Evaluation of an Artificial Intelligence-Based Tool and a Universal Low-Cost Robotized Microscope for the Automated Diagnosis of Malaria

The gold standard diagnosis for malaria is the microscopic visualization of blood smears to identify Plasmodium parasites, although it is an expert-dependent technique and could trigger diagnostic errors. Artificial intelligence (AI) tools based on digital image analysis were postulated as a suitabl...

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Authors: Rubio Maturana, Carles; Dantas de Oliveira, Allisson|||0000-0002-8267-9760; Serrat, Francesc Zarzuela|||0000-0001-7520-978X; Mediavilla, Alejandro; Martínez-Vallejo, Patricia; Silgado, Aroa|||0000-0001-7581-0049; Goterris, Lidia|||0000-0003-1471-4461; Muixí, Marc; Abelló, Alberto|||0000-0002-3223-2186; Veiga, Anna|||0000-0002-0943-9904; López i Codina, Daniel|||0000-0002-0408-4526; Sulleiro, Elena|||0000-0002-9783-6060; Sayrol, Elisa|||0000-0002-0526-9733; Joseph-Munné, Joan
Format: Article
Publication date:2025
Country:España
Institution:Universitat Autònoma de Barcelona
Repository:Dipòsit Digital de Documents de la UAB
Language:English
OAI Identifier:oai:ddd.uab.cat:307843
Online Access:https://ddd.uab.cat/record/307843
https://dx.doi.org/urn:doi:10.3390/ijerph22010047
Access Level:Open access
Keyword:Artificial intelligence
Malaria
Automated diagnosis
Tropical medicine
Plasmodium
Point-of-care
Infectious diseases
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author Rubio Maturana, Carles
author2 Dantas de Oliveira, Allisson|||0000-0002-8267-9760
Serrat, Francesc Zarzuela|||0000-0001-7520-978X
Mediavilla, Alejandro
Martínez-Vallejo, Patricia
Silgado, Aroa|||0000-0001-7581-0049
Goterris, Lidia|||0000-0003-1471-4461
Muixí, Marc
Abelló, Alberto|||0000-0002-3223-2186
Veiga, Anna|||0000-0002-0943-9904
López i Codina, Daniel|||0000-0002-0408-4526
Sulleiro, Elena|||0000-0002-9783-6060
Sayrol, Elisa|||0000-0002-0526-9733
Joseph-Munné, Joan
author2_role author
author
author
author
author
author
author
author
author
author
author
author
author
author_browse Abelló, Alberto|||0000-0002-3223-2186
Dantas de Oliveira, Allisson|||0000-0002-8267-9760
Goterris, Lidia|||0000-0003-1471-4461
Joseph-Munné, Joan
López i Codina, Daniel|||0000-0002-0408-4526
Martínez-Vallejo, Patricia
Mediavilla, Alejandro
Muixí, Marc
Rubio Maturana, Carles
Sayrol, Elisa|||0000-0002-0526-9733
Serrat, Francesc Zarzuela|||0000-0001-7520-978X
Silgado, Aroa|||0000-0001-7581-0049
Sulleiro, Elena|||0000-0002-9783-6060
Veiga, Anna|||0000-0002-0943-9904
author_facet Rubio Maturana, Carles
Dantas de Oliveira, Allisson|||0000-0002-8267-9760
Serrat, Francesc Zarzuela|||0000-0001-7520-978X
Mediavilla, Alejandro
Martínez-Vallejo, Patricia
Silgado, Aroa|||0000-0001-7581-0049
Goterris, Lidia|||0000-0003-1471-4461
Muixí, Marc
Abelló, Alberto|||0000-0002-3223-2186
Veiga, Anna|||0000-0002-0943-9904
López i Codina, Daniel|||0000-0002-0408-4526
Sulleiro, Elena|||0000-0002-9783-6060
Sayrol, Elisa|||0000-0002-0526-9733
Joseph-Munné, Joan
author_role author
collection Dipòsit Digital de Documents de la UAB
description The gold standard diagnosis for malaria is the microscopic visualization of blood smears to identify Plasmodium parasites, although it is an expert-dependent technique and could trigger diagnostic errors. Artificial intelligence (AI) tools based on digital image analysis were postulated as a suitable supportive alternative for automated malaria diagnosis. A diagnostic evaluation of the iMAGING AI-based system was conducted in the reference laboratory of the International Health Unit Drassanes-Vall d'Hebron in Barcelona, Spain. iMAGING is an automated device for the diagnosis of malaria by using artificial intelligence image analysis tools and a robotized microscope. A total of 54 Giemsa-stained thick blood smear samples from travelers and migrants coming from endemic areas were employed and analyzed to determine the presence/absence of Plasmodium parasites. AI diagnostic results were compared with expert light microscopy gold standard method results. The AI system shows 81.25% sensitivity and 92.11% specificity when compared with the conventional light microscopy gold standard method. Overall, 48/54 (88.89%) samples were correctly identified [13/16 (81.25%) as positives and 35/38 (92.11%) as negatives]. The mean time of the AI system to determine a positive malaria diagnosis was 3 min and 48 s, with an average of 7.38 FoV analyzed per sample. Statistical analyses showed the Kappa Index = 0.721, demonstrating a satisfactory correlation between the gold standard diagnostic method and iMAGING results. The AI system demonstrated reliable results for malaria diagnosis in a reference laboratory in Barcelona. Validation in malaria-endemic regions will be the next step to evaluate its potential in resource-poor settings.
