Using pathology images and artificial intelligence to identify bacterial infections and their types.

Journal: Journal of microbiological methods
Published Date:

Abstract

Bacterial infections pose a significant biosafety concern, making early and accurate diagnosis essential for effective treatment and prognosis. Traditional diagnostic methods, while reliable, are often slow and fail to meet urgent clinical demands. In contrast, emerging technologies offer greater efficiency but are often costly and inaccessible. In this study, we utilized easily accessible pathology images to diagnose bacterial infections. Our initial findings indicate that, in the absence of postmortem phenomena, microscopic examination of pathological images can confirm the presence of a bacterial infection. However, distinguishing between different types of bacterial infections remains challenging due to similarities in pathological changes. To address this limitation, we applied a computational pathology approach by integrating pathology images with artificial intelligence (AI) algorithms. Our model classified bacterial infections at both the patch-level and whole slide image (WSI)-level. The results demonstrated strong performance, with an overall AUC consistently above 0.950 across training, testing, and external validation datasets, indicating high accuracy, robustness, and generalizability. This study highlights AI's potential in identifying bacterial infection types and provides valuable technical support for clinical diagnostics, paving the way for faster and more precise infection management.

Authors

  • Xinggong Liang
    Department of Forensic Pathology, College of Forensic Medicine, Xi'an Jiaotong University, Xi'an 710061, Shaanxi, People's Republic of China.
  • Gongji Wang
    College of Forensic Medicine, Xi'an Jiaotong University, Xi'an, 710061, China.
  • Zhengyang Zhu
    Department of Forensic Pathology, College of Forensic Medicine, Xi'an Jiaotong University, Xi'an 710061, Shaanxi, People's Republic of China.
  • Wanqing Zhang
    College of Food Science and Engineering, Northwest University, Xi'an 710069, China.
  • Yuqian Li
    School of Electronic Engineering, University of Electronic Science and Technology of China, Chengdu, China. Electronic address: yuqianli@uestc.edu.cn.
  • Jianliang Luo
    Department of Forensic Pathology, College of Forensic Medicine, Xi'an Jiaotong University, Xi'an 710061, Shaanxi, People's Republic of China.
  • Han Wang
    Saw Swee Hock School of Public Health, National University Health System, National University of Singapore, Singapore.
  • Shuo Wu
    School of Chemistry, Dalian University of Technology, Dalian 116023, PR China. Electronic address: wushuo@dlut.edu.cn.
  • Run Chen
    Department of Forensic Pathology, College of Forensic Medicine, Xi'an Jiaotong University, Xi'an 710061, Shaanxi, People's Republic of China.
  • Mingyan Deng
    Department of Forensic Pathology, College of Forensic Medicine, Xi'an Jiaotong University, Xi'an 710061, Shaanxi, People's Republic of China.
  • Hao Wu
    Zhejiang Institute of Tianjin University (Shaoxing), Shaoxing, China.
  • Chen Shen
    Department of Foreign Languages, Xi'an Jiaotong University City College, Xi'an, China.
  • Gengwang Hu
    Department of Forensic Pathology, College of Forensic Medicine, Xi'an Jiaotong University, Xi'an 710061, Shaanxi, People's Republic of China.
  • Kai Zhang
    Anhui Province Key Laboratory of Respiratory Tumor and Infectious Disease, First Affiliated Hospital of Bengbu Medical University, Bengbu, China.
  • Qinru Sun
    College of Forensic Medicine, Xi'an Jiaotong University, Xi'an, 710061, China.
  • Zhenyuan Wang
    Department of Forensic Pathology, College of Forensic Medicine, Xian Jiaotong University, Xi'an, Shaanxi, 710061, China.