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Clinical Application of Using Diffusion-Based Wasserstein Generative Adversarial Network for Morphologic Analysis of
Hyun-Young Kim1, Emmanuel Edward Ngasa2, Hee-Jin Kim1
1Department of Laboratory Medicine and Genetics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
Journal of Clinical Laboratory Analysis
|October 6, 2025
Summary
Diffusion-based Wasserstein generative adversarial networks with gradient penalty (DWGAN-GP) significantly improved blood cell classification accuracy. This AI approach enhances diagnostics for hematologic disorders by addressing data imbalance and improving accuracy, especially for critical cell types.
Area of Science:
- Hematology
- Artificial Intelligence
- Medical Imaging
Background:
- Manual microscopy for blood smear analysis is time-consuming and subjective.
- Digital morphology analyzers offer automation but face challenges in classifying certain cell types.
- Diffusion-based Wasserstein generative adversarial network with gradient penalty (DWGAN-GP) shows potential for image enhancement and data balancing.
Purpose of the Study:
- To investigate the accuracy of blood cell classification using the DWGAN-GP model.
- To evaluate the effectiveness of DWGAN-GP in enhancing image quality and addressing data imbalance in peripheral blood cell analysis.
Main Methods:
- The DWGAN-GP model was combined with the EfficientNetB3 classification model.
- 78,494 peripheral blood cell images from patients with normal and abnormal hematologic conditions were used.
- Data augmentation with synthetic images balanced underrepresented classes, creating equal representation across 13 cell types.
Main Results:
- DWGAN-GP augmentation improved EfficientNetB3 classification accuracy to 97.74% (F1-score 91.13%), surpassing the unbalanced dataset (95.68% accuracy, 82.12% F1-score) and a commercial analyzer (95% accuracy).
- Significant improvements were observed in classifying minority cell types, including blasts and myelocytes, crucial for leukemia diagnosis.
- The synthetic data approach effectively addressed class imbalance, leading to more robust classification.
Conclusions:
- Integrating synthetic data via DWGAN-GP significantly boosts model performance and resolves class imbalance issues.
- This AI-driven method offers a promising approach for more accurate and consistent blood cell classification.
- The findings suggest potential improvements in clinical diagnostics for various hematologic disorders.

