Cell morphology-based classification of red blood cells using holographic imaging informatics.

We present methods that automatically select a linear or nonlinear classifier for red blood cell (RBC) classification by analyzing the equality of the covariance matrices in Gabor-filtered holographic images. First, the phase images of the RBCs are numerically reconstructed from their holograms, which are recorded using off-axis digital holographic microscopy (DHM). Second, each RBC is segmented using a marker-controlled watershed transform algorithm and the inner part of the RBC is identified and analyzed. Third, the Gabor wavelet transform is applied to the segmented cells to extract a series of features, which then undergo a multivariate statistical test to evaluate the equality of the covariance matrices of the different shapes of the RBCs using selected features. When these covariance matrices are not equal, a nonlinear classification scheme based on quadratic functions is applied; otherwise, a linear classification is applied. We used the stomatocyte, discocyte, and echinocyte RBC for classifier training and testing. Simulation results demonstrated that 10 of the 14 RBC features are useful in RBC classification. Experimental results also revealed that the covariance matrices of the three main RBC groups are not equal and that a nonlinear classification method has a much lower misclassification rate. The proposed automated RBC classification method has the potential for use in drug testing and the diagnosis of RBC-related diseases.