AI Article Synopsis
- - The study focuses on creating an automated grading system to quantify fungal loads in microscopic images from skin scrapings of patients with dermatophytosis, which is a fungal infection of the skin
- - A U-Net model was used to segment fungal filaments in the images, and expert manual grading was performed since there were no pre-established pixel count thresholds
- - The automated system showed promising results with high accuracy (over 80% for most metrics) and a strong agreement with human grading, indicating it could be an effective and affordable method for assessing fungal loads.
Article Abstract
Concerning the progression of dermatophytosis and its prognosis, quantification studies play a significant role. Present work aims to develop an automated grading system for quantifying fungal loads in KOH microscopic images of skin scrapings collected from dermatophytosis patients. Fungal filaments in the images were segmented using a U-Net model to obtain the pixel counts. In the absence of any threshold value for pixel counts to grade these images as low, moderate, or high, experts were assigned the task of manual grading. Grades and corresponding pixel counts were subjected to statistical procedures involving cumulative receiver operating characteristic curve analysis for developing an automated grading system. The model's specificity, accuracy, precision, and sensitivity metrics crossed 92%, 86%, 82%, and 76%, respectively. 'Almost perfect agreement' with Fleiss kappa of 0.847 was obtained between automated and manual gradings. This pixel count-based grading of KOH images offers a novel, cost-effective solution for quantifying fungal load.
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| http://dx.doi.org/10.1016/j.diagmicrobio.2024.116565 | DOI Listing |
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