Evidence map›Paper›PMID 37964031›Full record

ArticleCommunications biology2023

Deep learning and single-cell phenotyping for rapid antimicrobial susceptibility detection in Escherichia coli.

Alexander Zagajewski, Piers Turner, Conor Feehily, Hafez El Sayyed, Monique Andersson, Lucinda Barrett, Sarah Oakley, Mathew Stracy, Derrick Crook, Christoffer Nellåker and 2 more

Open access · goldAbstract read
In one paragraph

Article in Communications biology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
9.0field-weighted citation impact, top 1% 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

26 citing papers in PubMed, 47 citations in OpenAlex.

  1. Leveraging AI for cell biology discovery.Biochemical Society transactions · 2026
    Review
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  6. Antibiotic resistance inFrontiers in microbiology · 2026
    Review
  7. Article
  8. Review
  9. Review
  10. Review
  11. Article
  12. Review
  13. How AI can help us beat AMR.npj antimicrobials and resistance · 2025
    Review
  14. Review
  15. Article
  16. Deep learning-driven bacterial cytological profiling to determine antimicrobial mechanisms inProceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  17. Article
  18. Review
  19. Review
  20. Review
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

12 authors at 4 institutions in 2 countries.

Alexander Zagajewski *Department of Physics, University of Oxford, Parks Road, Oxford, OX1 3PJ, UK.ORCID 0000-0001-8860-3815
Piers Turner *Department of Physics, University of Oxford, Parks Road, Oxford, OX1 3PJ, UK.
Conor FeehilyNuffield Department of Medicine, University of Oxford, John Radcliffe Hospital, Oxford, OX3 9DU, UK.
Hafez El SayyedDepartment of Physics, University of Oxford, Parks Road, Oxford, OX1 3PJ, UK.
Monique AnderssonNuffield Department of Medicine, University of Oxford, John Radcliffe Hospital, Oxford, OX3 9DU, UK.
Lucinda BarrettDepartment of Microbiology and Infectious Diseases, Oxford University Hospitals NHS Foundation Trust, Oxford, OX3 9DU, UK.
Sarah OakleyDepartment of Microbiology and Infectious Diseases, Oxford University Hospitals NHS Foundation Trust, Oxford, OX3 9DU, UK.
Mathew StracySir William Dunn School of Pathology, University of Oxford, South Parks Road, Oxford, OX1 3RE, UK.
Derrick CrookNuffield Department of Medicine, University of Oxford, John Radcliffe Hospital, Oxford, OX3 9DU, UK.
Christoffer NellåkerNuffield Department of Women's & Reproductive Health, University of Oxford, Big Data Institute, Oxford, OX3 7LF, UK. christoffer.nellaker@wrh.ox.ac.uk.ORCID 0000-0002-2887-2068
Nicole StoesserNuffield Department of Medicine, University of Oxford, John Radcliffe Hospital, Oxford, OX3 9DU, UK. nicole.stoesser@ndm.ox.ac.uk.ORCID 0000-0002-4508-7969
Achillefs N KapanidisDepartment of Physics, University of Oxford, Parks Road, Oxford, OX1 3PJ, UK. achillefs.kapanidis@physics.ox.ac.uk.ORCID 0000-0001-6699-136X
University of Oxford · GBJohn Radcliffe Hospital · GBOxford University Hospitals NHS Trust · GBInstitute for Reproductive Health · US

Funding

Biotechnology and Biological Sciences Research Council BB/N018656/1Biotechnology and Biological Sciences Research Council BB/S008896/1Department of Health NIHR200915Wellcome TrustWellcome Trust 110164/Z/15/Z
6 · The paper itself

Abstract

The rise of antimicrobial resistance (AMR) is one of the greatest public health challenges, already causing up to 1.2 million deaths annually and rising. Current culture-based turnaround times for bacterial identification in clinical samples and antimicrobial susceptibility testing (AST) are typically 18-24 h. We present a novel proof-of-concept methodological advance in susceptibility testing based on the deep-learning of single-cell specific morphological phenotypes directly associated with antimicrobial susceptibility in Escherichia coli. Our models can reliably (80% single-cell accuracy) classify untreated and treated susceptible cells for a lab-reference fully susceptible E. coli strain, across four antibiotics (ciprofloxacin, gentamicin, rifampicin and co-amoxiclav). For ciprofloxacin, we demonstrate our models reveal significant (p < 0.001) differences between bacterial cell populations affected and unaffected by antibiotic treatment, and show that given treatment with a fixed concentration of 10 mg/L over 30 min these phenotypic effects correlate with clinical susceptibility defined by established clinical breakpoints. Deploying our approach on cell populations from six E. coli strains obtained from human bloodstream infections with varying degrees of ciprofloxacin resistance and treated with a range of ciprofloxacin concentrations, we show single-cell phenotyping has the potential to provide equivalent information to growth-based AST assays, but in as little as 30 min.

Indexed as

Deep LearningEscherichia coli InfectionsAnti-Bacterial AgentsCiprofloxacinEscherichia coliHumansAnti-Bacterial AgentsCiprofloxacin

Identifiers

PMID37964031
PMCPMC10645916
OpenAlexW4388655497

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.