Combining microfluidic spleen-like filtering unit with machine learning algorithms to characterize rare hereditary hemolytic anemia

Abstract Combining microfluidics technology with machine learning represents an innovative approach to conduct massive quantitative cell behavior study and implement smart decision-making systems in support of clinical diagnostics. The spleen plays a key-role in rare hereditary hemolytic anemia (RHHA), being the organ responsible for the premature removal of defective red blood cells (RBCs). The goal is to adapt the physiological spleen filtering strategy for in vitro study and monitoring of blood diseases through RBCs shape analysis. Then, a microfluidic spleen-like filtering unit and video data analysis are combined for the characterization of RBCs in RHHA. A filtering unit is designed to measure deformability by maintaining fixed the RBC orientation to study its capacity of restoring the original shape after crossing microconstrictions. Two cooperative learning approaches are used for the analysis: the majority voting scheme, in which the most voted label for all the cell images is the class assigned to the entire video; and the maximum sum of scores to decide the maximally scored class to assign. The proposed platform shows the capability to discriminate healthy controls and patients with an average efficiency of 91%, but also to distinguish between RHHA subtypes, with an efficiency of 82%.