Artificial intelligence-based tools applied to pathological diagnosis of microbiological diseases
Open accessAbstract
Infectious diseases still threaten the global community, especially in resource-limited countries. An accurate diagnosis is paramount to proper patient and public health management. Identification of many microbes still relies on manual microscopic examination, a time-consuming process requiring skilled staff. Thus, artificial intelligence (AI) has been exploited for identification of microorganisms. A systematic search was carried out using electronic databases looking for studies dealing with the application of AI to pathology microbiology specimens. Of 4596 retrieved articles, 110 were included. The main applications of AI regarded malaria (54 studies), bacteria (28), nematodes (14), and other protozoa (11). Most publications examined cytological material (95, 86%), mainly analyzing images acquired through microscope cameras (65, 59%) or coupled with smartphones (16, 15%). Various deep-learning strategies were used for the analysis of digital images, achieving highly satisfactory results. The published evidence suggests that AI can be reliably utilized for assisting pathologists in the detection of microorganisms. Further technologic improvement and availability of datasets for training AI-based algorithms would help expand this field and widen its adoption, especially for developing countries.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
There is potential for using AI models for the detection of fungal organisms, as already reported in other fields of histopathology.
“Hence, there is potential for using AI models for the detection of fungal organisms, as already reported in other fields of histopathology [27,28,29,30,31].”
From Artificial Intelligence in the Histopathological Assessment of Non-Neoplastic Skin Disorders: A Narrative Review with Future Perspectives (2025) · cites this paper as [28]
Dependence on special stains meant there was less potential of shortening turnaround times and reducing the use of resources.
“Additionally, the dependence on special stains meant there was less potential of shortening turnaround times and reducing the use of resources [26,27,28,29,30,31,32].”
From Artificial Intelligence in the Histopathological Assessment of Non-Neoplastic Skin Disorders: A Narrative Review with Future Perspectives (2025) · cites this paper as [28]
Cites
The PRISMA 2020 statement: An updated guideline for reporting systematic reviews
Page, M. J., McKenzie, J. E., Bossuyt, P. M., Boutron, I., Hoffmann, T. C., Mulrow, C. D., Shamseer, L., Tetzlaff, J. M., Akl, E. A., Brennan, S. E., et al. (2021) · BMJ · doi:10.1136/bmj.n71 · Cited by 108,283 · see citing works
LeCun, Y., Bengio, Y., & Hinton, G. (2015) · Nature · doi:10.1038/nature14539 · Cited by 84,126 · see citing works
Rayyan-a web and mobile app for systematic reviews.
Ouzzani, M., Hammady, H., Fedorowicz, Z., & Elmagarmid, A. (2016) · Systematic Reviews · doi:10.1186/s13643-016-0384-4 · Cited by 26,092 · see citing works
The changing epidemiology of human monkeypox—A potential threat? A systematic review
Bunge, E. M., Hoet, B., Chen, L. M., et al. (2022) · PLoS neglected tropical diseases · doi:10.1371/journal.pntd.0010141 · Cited by 1,946 · see citing works
COVID-19 Coronavirus Vaccine Design Using Reverse Vaccinology and Machine Learning
Ong, E., Wong, M. U., Huffman, A., & He, Y. (2020) · Frontiers in Immunology · doi:10.3389/fimmu.2020.01581 · Cited by 499 · see citing works
Deep Learning for Smartphone-Based Malaria Parasite Detection in Thick Blood Smears
Yang, F. Y., Poostchi, M., Yu, H., et al. (2019) · IEEE Journal of Biomedical and Health Informatics · doi:10.1109/jbhi.2019.2939121 · Cited by 273 · see citing works
Epidemiologic surveillance for controlling Covid-19 pandemic: types, challenges and implications
Ibrahim, N. K. (2020) · Journal of Infection and Public Health · doi:10.1016/j.jiph.2020.07.019 · Cited by 255 · see citing works
Pham, T.-H., Qiu, Y., Zeng, J., Xie, L., & Zhang, P. (2021) · Nature Machine Intelligence · doi:10.1038/s42256-020-00285-9 · Cited by 219 · see citing works
Automatic detection of mycobacterium tuberculosis using artificial intelligence
