Evidence map›Paper›PMID 37125187›Full record

ArticleFrontiers in microbiology2023

Highly sensitive quantitative phase microscopy and deep learning aided with whole genome sequencing for rapid detection of infection and antimicrobial resistance.

Azeem Ahmad, Ramith Hettiarachchi, Abdolrahman Khezri, Balpreet Singh Ahluwalia, Dushan N Wadduwage, Rafi Ahmad

Open access · goldAbstract read
In one paragraph

Article in Frontiers in microbiology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed, 2 pooled it
3.6field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 2 syntheses or guidelines pooled it, 19 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Article
  4. Article
  5. Antibiotic resistance inFrontiers in microbiology · 2026
    Review
  6. Article
  7. Review
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  9. Culture and amplification-free nanopore sequencing for rapid detection of pathogens and antimicrobial resistance genes from urine.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2024
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 5 institutions in 4 countries.

Azeem AhmadDepartment of Physics and Technology, UiT The Arctic University of Norway, Tromsø, Norway.
Ramith HettiarachchiDepartment of Electronic and Telecommunication Engineering, University of Moratuwa, Moratuwa, Sri Lanka.
Abdolrahman KhezriDepartment of Biotechnology, Inland Norway University of Applied Sciences, Hamar, Norway.
Balpreet Singh AhluwaliaDepartment of Physics and Technology, UiT The Arctic University of Norway, Tromsø, Norway.
Dushan N WadduwageCenter for Advanced Imaging, Faculty of Arts and Sciences, Harvard University, Cambridge, MA, United States.
Rafi AhmadDepartment of Biotechnology, Inland Norway University of Applied Sciences, Hamar, Norway.
University of Inland Norway · NOHarvard University · USKarolinska Institutet · SEUiT The Arctic University of Norway · NOUniversity of Moratuwa · LK

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Current state-of-the-art infection and antimicrobial resistance (AMR) diagnostics are based on culture-based methods with a detection time of 48-96 h. Therefore, it is essential to develop novel methods that can do real-time diagnoses. Here, we demonstrate that the complimentary use of label-free optical assay with whole-genome sequencing (WGS) can enable rapid diagnosis of infection and AMR. Our assay is based on microscopy methods exploiting label-free, highly sensitive quantitative phase microscopy (QPM) followed by deep convolutional neural networks-based classification. The workflow was benchmarked on 21 clinical isolates from four WHO priority pathogens that were antibiotic susceptibility tested, and their AMR profile was determined by WGS. The proposed optical assay was in good agreement with the WGS characterization. Accurate classification based on the gram staining (100% recall for gram-negative and 83.4% for gram-positive), species (98.6%), and resistant/susceptible type (96.4%), as well as at the individual strain level (100% sensitivity in predicting 19 out of the 21 strains, with an overall accuracy of 95.45%). The results from this initial proof-of-concept study demonstrate the potential of the QPM assay as a rapid and first-stage tool for species, strain-level classification, and the presence or absence of AMR, which WGS can follow up for confirmation. Overall, a combined workflow with QPM and WGS complemented with deep learning data analyses could, in the future, be transformative for detecting and identifying pathogens and characterization of the AMR profile and antibiotic susceptibility.

Indexed as

antibiotic resistancebacterial infectiondeep learningmachine learningquantitative phase microscopyrapid diagnosiswhole genome sequencing

Identifiers

PMID37125187
PMCPMC10130531
OpenAlexW4364360538

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.