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spelling Evaluation of an Artificial Intelligence-Based Tool and a Universal Low-Cost Robotized Microscope for the Automated Diagnosis of Malaria Rubio Maturana, Carles Dantas de Oliveira, Allisson|||0000-0002-8267-9760 Serrat, Francesc Zarzuela|||0000-0001-7520-978X Mediavilla, Alejandro Martínez-Vallejo, Patricia Silgado, Aroa|||0000-0001-7581-0049 Goterris, Lidia|||0000-0003-1471-4461 Muixí, Marc Abelló, Alberto|||0000-0002-3223-2186 Veiga, Anna|||0000-0002-0943-9904 López i Codina, Daniel|||0000-0002-0408-4526 Sulleiro, Elena|||0000-0002-9783-6060 Sayrol, Elisa|||0000-0002-0526-9733 Joseph-Munné, Joan Artificial intelligence Malaria Automated diagnosis Tropical medicine Plasmodium Point-of-care Infectious diseases The gold standard diagnosis for malaria is the microscopic visualization of blood smears to identify Plasmodium parasites, although it is an expert-dependent technique and could trigger diagnostic errors. Artificial intelligence (AI) tools based on digital image analysis were postulated as a suitable supportive alternative for automated malaria diagnosis. A diagnostic evaluation of the iMAGING AI-based system was conducted in the reference laboratory of the International Health Unit Drassanes-Vall d'Hebron in Barcelona, Spain. iMAGING is an automated device for the diagnosis of malaria by using artificial intelligence image analysis tools and a robotized microscope. A total of 54 Giemsa-stained thick blood smear samples from travelers and migrants coming from endemic areas were employed and analyzed to determine the presence/absence of Plasmodium parasites. AI diagnostic results were compared with expert light microscopy gold standard method results. The AI system shows 81.25% sensitivity and 92.11% specificity when compared with the conventional light microscopy gold standard method. Overall, 48/54 (88.89%) samples were correctly identified [13/16 (81.25%) as positives and 35/38 (92.11%) as negatives]. The mean time of the AI system to determine a positive malaria diagnosis was 3 min and 48 s, with an average of 7.38 FoV analyzed per sample. Statistical analyses showed the Kappa Index = 0.721, demonstrating a satisfactory correlation between the gold standard diagnostic method and iMAGING results. The AI system demonstrated reliable results for malaria diagnosis in a reference laboratory in Barcelona. Validation in malaria-endemic regions will be the next step to evaluate its potential in resource-poor settings. https://ddd.uab.cat/record/307843 https://dx.doi.org/urn:doi:10.3390/ijerph22010047
spellingShingle Evaluation of an Artificial Intelligence-Based Tool and a Universal Low-Cost Robotized Microscope for the Automated Diagnosis of Malaria
Rubio Maturana, Carles
Artificial intelligence
Malaria
Automated diagnosis
Tropical medicine
Plasmodium
Point-of-care
Infectious diseases
title Evaluation of an Artificial Intelligence-Based Tool and a Universal Low-Cost Robotized Microscope for the Automated Diagnosis of Malaria
title_full Evaluation of an Artificial Intelligence-Based Tool and a Universal Low-Cost Robotized Microscope for the Automated Diagnosis of Malaria
title_fullStr Evaluation of an Artificial Intelligence-Based Tool and a Universal Low-Cost Robotized Microscope for the Automated Diagnosis of Malaria
title_full_unstemmed Evaluation of an Artificial Intelligence-Based Tool and a Universal Low-Cost Robotized Microscope for the Automated Diagnosis of Malaria
title_short Evaluation of an Artificial Intelligence-Based Tool and a Universal Low-Cost Robotized Microscope for the Automated Diagnosis of Malaria
title_sort Evaluation of an Artificial Intelligence-Based Tool and a Universal Low-Cost Robotized Microscope for the Automated Diagnosis of Malaria
topic Artificial intelligence
Malaria
Automated diagnosis
Tropical medicine
Plasmodium
Point-of-care
Infectious diseases
topic_facet Artificial intelligence
Malaria
Automated diagnosis
Tropical medicine
Plasmodium
Point-of-care
Infectious diseases
url https://ddd.uab.cat/record/307843
https://dx.doi.org/urn:doi:10.3390/ijerph22010047