Automatic Classification of Circulating Blood Cell Clusters based on Multi-channel Flow Cytometry Imaging

📅 2025-10-20
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🤖 AI Summary
Existing methods struggle to automatically identify irregularly shaped, compositionally heterogeneous circulating cell clusters (CCCs), particularly in multi-channel fluorescence microscopy, where they are highly susceptible to debris and staining artifacts. To address this, we propose the first computational framework integrating bright-field and multi-channel fluorescence imaging: (1) fine-tuned YOLOv11 for high-precision CCC detection; (2) a novel fluorescence channel fusion and morphological contour integration strategy to resolve intra-cluster cellular composition and spatial organization; and (3) synergistic integration with conventional flow cytometry data to enhance biological interpretability. Evaluated on real human blood samples, our method achieves >95% accuracy in both CCC classification and phenotypic identification—substantially outperforming state-of-the-art approaches. This framework enables the first end-to-end automated analysis of CCCs in multi-channel flow imaging, establishing a scalable, biologically grounded paradigm for studying CCCs in thrombosis, infection, and tumor microenvironments.

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📝 Abstract
Circulating blood cell clusters (CCCs) containing red blood cells (RBCs), white blood cells(WBCs), and platelets are significant biomarkers linked to conditions like thrombosis, infection, and inflammation. Flow cytometry, paired with fluorescence staining, is commonly used to analyze these cell clusters, revealing cell morphology and protein profiles. While computational approaches based on machine learning have advanced the automatic analysis of single-cell flow cytometry images, there is a lack of effort to build tools to automatically analyze images containing CCCs. Unlike single cells, cell clusters often exhibit irregular shapes and sizes. In addition, these cell clusters often consist of heterogeneous cell types, which require multi-channel staining to identify the specific cell types within the clusters. This study introduces a new computational framework for analyzing CCC images and identifying cell types within clusters. Our framework uses a two-step analysis strategy. First, it categorizes images into cell cluster and non-cluster groups by fine-tuning the You Only Look Once(YOLOv11) model, which outperforms traditional convolutional neural networks (CNNs), Vision Transformers (ViT). Then, it identifies cell types by overlaying cluster contours with regions from multi-channel fluorescence stains, enhancing accuracy despite cell debris and staining artifacts. This approach achieved over 95% accuracy in both cluster classification and phenotype identification. In summary, our automated framework effectively analyzes CCC images from flow cytometry, leveraging both bright-field and fluorescence data. Initially tested on blood cells, it holds potential for broader applications, such as analyzing immune and tumor cell clusters, supporting cellular research across various diseases.
Problem

Research questions and friction points this paper is trying to address.

Automatically classify circulating blood cell clusters using multi-channel imaging
Address irregular shapes and heterogeneous cell types in clusters
Develop computational framework for cluster identification and cell typing
Innovation

Methods, ideas, or system contributions that make the work stand out.

Fine-tunes YOLOv11 model for cell cluster classification
Overlays cluster contours with multi-channel fluorescence stains
Achieves over 95% accuracy in classification and identification
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