Xiong, Y., Ba, X., Hou, A., Zhang, K., Chen, L., & Li, T. (2018) · Journal of Thoracic Disease · doi:10.21037/jtd.2018.01.91 · Cited by 162 · see citing works
Panicker, R. O., Kalmady, K. S., Rajan, J., & Sabu, M. K. (2018) · Journal of Applied Biomedicine · doi:10.1016/j.bbe.2018.05.007 · Cited by 146 · see citing works
The Malaria System MicroApp: A New, Mobile Device-Based Tool for Malaria Diagnosis
Oliveira, A. D., Prats, C., Espasa, M., Zarzuela Serrat, F., Montañola Sales, C., Silgado, A., Codina, D. L., Arruda, M. E., i Prat, J. G., & Albuquerque, J. (2017) · JMIR Research Protocols · doi:10.2196/resprot.6758 · Cited by 144 · see citing works
Abdurahman, F., Fante, K. A., & Mohammed, M. A. (2021) · BMC Bioinformatics · doi:10.1186/s12859-021-04036-4 · Cited by 141 · see citing works
Image analysis and artificial intelligence in infectious disease diagnostics
Smith, K. P., & Kirby, J. E. (2020) · Clinical Microbiology and Infection · doi:10.1016/j.cmi.2020.03.012 · Cited by 118 · see citing works
Covid-19 and Artificial Intelligence: Genome sequencing, drug development and vaccine discovery
Bagabir, S. A., Ibrahim, N. K., Bagabir, H. A., & Ateeq, R. H. (2022) · Journal of Infection and Public Health · doi:10.1016/j.jiph.2022.01.011 · Cited by 106 · see citing works
Deep learning for imaging and detection of microorganisms
Zhang, Y., Jiang, H., Ye, T., & Juhas, M. (2021) · Trends in Microbiology · doi:10.1016/j.tim.2021.01.006 · Cited by 96 · see citing works
Girolami, I., Pantanowitz, L., Marletta, S., Brunelli, M., Mescoli, C., Parisi, A., Barresi, V., Parwani, A. V., Neil, D., Scarpa, A., et al. (2019) · Cancer Cytopathology · doi:10.1002/cncy.22195 · Cited by 82 · see citing works
Self-citationMalaria Screener: a smartphone application for automated malaria screening
Yu, H., Yang, F. Y., Rajaraman, S., et al. (2020) · BMC Infectious Diseases · doi:10.1186/s12879-020-05453-1 · Cited by 67 · see citing works
Rajaraman, S., Silamut, K., Hossain, M. A., Ersoy, I., Maude, R. J., Jaeger, S., Thoma, G. R., & Antani, S. (2018) · Journal of medical imaging · doi:10.1117/1.jmi.5.3.034501 · Cited by 66 · see citing works
Current state of whole slide imaging use in cytopathology: Pros and pitfalls
Eccher, A., & Girolami, I. (2020) · Cytopathology · doi:10.1111/cyt.12806 · Cited by 64 · see citing works
Self-citationPerformance of a fully‐automated system on a WHO malaria microscopy evaluation slide set
Horning, M. P., Delahunt, C. B., Bachman, C., et al. (2021) · Malaria Journal · doi:10.1186/s12936-021-03631-3 · Cited by 64 · see citing works
Machine learning for emerging infectious disease field responses
Chiu, H.-Y. R., Hwang, C.-K., Chen, S., Shih, F., Han, H., King, C., Gilbert, J. R., Fang, C., & Oyang, Y. (2022) · Scientific Reports · doi:10.1038/s41598-021-03687-w · Cited by 56 · see citing works
Muñóz, J., Rojo-Marcos, G., Ramírez‐Olivencia, G., Salas-Coronas, J., Treviño, B., Pérez-Arellano, J.-L., Torrús, D., Vilches, M. J. M., Ramos, J. M., Alegría, I., et al. (2014) · Enfermedades Infecciosas y Microbiología Clínica · doi:10.1016/j.eimc.2013.12.014 · Cited by 54 · see citing works
Kassim, Y. M., Yang, F. Y., Yu, H., et al. (2021) · Diagnostics · doi:10.3390/diagnostics11111994 · Cited by 52 · see citing works
Rosado, L., Costa, J. D., Elias, D., et al. (2017) · Sensors · doi:10.3390/s17102167 · Cited by 49 · see citing works
Artificial intelligence-based screening for mycobacteria in whole-slide images of tissue samples
Pantanowitz, L., Wu, U., Seigh, L., LoPresti, E., Yeh, F.-C., Salgia, P., Michelow, P., Hazelhurst, S., Chen, W.-Y., Hartman, D., et al. (2021) · American Journal of Clinical Pathology · doi:10.1093/ajcp/aqaa215 · Cited by 45 · see citing works
Self-citationAn Empirical Evaluation of Convolutional Networks for Malaria Diagnosis
Loddo, A., Fadda, C., & Ruberto, C. D. (2022) · Journal of Imaging · doi:10.3390/jimaging8030066 · Cited by 42 · see citing works
Kuok, C., Horng, M., Liao, Y., et al. (2019) · Microscopy Research and Technique · doi:10.1002/jemt.23217 · Cited by 41 · see citing works
Franklin, M. M., Schultz, F. A., Tafoya, M. A., Kerwin, A. A., Broehm, C. J., Fischer, E. G., Gullapalli, R. R., Clark, D. P., Hanson, J. A., & Martin, D. R. (2021) · Archives of Pathology & Laboratory Medicine · doi:10.5858/arpa.2020-0520-oa · Cited by 33 · see citing works
