Cost-Effective Blood Cell Counting Method
Cost-Effective Blood Cell Counting Method
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ABSTRACT one cant neglect the chance of error in the report due to error
Medical imaging brings up the methods and technique which caused by apparatus, personal errors, statistical errors etc.
enable us to take and analyse images of different disease and While on the other hand latest haematology analyzer
human body parts for diagnosing purposes. The old somehow error free and fast but it is widely unavailable and
conventional methods used in hospital laboratories to detect very expensive machine and the countries like Pakistan are
and diagnose the problem were very slow and they had greater resource less to provide it in every hospital laboratory in
chances of error in it but medical imaging through different country. So as a result of the problem this research based
image processing techniques opened new, fast and cost- project proposed a new method of cell counting which is easy
effective ways to detect and recognize different diseases and to use, don't need fully experienced men to handle, much
make it easy to examine and diagnose the actual problem. more accurate then the manually counting method and is very
Now a day's researchers are working on different computer economical way of cell counting for the countries like
vision applications for health industry. Such as segmentation Pakistan.
of kidney from ultrasound images, Cancer Detection Using
Pattern Recognition Technique, segmentation of brain images, 1.2 Importance of the Project
etc. The Dengue and malaria fever is very common now days in
Fast and cost-effective blood cell counting has major south Asia and specially in Pakistan. In Pakistan the dengue
importance in the medical world. The old conventional virus infected over 30,000 peoples (only in Punjab) in summer
methods of blood cell counting under the microscope render 2011. Blood related viruses are very common in south Asia
unreliable and unacceptable results and put an unendurable the most highlighted among them are Dengue and malaria,
amount of strain on the Clinical laboratory technicians. Even dengue fever is also known as break bone fever, when a
so there are latest hardware solutions such as the dengue virus infected mosquito bites a human the virus along
Heska'sHema'true hematology analyzer, but they are widely the mosquito saliva enter the skin of the person. This deadly
unavailable and very expensive machines and so the under virus then enters into the white blood cell of the patient and
developed countries like Pakistan are not resourceful to infected the cells, it damages the cell and its functionality and
provide such an expensive solution of blood cell counting in spread in the whole. Initially this virus can be detected in the
every hospital laboratory in the country. As a solution laboratory by investigating low white blood cell count, which
regarding this problem, this research based paper proposed a then leads to very low platelets (PLT) count ratio [1], and so
fast and cost effective software-based alternative method to blood test was the most common test to be diagnosed in the
count accurate blood cells. clinical laboratories
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International Journal of Computer Applications (0975 – 8887)
Volume 50 – No.1, July 2012
2.3.1 Red Blood cell: Erythmytes 2.5.1 The Nature of Blood Cells
Small size and very concentration of the blood cells are the
Erythrocytes are the most important and major elements of
main technical challenges for it. For the separation of signals
blood. There are normally 4-6 million in number in a normal
from the cells, the counter must be able and it is also able for
human body. Hemoglobin a major part of RBCs, carry oxygen
checking of arising false signal from the cells and the removal
from the lungs to the tissues and carbon dioxide from the
of background noise. The sensing area of the device must be
tissues back to the lungs. If any variation in RBCs count is
small so that the particles cross it one at a time and large
found, it can result in many symptoms and diseases can attack
enough to allow the cell particles. Since blood cells are so
on an individual. So RBCs play an important role in
many in number so it may happens that more than one cell can
identifying a variety of disease.
pass through the sensing area at a single time and this is called
coincidence count and the error given by this type of counting
2.3.2 White Blood Cells : Leukocytes is called coincidence error. Dilution of sample and proper
WBCs are the minor part of blood cells as their count is 9,000 control at the parameters in sensor will minimize the
– 30,000 / mm3 for a newly born and after few weeks it coincidence error and will be the cause for reducing of
decreases to 6,000 – 11,000 / mm3. An adult has only 4,000 – coincidence. When cells dilution is done then cells passed one
11, 000 / mm3 of leukocytes. WBCs consist of neutrophils, by one from sensor which is very sensitive to detect traversal
basophiles, eosinophiles, monocytes and lymphocytes. The of cells.
lymphocytes control the immune system of human body and
fight against the harmful germs in the body. Lymphocytes
produce antibodies. Lymphocytes increase their number when
2.5.2 Sample Dilution
After a cell counting is completed, the volume came out after
a viral infection takes place. Neutrophils play a defensive role
concentration is same as the whole blood volume. Therefore
in attacking germs and harmful bodies. They also increase
the volume of all diluted solution must be kept so that it can
when bacterial infection is found in the body. The WBCs have
be refer back to the initial volume. One problem came in
a variety of life spans, some live few days and the others last
counting the volume that blood is in liquid form and it
for several of months. Leukocytes live in tissues and other
contains many particles of different densities so similarity of
parts of body but just use blood as a mean of transportation.
