Semi-quantitative Classification of HIV-1 Nucleic Acids Using ResNet Image Analysis of Discretized Isothermal Amplification Reactions in a Microfluidic Chip
Journal:
bioRxiv
Published Date:
Jun 24, 2026
Abstract
Isothermal nucleic acid amplification tests enable rapid and decentralized molecular diagnostics but often lack robust quantitative readouts compared to quantitative PCR. Here, we present a semi-quantitative nucleic acid measurement approach using machine learning to extract spatiotemporal features from real-time fluorescence imaging of rapid isothermal amplification reactions in microfluidic chips. A convolutional neural network was trained on multiple images sampled throughout a chip-based recombinase polymerase amplification reaction to classify samples into clinically relevant or logarithmically spaced concentration ranges spanning five orders of magnitude. The clinical classification model achieved 94.6% accuracy, and the logarithmic model achieved 92.7% accuracy, with most errors occurring between adjacent concentration categories. By learning spatiotemporal patterns of fluorescence development rather than relying on explicit feature extraction, the model remained accurate at both high and low nucleic acid concentration regimes where other quantitative isothermal molecular tests struggle. This approach enables automated interpretation of amplification reactions and extends the usable dynamic range of the assay. These results demonstrate that integrating machine learning with image-based amplification methods can support rapid semi-quantitative molecular testing and may facilitate broader deployment of nucleic acid diagnostics outside centralized laboratory settings.
