Label-free deep learning-based species classification of bacteria imaged by phase-contrast microscopy

Reliable detection and classification of bacteria and other pathogens in the human body, animals, food, and water is crucial for improving and safeguarding public health. For instance, identifying the species and its antibiotic susceptibility is vital for effective bacterial infection treatment. Here we show that phase contrast time-lapse microscopy combined with deep learning is sufficient to classify four species of bacteria relevant to human health. The classification is performed on living bacteria and does not require fixation or staining, meaning that the bacterial species can be determined as the bacteria reproduce in a microfluidic device, enabling parallel determination of susceptibility to antibiotics. We assess the performance of convolutional neural networks and vision transformers, where the best model attained a class-average accuracy exceeding 98%. Our successful proof-of-principle results suggest that the methods should be challenged with data covering more species and clinically relevant isolates for future clinical use. Bacterial infections are a leading cause of premature death worldwide, and growing antibiotic resistance is making treatment increasingly challenging. To effectively treat a patient with a bacterial infection, it is essential to quickly detect and identify the bacterial species and determine its susceptibility to different antibiotics. Prompt and effective treatment is crucial for the patient's survival. A microfluidic device functions as a miniature "lab-on-chip" for manipulating and analyzing tiny amounts of fluids, such as blood or urine samples from patients. Microfluidic chips with chambers and channels have been designed for quickly testing bacterial susceptibility to different antibiotics by analyzing bacterial growth. Identifying bacterial species has previously relied on killing the bacteria and applying species-specific fluorescent probes. The purpose of the herein proposed species identification is to speed up decisions on treatment options by already in the first few imaging frames getting an idea of the bacterial species, without interfering with the ongoing antibiotics susceptibility testing. We introduce deep learning models as a fast and cost-effective method for identifying bacteria species. We envision this method being employed concurrently with antibiotic susceptibility tests in future applications, significantly enhancing bacterial infection treatments.