solution must be given a special attention since the cells can
settle to a surface. One other problem is the flexibility of red
2.3.3 Platelets :Thembocytes blood cells so that it makes the similarity in cells under many
Platelets are fragments of cytoplasm that are fired out in the flow conditions. Goldsmith proved it that after the
blood from large cells in the bone narrow. So some physicians deformation of red blood cells, cells try to mass in the
don’t consider them complete blood cells. Platelets work direction of cylindrical tube centre and make similarity in
importantly in blood clotting known as haemostasis. Vessel solution. So by using pipette one of the laboratory techniques
walls are surrounded by platelets to stop bleeding when distort concentrated cells when it is a homogenous solution.
injured. They also help in infections from enzymatic
reactions. In the commercial cell counter, the loosing track of the
relationship among the cells and original volume of the
sample must not be done for the required dilution. The
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International Journal of Computer Applications (0975 – 8887)
Volume 50 – No.1, July 2012
problem will be overcome by carefully analyzing the sample 2.7 Components involved in counting
and fluid. Complete system according to proposed method of blood cell
counting has a microscopic camera over a microscope,
2.6 Haemocytometer: Haemocytometer and a PC as shown below in the fig.
Haemocytometeris also known as new-bar counting chamber.
It can also be used in counting other type of microscopic
elements e.g. sperms, bacteria, fungus etc. Think glass
microscopic slide with a slip over to dispense the solution
equally in the chamber is specially design for counter
chamber. The chamber is fixed with a laser etched grid of
perpendicular lines, and blood cells are counter per unit
volume and the blood is in micro liter. Chamber is sensibly
crafted so area which is under the microscopic grids is easily
known and the depth of the chamber is also recognize by the
user so that he can easily find the solution’s volume for cells
counting.
3. METHODOLOGY
An adaptive automatic thresh holding technique based on
Otsu method has been proposed as a counting algorithm and
to enhance the accuracy of the microcell counting in
microscopic images the proposed algorithm is the famous
water shade algorithm. Following states the proposed
Figure 2-1: Haemocytometer algorithm for counting. An image captured by CCD camera
setup at microscope is fully transformed and then divided into
2.6.1 Representation of Haemocytomoter. cropped images of mxn blocks with known size. This image is
The formal internal representation of the grid’s numbering then converteded into binary image the images which are
represents in figure 2-4. The counting grid is composed of 9 microbial and below pre-specified pixels are considered noise
big squares, measuring 1 x 1 mm. In these squares, the in the binary image and are removed in the binary image.
centered square comprises twenty-five moderate size squares Morphological filters and the area opening are used for
for each one appraising 0.2 x 0.2 mm. This is additionally smoothing procedure.
separated into sixteen minute squares for each one measuring
out 0.05 x 0.05 mm. The big centurial square is known as the 3.1 Manual methods for cell counting
“erythrocyte” grid. The squares marked in red equate into
eighty microscopic squares, and are applied to count the PLT In Clinical Laboratory technicians prepare the slide by mixing
and RBC. The large squares highlighted in blue are related reign with known quantity of blood to examine it
accustomed to count the white blood cells in it under the microscope for blood cell counting. Count is
obtained by putting contented cells as inputs in different
equations.
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International Journal of Computer Applications (0975 – 8887)
Volume 50 – No.1, July 2012
Figure 3-1Hematologyanlyzers
(𝑖)# 𝑜𝑓 𝑐𝑜𝑢𝑛𝑡𝑒𝑑 𝑊𝐵𝐶 𝑋 (𝑖𝑖) 𝑑𝑖𝑙𝑢𝑡𝑖𝑜𝑛
𝑖𝑖𝑖 # 𝑜𝑓 𝑐𝑜𝑢𝑛𝑡𝑒𝑑 𝑠𝑞𝑢𝑎𝑟𝑒 𝑋 (𝑖𝑣) 𝑣𝑜𝑙𝑢𝑚𝑒 𝑜𝑓 𝑜𝑛𝑒 𝑏𝑖𝑔 𝑠𝑞𝑢𝑎𝑟𝑒 3.4 Cell counting by proposed method
Proposed method in this paper a software that can be used for
counting all three types of blood cells accurately to diagnose
3.1.3 Manually counted Red (RBC) count the patients actual problem. Proposed method can perform all
To count RBC manaully, 10 μl amount of blood is diluted in standard cells counting which includes RBC, WBC and PLT
dilution solution of amount 1990 μl. The result of dilution is counts. The functioning in the proposed method is totally
1:200. The counting chamber is then immediately filled with based on computer vision technologies via image processing
suspension after the suspension has been thoroughly mixed. techniques. The input the software is an image of carefully
The RBCs take about approximately 3 minutes to get prepared slide of blood solution as described in above
settled,after that RBC counting is started by the MLT in 80 chapters, the input image is taken from a special type of
small squares. microscope camera attached to a very common compound
microscope found in every clinical laboratory. The proposed
Using these parameters a formula has been derived for the method is not about the preparation of slides having blood
calculation of the RBCs: solution that are to be viewed under the microscope. It still
needs a laboratory technician who takes blood from the
i. . in the small squares how much PLTs have been counted patient and prepares a slide as described in the above chapter.
