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Item type:Item, Performance validation of deep-learning-based approach in stool examination(2025-12-01) ;Corpuz, Kristal Dale Felimon ;Kusolsuk, Teera ;Wongphan, Benjamaporn ;Chonsawat, PutzaNaing, Kaung MyatBackground: Human intestinal parasitic infections (IPI) pose a significant global health issue caused by parasitic helminths and protozoa, affecting around 3.5 billion people worldwide, with more than 200,000 deaths annually. Despite advancements in molecular methods with higher sensitivity and specificity, the Kato-Katz or formalin-ethyl acetate centrifugation technique (FECT) remains the gold standard and a routine diagnostic procedure suitable for its simplicity and cost-effectiveness. However, these techniques have limitations that must be addressed. Thus, this study evaluated the performance of a deep-learning-based approach for intestinal parasite identification and compared it with that of human experts. Methods: Human experts performed FECT and Merthiolate-iodine-formalin (MIF) techniques to serve as ground truth and reference for parasite species. Subsequently, a modified direct smear was conducted to gather images for the training (80%) and testing (20%) datasets. State-of-the-art models, including YOLOv4-tiny, YOLOv7-tiny, YOLOv8-m, ResNet-50, and DINOv2 (base, small, and large), were employed and were operated using in-house CIRA CORE platform. Overall performance was evaluated using confusion matrices, the metrics of which were calculated on the basis of the one-versus-rest and micro-averaging approaches. Moreover, the receiver operating characteristic (ROC) and precision-recall (PR) curves were determined for visual comparison. Lastly, Cohen’s Kappa and Bland–Altman analyses were used to statistically measure the significant differences and visualize the association levels between the human experts and the deep learning models’ classification performance in intestinal parasite identification. Results: Findings demonstrated the potential of a deep-learning-based approach, particularly of models DINOv2-large (accuracy: 98.93%; precision: 84.52%; sensitivity: 78.00%; specificity: 99.57%; F1 score: 81.13%; AUROC: 0.97) and YOLOv8-m (accuracy: 97.59%; precision: 62.02%; sensitivity: 46.78%; specificity: 99.13%; F1 score: 53.33%; AUROC: 0.755; AUPR: 0.556) for their high metric values in intestinal parasite identification. Class-wise prediction showed high precision, sensitivity, and F1 scores for helminthic eggs and larvae due to more distinct morphology. Moreover, all models obtained a > 0.90 k score, which indicates a strong level of agreement compared with the medical technologists. The Bland–Altman analysis also presented the best agreement between FECT performed by medical technologist A and YOLOv4-tiny, while the MIF technique performed by medical technologist B and DINOv2-small demonstrated the best bias-free agreement, with mean differences of 0.0199 and −0.0080, and standard deviation differences of 0.6012 and 0.5588, respectively. Conclusions: The results highlight the potential of integrating a deep-learning-based approach into parasite identification. The models showcased superiority in automated detection, suggesting a significant leap toward improving diagnostic procedures for IPI. This hybridization could enhance early detection and diagnosis, facilitating timely and targeted interventions to reduce the burden of IPI through more effective management and prevention strategies. - Some of the metrics are blocked by yourconsent settings
Item type:Item, Enhancing mosquito classification through self-supervised learning(2024-12-01) ;Charoenpanyakul, Ratana ;Kittichai, Veerayuth ;Eiamsamang, Songpol ;Sriwichai, PatcharaPinetsuksai, NatchaponTraditional mosquito identification methods, relied on microscopic observation and morphological characteristics, often require significant expertise and experience, which can limit their effectiveness. This study introduces a self-supervised learning-based image classification model using the Bootstrap Your Own Latent (BYOL) algorithm, designed to enhance mosquito species identification efficiently. The BYOL algorithm offers a key advantage by eliminating the need for labeled data during pretraining, as it autonomously learns important features. During fine-tuning, the model requires only a small fraction of labeled data to achieve accurate results. Our approach demonstrates impressive performance, achieving over 96.77% accuracy in mosquito image analysis, with minimized both false positives and false negatives. Additionally, the model’s overall accuracy, measured by the area under the ROC curve, surpasses 99.55%, highlighting its robustness and reliability. A notable finding is that fine-tuning with just 10% of labeled data produces results comparable to using the full dataset. This is particularly valuable for resource-limited settings with limited access to advanced equipment and expertise. Our model provides a practical solution for mosquito identification, overcoming the challenges of traditional microscopic methods, such as the time-consuming process and reliance on specialized knowledge in healthcare services. Overall, this model supports personnel in resource-constrained environments by facilitating mosquito vector density analysis and paving the way for future mosquito species identification methodologies.
