Machine Learning Approach for Enumeration of Circulating Cells with Diffuse in vivo Flow Cytometry
Mehrnoosh Emamifar1, Jane Lee1, Joshua Pace1
1Northeastern University, Department of Bioengineering, Boston, MA, USA.
Biorxiv : the Preprint Server for Biology
|May 4, 2026
Summary
A new machine learning approach enhances diffuse in vivo flow cytometry (DiFC) for counting circulating tumor cells (CTCs). This method improves accuracy and reduces false positives, enabling better cancer detection in small animals.
Area of Science:
- Biomedical Engineering
- Computational Biology
- Cancer Research
Background:
- Diffuse in vivo flow cytometry (DiFC) is an emerging technique for enumerating rare circulating tumor cells (CTCs) in small animals non-invasively.
- Existing amplitude threshold-based methods for DiFC analysis have limitations in distinguishing CTC signals from instrument noise and artifacts, potentially reducing detection efficiency.
Purpose of the Study:
- To develop and validate a machine learning (ML)-integrated signal processing approach for enhanced CTC enumeration using DiFC.
- To improve the accuracy and robustness of CTC detection by distinguishing true CTC signals from artifacts based on peak characteristics.
Main Methods:
- An ML-integrated approach utilizing a convolutional neural network (CNN) classifier was developed.
- The CNN was trained to analyze both peak amplitude and temporal shape characteristics for CTC identification.
- The model's performance was rigorously validated using in-silico, control, and CTC-bearing mouse datasets.
Main Results:
- The CNN classifier demonstrated high performance, achieving accuracy, precision, sensitivity, and specificity exceeding 98% on test data.
- The ML-integrated method significantly increased the accurate identification of CTCs and their flow direction compared to the previous threshold-based approach.
- False positive detections were substantially reduced across all validation datasets, indicating improved signal processing.
Conclusions:
- The ML-integrated approach represents a significant advancement in DiFC-based CTC enumeration.
- This method enhances robustness against artifacts, particularly in noisy experimental conditions.
- The improved CTC detection capabilities hold promise for more effective non-invasive cancer monitoring and research in small animal models.


