HoloHema: Digital Holographic Hematology Analyzer
Andreas Erik Gejl Madsen
TL;DR
This work evaluates digital holographic microscopy (DHM) for rapid differential white blood cell counting in point-of-care devices, introducing two prototypes: a lens-based system and a lensless system. The lensless variant achieves higher throughput and 3-part differential accuracy of $92.65\%$ and 5-part accuracy of $89.44\%$, while enabling monocyte distribution width (MDW) estimation as a sepsis biomarker. Across chapters, the study integrates pixel super-resolution and multi-wavelength holography to enrich cell information, and demonstrates a physics-informed neural network (PINN) for holographic reconstruction. A parallel CGH track, HoloTile, presents rapid, speckle-suppressed holography via sub-hologram tiling and PSF shaping, with potential for RGB color CGH applications. Overall, the thesis lays foundational work for DHM-based dWBC in PoC devices and proposes several avenues (SR, multi-wavelength, PINN, HoloTile) to enhance performance, robustness, and practical deployment in clinical settings.
Abstract
This industrial Ph.D. project, carried out in collaboration between Radiometer Medical ApS and SDU Centre for Photonics Engineering at the University of Southern Denmark, explored the use of digital holographic microscopy (DHM) for the purposes of differential white blood cell counts (dWBCs) in point-of-care (PoC) devices for acute care settings. Two DHM prototypes were developed; an initial lens-based system serving as the foundation for algorithm development, and experimental validation of the approach, achieving 89.6% classification accuracy on a 3-part differential, and a subsequent lensless system for simplified design and increased field-of-view (FoV). Both prototypes employed convolutional neural networks (CNNs) for cell classification. With further optimizations, the lensless system achieved classification accuracies of 92.65% and 89.44% on the 3-part and 5-part differential, respectively. With the lensless system, the derivation of the monocyte distribution width (MDW), a biomarker for sepsis, was also demonstrated. Additionally, pixel super-resolution and multi-wavelength DHM approaches were investigated to enhance the obtained cell information. Finally, a proof-of-principle physics-informed neural network (PINN) for holographic reconstruction was implemented, demonstrating the potential for machine learning (ML) reconstruction techniques. In summary, this work represents an initial exploration of DHM for dWBC in PoC devices, laying the groundwork for future research.
