A portable image-based cytometer for rapid malaria detection and quantification

Increasing resistance by malaria parasites to currently used antimalarials across the developing world warrants timely detection and classification so that appropriate drug combinations can be administered before clinical complications arise. However, this is often challenged by low levels of infect...

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Main Authors: Yang, Dahou, Subramanian, Gowtham, Duan, Jinming, Gao, Shaobing, Bai, Li, Chandramohanadas, Rajesh, Ai, Ye
Format: Article
Published: Public Library of Science 2017
Online Access:https://eprints.nottingham.ac.uk/44629/
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author Yang, Dahou
Subramanian, Gowtham
Duan, Jinming
Gao, Shaobing
Bai, Li
Chandramohanadas, Rajesh
Ai, Ye
author_facet Yang, Dahou
Subramanian, Gowtham
Duan, Jinming
Gao, Shaobing
Bai, Li
Chandramohanadas, Rajesh
Ai, Ye
author_sort Yang, Dahou
building Nottingham Research Data Repository
collection Online Access
description Increasing resistance by malaria parasites to currently used antimalarials across the developing world warrants timely detection and classification so that appropriate drug combinations can be administered before clinical complications arise. However, this is often challenged by low levels of infection (referred to as parasitemia) and presence of predominantly young parasitic forms in the patients' peripheral blood. Herein, we developed a simple, inexpensive and portable image-based cytometer that detects and numerically counts Plasmodium falciparum infected red blood cells (iRBCs) from Giemsa-stained smears derived from infected blood. Our cytometer is able to classify all parasitic subpopulations by quantifying the area occupied by the parasites within iRBCs, with high specificity, sensitivity and negligible false positives (~ 0.0025%). Moreover, we demonstrate the application of our image-based cytometer in testing anti-malarial efficacy against a commercial flow cytometer and demonstrate comparable results between the two methods. Collectively, these results highlight the possibility to use our image-based cytometer as a cheap, rapid and accurate alternative for antimalarial testing without compromising on efficiency and minimal processing time. With appropriate filters applied into the algorithm, to rule out leukocytes and reticulocytes, our cytometer may also be used for field diagnosis of malaria.
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spelling nottingham-446292020-05-04T18:49:22Z https://eprints.nottingham.ac.uk/44629/ A portable image-based cytometer for rapid malaria detection and quantification Yang, Dahou Subramanian, Gowtham Duan, Jinming Gao, Shaobing Bai, Li Chandramohanadas, Rajesh Ai, Ye Increasing resistance by malaria parasites to currently used antimalarials across the developing world warrants timely detection and classification so that appropriate drug combinations can be administered before clinical complications arise. However, this is often challenged by low levels of infection (referred to as parasitemia) and presence of predominantly young parasitic forms in the patients' peripheral blood. Herein, we developed a simple, inexpensive and portable image-based cytometer that detects and numerically counts Plasmodium falciparum infected red blood cells (iRBCs) from Giemsa-stained smears derived from infected blood. Our cytometer is able to classify all parasitic subpopulations by quantifying the area occupied by the parasites within iRBCs, with high specificity, sensitivity and negligible false positives (~ 0.0025%). Moreover, we demonstrate the application of our image-based cytometer in testing anti-malarial efficacy against a commercial flow cytometer and demonstrate comparable results between the two methods. Collectively, these results highlight the possibility to use our image-based cytometer as a cheap, rapid and accurate alternative for antimalarial testing without compromising on efficiency and minimal processing time. With appropriate filters applied into the algorithm, to rule out leukocytes and reticulocytes, our cytometer may also be used for field diagnosis of malaria. Public Library of Science 2017-06-08 Article PeerReviewed Yang, Dahou, Subramanian, Gowtham, Duan, Jinming, Gao, Shaobing, Bai, Li, Chandramohanadas, Rajesh and Ai, Ye (2017) A portable image-based cytometer for rapid malaria detection and quantification. PLoS ONE, 12 (6). e0179161. ISSN 1932-6203 http://journals.plos.org/plosone/article?id=10.1371/journal.pone.0179161 doi:10.1371/journal.pone.0179161 doi:10.1371/journal.pone.0179161
spellingShingle Yang, Dahou
Subramanian, Gowtham
Duan, Jinming
Gao, Shaobing
Bai, Li
Chandramohanadas, Rajesh
Ai, Ye
A portable image-based cytometer for rapid malaria detection and quantification
title A portable image-based cytometer for rapid malaria detection and quantification
title_full A portable image-based cytometer for rapid malaria detection and quantification
title_fullStr A portable image-based cytometer for rapid malaria detection and quantification
title_full_unstemmed A portable image-based cytometer for rapid malaria detection and quantification
title_short A portable image-based cytometer for rapid malaria detection and quantification
title_sort portable image-based cytometer for rapid malaria detection and quantification
url https://eprints.nottingham.ac.uk/44629/
https://eprints.nottingham.ac.uk/44629/
https://eprints.nottingham.ac.uk/44629/