Extrinsic parameter's adjustment and potential implications in Plasmodium falciparum malaria diagnosis

Abstract

Malaria is a major public health concern, affecting over 3.2 billion people in 91 countries. The advent of digital microscopy and Machine learning with the aim of automating Plasmodium falciparum diagnosis extensively depends on the extracted image features. The color of the cells, plasma, and stained artifacts influence the topological, geometrical, and statistical parameters being used to extract image features. During microscopic image acquisition, custom adjustments to the condenser and color temperature controls often have an influence on the extracted statistical features. But, our human visual system sub-consciously adjusts the color and retains the originality in a different lighting environment. Despite the use of appropriate image preprocessing, findings from the literature indicate that statistical feature variations exist, allowing the risk of P. falciparum misinterpretation. In order to eliminate this pervasive variation, the current work focuses on preprocessing the extracted statistical features rather than the prepossessing of the source image. It begins with the augmentation of series images for a microscopic field by inducing illumination variations during the microscopic image acquisition stage. A set of such image series is analyzed using a Nonlinear Regression Model to generalize the relationship between microscopic images acquired with variable ambient brightness and a specific feature.The projection point of the centroid feature onto the brightness parameter is identified in the model and it is denoted as the optimum brightness factor (OBF). Using the model, the feature correction factor (CF) is calculated from the rate of change of feature values over the interval OBF, and the brightness of the test image is processed.The present work has investigated OBF for selected image textural features, namely Contrast, Homogeneity, Entropy, Energy, and Correlation individually from its cooccurrence matrices. For performance analysis, the best state-of-the-art method uses selected texture as a subset feature to evaluate the effectiveness of P. falciparum malaria classification. Then, the impact of proposed feature processing is evaluated on 274 blood smear images with and without Feature Correction (FC). As a result, the "p" value is less than .05, which leads to the result that it is highly significant and the classification accuracy and F-score of P. falciparum malaria are increased.