Label-free detection of Giardia lamblia cysts using a deep learning-enabled portable imaging flow cytometer
Zoltan Gorocs, David Baum, Fang Song, Kevin DeHaan, Hatice Ceylan, Koydemir, Yunzhe Qiu, Zilin Cai, Thamira Skandakumar, Spencer Peterman, Miu, Tamamitsu, and Aydogan Ozcan

TL;DR
This paper introduces a portable, cost-effective imaging flow cytometer that uses deep learning and lensfree holographic imaging to detect Giardia lamblia cysts in water samples in real-time without labels, suitable for resource-limited settings.
Contribution
It presents a novel, compact, and label-free imaging flow cytometer integrated with deep learning for real-time detection of waterborne parasites.
Findings
Detects Giardia cysts at <10 per 50 mL in real-time
Operates at 100 mL/h volumetric throughput
Portable device suitable for field use
Abstract
We report a field-portable and cost-effective imaging flow cytometer that uses deep learning to accurately detect Giardia lamblia cysts in water samples at a volumetric throughput of 100 mL/h. This flow cytometer uses lensfree color holographic imaging to capture and reconstruct phase and intensity images of microscopic objects in a continuously flowing sample, and automatically identifies Giardia Lamblia cysts in real-time without the use of any labels or fluorophores. The imaging flow cytometer is housed in an environmentally-sealed enclosure with dimensions of 19 cm x 19 cm x 16 cm and weighs 1.6 kg. We demonstrate that this portable imaging flow cytometer coupled to a laptop computer can detect and quantify, in real-time, low levels of Giardia contamination (e.g., <10 cysts per 50 mL) in both freshwater and seawater samples. The field-portable and label-free nature of this method…
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