An optimised YOLOv4 deep learning model for efficient malarial cell detection in thin blood smear images. 2024

Dhevisha Sukumarran, and Khairunnisa Hasikin, and Anis Salwa Mohd Khairuddin, and Romano Ngui, and Wan Yusoff Wan Sulaiman, and Indra Vythilingam, and Paul Cliff Simon Divis
Department of Biomedical Engineering, Faculty of Engineering, Universiti Malaya, Kuala Lumpur, Malaysia.

BACKGROUND Malaria is a serious public health concern worldwide. Early and accurate diagnosis is essential for controlling the disease's spread and avoiding severe health complications. Manual examination of blood smear samples by skilled technicians is a time-consuming aspect of the conventional malaria diagnosis toolbox. Malaria persists in many parts of the world, emphasising the urgent need for sophisticated and automated diagnostic instruments to expedite the identification of infected cells, thereby facilitating timely treatment and reducing the risk of disease transmission. This study aims to introduce a more lightweight and quicker model-but with improved accuracy-for diagnosing malaria using a YOLOv4 (You Only Look Once v. 4) deep learning object detector. METHODS The YOLOv4 model is modified using direct layer pruning and backbone replacement. The primary objective of layer pruning is the removal and individual analysis of residual blocks within the C3, C4 and C5 (C3-C5) Res-block bodies of the backbone architecture's C3-C5 Res-block bodies. The CSP-DarkNet53 backbone is simultaneously replaced for enhanced feature extraction with a shallower ResNet50 network. The performance metrics of the models are compared and analysed. RESULTS The modified models outperform the original YOLOv4 model. The YOLOv4-RC3_4 model with residual blocks pruned from the C3 and C4 Res-block body achieves the highest mean accuracy precision (mAP) of 90.70%. This mAP is > 9% higher than that of the original model, saving approximately 22% of the billion floating point operations (B-FLOPS) and 23 MB in size. The findings indicate that the YOLOv4-RC3_4 model also performs better, with an increase of 9.27% in detecting the infected cells upon pruning the redundant layers from the C3 Res-block bodies of the CSP-DarkeNet53 backbone. CONCLUSIONS The results of this study highlight the use of the YOLOv4 model for detecting infected red blood cells. Pruning the residual blocks from the Res-block bodies helps to determine which Res-block bodies contribute the most and least, respectively, to the model's performance. Our method has the potential to revolutionise malaria diagnosis and pave the way for novel deep learning-based bioinformatics solutions. Developing an effective and automated process for diagnosing malaria will considerably contribute to global efforts to combat this debilitating disease. We have shown that removing undesirable residual blocks can reduce the size of the model and its computational complexity without compromising its precision.

UI MeSH Term Description Entries
D008288 Malaria A protozoan disease caused in humans by four species of the PLASMODIUM genus: PLASMODIUM FALCIPARUM; PLASMODIUM VIVAX; PLASMODIUM OVALE; and PLASMODIUM MALARIAE; and transmitted by the bite of an infected female mosquito of the genus ANOPHELES. Malaria is endemic in parts of Asia, Africa, Central and South America, Oceania, and certain Caribbean islands. It is characterized by extreme exhaustion associated with paroxysms of high FEVER; SWEATING; shaking CHILLS; and ANEMIA. Malaria in ANIMALS is caused by other species of plasmodia. Marsh Fever,Plasmodium Infections,Remittent Fever,Infections, Plasmodium,Paludism,Fever, Marsh,Fever, Remittent,Infection, Plasmodium,Plasmodium Infection
D000077321 Deep Learning Supervised or unsupervised machine learning methods that use multiple layers of data representations generated by nonlinear transformations, instead of individual task-specific ALGORITHMS, to build and train neural network models. Hierarchical Learning,Learning, Deep,Learning, Hierarchical
D000818 Animals Unicellular or multicellular, heterotrophic organisms, that have sensation and the power of voluntary movement. Under the older five kingdom paradigm, Animalia was one of the kingdoms. Under the modern three domain model, Animalia represents one of the many groups in the domain EUKARYOTA. Animal,Metazoa,Animalia
D055191 Delayed Emergence from Anesthesia Abnormally slow pace of regaining CONSCIOUSNESS after general anesthesia (ANESTHESIA, GENERAL) usually given during surgical procedures. This condition is characterized by persistent somnolence. Delayed Awakening from Anesthesia,Delayed Awakening, Post-Anesthesia,Delayed Awakening, Post-Procedural,Delayed Recovery from Anesthesia,Delayed Regaining of Consciousness,Delayed Return of Consciousness,Postoperative Residual Curarisation,Postoperative Residual Curarization,Postoperative Residual Weakness,Residual Block,Residual Neuromuscular Block,Residual Neuromuscular Blockade,Residual Paralysis, Post-Anesthesia,Awakening, Post-Anesthesia Delayed,Awakenings, Post-Anesthesia Delayed,Block, Residual,Block, Residual Neuromuscular,Blockade, Residual Neuromuscular,Blockades, Residual Neuromuscular,Blocks, Residual,Blocks, Residual Neuromuscular,Curarization, Postoperative Residual,Curarizations, Postoperative Residual,Delayed Awakening, Post Anesthesia,Delayed Awakening, Post Procedural,Delayed Awakenings, Post-Anesthesia,Delayed Awakenings, Post-Procedural,Neuromuscular Block, Residual,Neuromuscular Blockade, Residual,Neuromuscular Blockades, Residual,Neuromuscular Blocks, Residual,Paralyses, Post-Anesthesia Residual,Paralysis, Post-Anesthesia Residual,Post-Anesthesia Delayed Awakening,Post-Anesthesia Delayed Awakenings,Post-Anesthesia Residual Paralyses,Post-Anesthesia Residual Paralysis,Post-Procedural Delayed Awakening,Post-Procedural Delayed Awakenings,Postoperative Residual Curarisations,Postoperative Residual Curarizations,Postoperative Residual Weaknesses,Residual Blocks,Residual Curarisation, Postoperative,Residual Curarisations, Postoperative,Residual Curarization, Postoperative,Residual Curarizations, Postoperative,Residual Neuromuscular Blockades,Residual Neuromuscular Blocks,Residual Paralyses, Post-Anesthesia,Residual Paralysis, Post Anesthesia,Residual Weakness, Postoperative,Residual Weaknesses, Postoperative,Weakness, Postoperative Residual,Weaknesses, Postoperative Residual
D019295 Computational Biology A field of biology concerned with the development of techniques for the collection and manipulation of biological data, and the use of such data to make biological discoveries or predictions. This field encompasses all computational methods and theories for solving biological problems including manipulation of models and datasets. Bioinformatics,Molecular Biology, Computational,Bio-Informatics,Biology, Computational,Computational Molecular Biology,Bio Informatics,Bio-Informatic,Bioinformatic,Biologies, Computational Molecular,Biology, Computational Molecular,Computational Molecular Biologies,Molecular Biologies, Computational
D019985 Benchmarking Method of measuring performance against established standards of best practice. Benchmarking, Health Care,Benchmarks,Best Practice Analysis,Metrics,Benchmark,Benchmarking, Healthcare,Analysis, Best Practice,Health Care Benchmarking,Healthcare Benchmarking

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