Mobile-phone and handheld microscopy for neglected tropical diseases
Rajchgot, J., Coulibaly, J. T., Keiser, J., et al. (2017) · PLoS neglected tropical diseases · doi:10.1371/journal.pntd.0005550 · Cited by 30 · see citing works
Mycobacterium tuberculosis recognition with conventional microscopy
Costa-Filho, C. F. F., Levy, P. C., Xavier, C. M., et al. (2012) · doi:10.1109/embc.2012.6347426 · Cited by 28 · see citing works
Whole-slide imaging in cytopathology: state of the art and future directions
Marletta, S., Treanor, D. E., Eccher, A., et al. (2021) · Diagnostic histopathology · doi:10.1016/j.mpdhp.2021.08.001 · Cited by 26 · see citing works
Self-citationImpact of mobile devices on cancer diagnosis in cytology
Santonicco, N., Marletta, S., Pantanowitz, L., Fadda, G., Troncone, G., Brunelli, M., Ghimenton, C., Antonini, P., Paolino, G., Girolami, I., et al. (2021) · Diagnostic Cytopathology · doi:10.1002/dc.24890 · Cited by 25 · see citing works
Self-citationGarcia, E., Kundu, I., Ali, A., et al. (2018) · American Journal of Clinical Pathology · doi:10.1093/ajcp/aqy005 · Cited by 25 · see citing works
Marletta, S., Pantanowitz, L., Malvi, D., et al. (2022) · Academic Pathology · doi:10.1016/j.acpath.2022.100047 · Cited by 21 · see citing works
Self-citationIncreasing a microscope’s effective field of view via overlapped imaging and machine learning
Yao, X., Pathak, V., Xi, H., Chaware, A., Cooke, C., Kim, K., Xu, S., Li, Y., Dunn, T., Konda, P. C., et al. (2021) · Optics Express · doi:10.1364/oe.445001 · Cited by 18 · see citing works
Flagged first, then by citations
Cited by
Sorted by citations
Rappoport, N., Goldinger, G., Debby, A., Molchanov, Y., Barak, Y., Gildenblat, J., Hadar, O., Sagiv, C., & Barzilai, A. (2024) · Pathology - Research and Practice · doi:10.1016/j.prp.2024.155480 · Cited by 11 · see citing works
Della Mura, M., Sorino, J., Colagrande, A., Daruish, M., Ingravallo, G., Massaro, A., Cazzato, G., Lupo, C., Casatta, N., Ribatti, D., et al. (2025) · Medical Sciences · doi:10.3390/medsci13020070 · Cited by 6 · see citing works
- Authors
- Marletta, S., L’Imperio, V., Eccher, A., Antonini, P., Santonicco, N., Girolami, I., Dei Tos, A. P., Sbaraglia, M., Pagni, F., Brunelli, M., Marino, A., Scarpa, A., Munari, E., Fusco, N., & Pantanowitz, L.
- Affiliations
- University of Verona (IT)
- Azienda Ospedaliera San Gerardo (IT)
- Ospedale di Bolzano (IT)
- University of Padua (IT)
- University of Brescia (IT)
- European Institute of Oncology (IT)
- University of Michigan (US)
- Corresponding author
- Eccher, Albino
- ORCID
- Venue
- Pathology - Research and Practice
- Publisher
- Elsevier BV
- Published
- 2023-03
- Volume
- 243
- Pages
- 154362
- ISSN
- 0344-0338 (ISSN-L)
- OpenAlex
- W4319320194
- Cited by
- 49
- References
- 35
- Citations by year
- 2026: 6 · 2025: 18 · 2024: 17 · 2023: 8
- FWCI
- 1.03
- Type
- journal article
- Language
- en
- Open access
- green
- hdl.handle.net
- Licence
- Locations
- Pathology - Research and Practice (publishedVersion)
- PubMed (publishedVersion)
- BOA (University of Milano-Bicocca) (submittedVersion)
- Institutional Research Information System (Università degli Studi di Brescia) (submittedVersion)
- IRIS UNIMORE (University of Modena and Reggio Emilia) (submittedVersion, cc-by)
- Padua Research Archive (University of Padova) (submittedVersion)
- Topics
- Physical Sciences › Computer Science › Artificial Intelligence › AI in cancer detection
- Health Sciences › Medicine › Health Informatics › Artificial Intelligence in Healthcare and Education
- Physical Sciences › Computer Science › Computer Vision and Pattern Recognition › Digital Imaging for Blood Diseases
- Keywords
- artificial intelligence, microbiological diagnosis, infectious diseases, malaria, bacterial identification, nematode detection, protozoa, cytology specimens, deep learning, digital microscopy images, resource-limited settings
- MeSH terms
- Pathologists, Algorithms, Artificial Intelligence, Humans, Microscopy, Databases, Factual
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
Are you an author, or do you see a problem with this page? Request a review