title: Fully automated detection of the counting area in blood smears for computer aided hematology.
abstract: For medical diagnosis, blood is an indispensable indicator for a wide variety of diseases, i.e. hemic, parasitic and sexually transmitted diseases. A robust detection and exact segmentation of white blood cells (leukocytes) in stained blood smears of the peripheral blood provides the base for a fully automated, image based preparation of the so called differential blood cell count in the context of medical laboratory diagnostics. Especially for the localization of the blood cells and in particular for the segmentation of the cells it is necessary to detect the working area of the blood smear. In this contribution we present an approach for locating the so called counting area on stained blood smears that is the region where cells are predominantly separated and do not interfere with each other. For this multiple images of a blood smear are taken and analyzed in order to select the image corresponding to this area. The analysis involves the computation of an unimodal function from image content that serves as indicator for the corresponding image. This requires a prior segmentation of the cells that is carried out by a binarization in the HSV color space. Finally, the indicator function is derived from the number of cells and the cells' surface area. Its unimodality guarantees to find a maximum value that corresponds to the counting areas image index. By this, a fast lookup of the counting area is performed enabling a fully automated analysis of blood smears for medical diagnosis. For an evaluation the algorithm's performance on a number of blood smears was compared with the ground truth information that has been defined by an adept hematologist.
authors.affiliation: Image Processing and Medical Engineering Department Fraunhofer-Institute for Integrated Circuits IIS, 91058 Erlangen, Germany.
authors.forename: Stephan
authors.initials: S
authors.lastname: Rupp
authors.forename: Timo
authors.initials: T
authors.lastname: Schlarb
authors.forename: Erik
authors.initials: E
authors.lastname: Hasslmeyer
authors.forename: Thorsten
authors.initials: T
authors.lastname: Zerfass
mesh_terms: D001331:Automation; D001772:Blood Cell Count / Q000379:methods*; D003201:Computers; D059788:Dried Blood Spot Testing / Q000379:methods*; D006405:Hematology / Q000379:methods*; D006801:Humans; D021621:Imaging, Three-Dimensional; D007958:Leukocyte Count; D007962:Leukocytes / Q000166:cytology