ii. The cell solution has been diluted up to how much extent The input images that are taken through a microscope camera
are similar to what the laboratory technician observes under
iii. total number of squares that are counted. the microscope. Like hematology analyzer machine proposed
iv. volume of one small square method also need a laboratory technicians to take blood but
additional work in the method is to prepare the slide like they
do for manual counting method. The main purpose of the
proposed way of counting is to provide a cost effective
(𝑖)# 𝑜𝑓 𝑐𝑜𝑢𝑛𝑡𝑒𝑑 𝑊𝐵𝐶 𝑋 (𝑖𝑖) 𝑑𝑖𝑙𝑢𝑡𝑖𝑜𝑛 method which is accurate and trustable as well as suitable for
underdeveloped countries like Pakistan. The proposed method
𝑖𝑖𝑖 # 𝑜𝑓 𝑐𝑜𝑢𝑛𝑡𝑒𝑑 𝑠𝑞𝑢𝑎𝑟𝑒 𝑋 (𝑖𝑣) 𝑣𝑜𝑙𝑢𝑚𝑒 𝑜𝑓 𝑜𝑛𝑒 𝑏𝑖𝑔 𝑠𝑞𝑢𝑎𝑟𝑒
is designed for the common men and is easy to use for the
end-user.
3.2 Draw Backs of manual count method
3.4.1 Functionality of proposed method
Manual inspection of images taken from microscope The overall Methodology of image processing techniques in
consumes a lot of time and is tiring. If the process of counting the proposed method is described in the figure bellow.
is disturbed, the MLT has to start the counting from beginning
An experienced MLT carries out the cell analysis by the
comparison of images of cell types she sees and is familiar
with. On the other hand less experienced MLT in order to
confirm on the cell types would have to check with medical
manuals repeatedly to make sure that the counting of given
sample is accurate. Thus manual counting methods are
vulnerable to human mistakes that can easily result in errors. Figure 3-2:over all methodology of image processing
After analysis of slides of blood cell, they are taken away and First of all an input image of already prepared slide is take
kept. The method of retrieving and analyzing the sample for from the camera attached to the microscope, then through
future usage is not possible with manual count. different image processing techniques and image filters the
extra unwanted information is removed from that input image.
After removal of noise the area of interest that is the area
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International Journal of Computer Applications (0975 – 8887)
Volume 50 – No.1, July 2012
where we need to count the blood cells are cropped from the
image and by labelling algorithm of connected pixels blood
cells can be count to put in different equations to abstained
cell count report.
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International Journal of Computer Applications (0975 – 8887)
Volume 50 – No.1, July 2012
b) Pixel intensity value in the gray area of 90 to 170 different views. Also pathologist can get the result of blood
are converted to pure white 255 pixel value this cell test within 20 seconds to 1 min. as tested.
area represents the Red blood cells
c) Pixel intensity value in the blackish area of 171 to 4.1 Obtained Results
255 are converted to pure black 0 pixel value this We have collected more than 15 blood samples for
area represents the background experiments and finally tested these samples by all methods of
cell counting including our proposed method and we have
found that our results are 95 plus % accurate.
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International Journal of Computer Applications (0975 – 8887)
Volume 50 – No.1, July 2012
6. REFERENCES
[1] Graham Ramsay, Commercial biosensors, John Wiley &
Sons, Inc, New York, 1998. 1-Stat Corporation official
web page, [Link] [Link]/ , 1999.
[2] Graham Ramsay, Commercial biosensors, John Wiley &
Sons, Inc, New York, 1998. 1-Stat Corporation official
web page, [Link] [Link]/ , 1999.
[3] Hajdu, SI. The discovery of Trichomonasvaginalis. Act
Cytologica 1998;42:1075.
Table 4-4: Print of results by both methods
[4] Bennett, JH. The Employment of the Microscope
4.2 overall results inMedical Studies. Stewart, Edinburgh, 1841.
[5] Hajdu, SI. The discovery of Trichomonasvaginalis.
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