cells in a flowing capillary system. Moldavan pumped cells through a capillary tube focused under a microscope for visualization. The invention of photometry allowed the measurement of differentially-stained cells, and Louis Kamentsky developed the first multiparameter flow cytometer in 1965 to identify and count the cancer cells in cervical tissue specimens.
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Related Experiment Video

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Automated Quantification of Hematopoietic Cell – Stromal Cell Interactions in Histological Images of Undecalcified Bone
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Combining imaging flow cytometry and machine learning for high-throughput schistocyte quantification: A SVM

Julien Demagny1, Camille Roussel2, Maïlys Le Guyader3

  • 1Univ. Picardie Jules Verne, HEMATIM UR4666, F80025, Amiens, France; Service d'Hématologie Biologique, CHU Amiens-Picardie, Amiens, France.

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|August 20, 2022
PubMed
Summary

A novel method combines imaging flow cytometry (IFC) and artificial intelligence for accurate, automated schistocyte quantification. This approach offers a reliable, operator-independent tool for diagnosing thrombotic microangiopathy syndrome (TMA) in emergency settings.

Keywords:
Imaging flow cytometryMachine learningSchistocyteThrombotic microangiopathy

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Area of Science:

  • Hematology
  • Medical Diagnostics
  • Computational Biology

Background:

  • Schistocyte counts are crucial for diagnosing thrombotic microangiopathy syndrome (TMA).
  • Manual schistocyte quantification is complex and time-consuming.
  • Existing automated methods have limitations impacting their clinical utility.

Purpose of the Study:

  • To develop and validate a novel method for direct, label-free, and operator-independent schistocyte quantification.
  • To combine imaging flow cytometry (IFC) with artificial intelligence (AI) for enhanced diagnostic accuracy.
  • To provide a reliable tool for urgent TMA diagnosis.

Main Methods:

  • Utilized 135,045 IFC images from 14 patients.
  • Extracted features using IDEAS® software and a convolutional neural network (CNN) with Keras.
  • Trained a support vector machine (SVM) classifier for schistocyte quantification.

Main Results:

  • CNN-derived features achieved higher accuracy (94.03%) than IDEAS® features (91.54%).
  • Combined features yielded the best accuracy (95.64%).
  • Excellent correlation (0.93) with expert hematologists was observed, with high sensitivity (100%) and specificity (91.3%) for detecting schistocytosis.

Conclusions:

  • IFC combined with AI provides a reliable and operator-independent method for schistocyte quantification.
  • The method requires no pre-analytical processing, making it ideal for emergency situations like TMA diagnosis.
  • This innovative approach enhances diagnostic efficiency and accuracy in hematological disorders.