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Updated: Aug 11, 2025

Introduction of an Integrated Pathology Image Management, Artificial Intelligence, and Reporting System
Published on: July 11, 2025
Artificial intelligence-based tools applied to pathological diagnosis of microbiological diseases
Stefano Marletta1, Vincenzo L'Imperio2, Albino Eccher3
1Department of Diagnostic and Public Health, Section of Pathology, University of Verona, Verona, Italy; Department of Pathology, Pederzoli Hospital, Peschiera del Garda, Italy.
Abstract:
Infectious diseases still threaten the global community, especially in resource-limited countries. An accurate diagnosis is paramount to proper patient and public health management. Identification of many microbes still relies on manual microscopic examination, a time-consuming process requiring skilled staff. Thus, artificial intelligence (AI) has been exploited for identification of microorganisms. A systematic search was carried out using electronic databases looking for studies dealing with the application of AI to pathology microbiology specimens. Of 4596 retrieved articles, 110 were included. The main applications of AI regarded malaria (54 studies), bacteria (28), nematodes (14), and other protozoa (11). Most publications examined cytological material (95, 86%), mainly analyzing images acquired through microscope cameras (65, 59%) or coupled with smartphones (16, 15%). Various deep-learning strategies were used for the analysis of digital images, achieving highly satisfactory results. The published evidence suggests that AI can be reliably utilized for assisting pathologists in the detection of microorganisms. Further technologic improvement and availability of datasets for training AI-based algorithms would help expand this field and widen its adoption, especially for developing countries.
Insights
Artificial intelligence (AI) aids in identifying infectious microorganisms from pathology specimens, improving diagnostics in resource-limited settings. AI shows promise in detecting malaria, bacteria, and other microbes, enhancing global public health management.
Area of Science:
- Medical Microbiology
- Computational Pathology
- Infectious Diseases
Background:
- Infectious diseases pose a significant global health challenge, particularly in resource-limited regions.
- Accurate and timely microbial identification is crucial for effective patient and public health management.
- Current manual microscopic examination for microbe identification is labor-intensive and requires specialized expertise.
Purpose of the Study:
- To systematically review the application of artificial intelligence (AI) in the identification of microorganisms from pathology specimens.
- To assess the efficacy and scope of AI-based methods in microbiological diagnostics.
- To identify trends and challenges in the adoption of AI for microbial detection.
Main Methods:
- A systematic literature search was conducted across electronic databases for studies on AI applications in pathology microbiology.
- 110 studies were included from 4596 retrieved articles.
- Analysis focused on AI applications for malaria, bacteria, nematodes, and other protozoa, primarily using cytological images from microscopes and smartphones.
Main Results:
- AI applications were most prominent in malaria (54 studies), followed by bacteria (28), nematodes (14), and other protozoa (11).
- The majority of studies (86%) analyzed cytological material, with images captured via microscope cameras (59%) or smartphones (15%).
- Deep learning strategies demonstrated highly satisfactory results in analyzing digital images for microorganism detection.
Conclusions:
- Artificial intelligence shows reliable potential for assisting pathologists in microorganism detection.
- Further technological advancements and accessible training datasets are essential for broader AI adoption, especially in developing countries.
- AI can significantly improve diagnostic accuracy and efficiency in infectious disease management.
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