White Blood Cell Classification

Deformability cytometry (DC) is a type of imaging flow cytometry, which uses a camera-equipped device to measure cellular stiffness in addition to other cellular properties at high throughput. Cellular properties such as area and elongation can identify cell types, but this requires prior knowledge of distinguishing properties and cannot be applied to clinically important cell aggregates. Using DC data, we evaluated conventional multi-class (MC) classification and introduced a multi-label (ML) approach for identifying blood cells and their aggregates. In particular, an ML classifier can simultaneously assign multiple cell-type labels to a single imaged event. We show that, unlike MC classification, ML classification can identify cell aggregates not represented in the training data. It also avoids the need for exhaustive, strictly defined aggregate labels, thereby simplifying and speeding up annotation. Since automated blood analyzers do not reliably analyze cell aggregates, our approach may help address this clinical gap.

Frozen hematology foundation-model (FM) embeddings reach near-saturated in-domain white-blood-cell (WBC) accuracy, but clinical deployment demands reliability across scanners, sites, stains and preparation pipelines. We audit 15 frozen encoders (hematology, pathology, and general vision) across four public single-cell acquisition domains along two axes: accuracy robustness and calibration. In-domain linear-probe macro-F1 is saturated (0.98-0.997), yet cross-dataset macro-F1 drops 34-72% and rankings re-order: DinoBloom-L, the in-domain best, falls to 10th of 15 on the most-shifted target (MLL23) at the benchmark's shared 224-px input, behind RedDino and several general and pathology encoders. Rank transfer is probe-dependent: 1-NN retrieval is more stable on average than a source-fitted linear head (median $ρ$ 0.65 vs 0.45), but neither probe universally predicts target robustness. Calibration also collapses: source-trained probes are nearly calibrated in-domain (expected calibration error, ECE, 0.004) but confidently wrong off-domain (ECE 0.35), and source-fitted temperature scaling transfers poorly. We further audit pretraining exposure and identify MLL23 as DinoBloom's internal cohort; because DinoBloom's only held-out dataset is also our source domain, this benchmark cannot isolate exposure from scanner-associated shift. Label-free adaptation and marginal-entropy-based model selection appear safe under balanced evaluation but fail under realistic WBC class-prior shift. Class-Balanced Re-standardization (CBR), a training-free pseudo-label-balanced feature normalization, improves all evaluated target-prior scenario means and partially improves calibration, although encoder-level exceptions and residual miscalibration remain. Hematology FM benchmarks must therefore jointly audit accuracy, calibration, exposure, and class-prior robustness.

Diagnosing and monitoring diseases frequently involves the analysis of human biological samples, with blood analysis being pivotal. Specifically, leukocytes, or white blood cells (WBCs), are essential markers for evaluating the body's defense mechanisms against infections. Traditional methods for WBC counting and classification are labor-intensive and prone to inaccuracies, primarily due to human error. The conventional processes for blood cell analysis, especially those concerning WBCs, are beset with difficulties. These include the laborious nature of manual counting and the susceptibility to errors, which can significantly impact the accuracy and reliability of disease diagnosis and monitoring. This study proposes an automated, machine learning-based solution aimed at mitigating the identified challenges. By employing a hybrid model that integrates Yolov5 for the detection of WBCs, coupled with a finely tuned, pre-trained MobileNetV2 model and a Logistic Regression classifier, the study innovates in the accurate identification, counting, and classification of WBCs into four distinct types. The methodology leverages the BCCD dataset for training and validation purposes. The application of the proposed hybrid machine learning model has yielded remarkable results, demonstrating a detection accuracy rate of 98% through the Yolov5 stage, and an unparalleled classification accuracy of 99.04% in subsequent stages utilizing MobileNetV2 and Logistic Regression. Additionally, Our proposed YOLOv5-based RBC detection module achieves an F1 score of 99.73%, which outperforms the baseline. These findings underscore the model's potential in transforming traditional laboratory practices for WBC analysis, offering a path towards more accurate, efficient, and reliable disease diagnostics and monitoring.

Accurate classification of microscopic blood cells is still a critical task in medical image analysis, where subtle variations and limited data can challenge conventional deep learning models. As such, we investigate in this work the potential of Hybrid Quantum-Classical Neural Networks (HQNNs) to enhance feature representation and improve classification performance in this domain. We propose a modular architecture combining a pre-trained ResNet-50 backbone with a low-dimensional latent bottleneck and a variational quantum circuit, enabling a direct comparison between quantum-enhanced and purely classical transformation mechanisms. To isolate the contribution of the quantum component, we evaluate three architectures: a HQNN model, a Classical Matched Model with an additional nonlinear transformation layer of comparable capacity, and a baseline model without an intermediate transformation stage. Experiments conducted on two publicly available blood cell datasets, namely the Blood Cell Images dataset and the PBC dataset, demonstrate that HQNNs consistently achieve superior or more balanced performance across evaluation metrics. In the Blood Cell Images Dataset, the proposed approach improves macro F1-score by up to 3.7% compared to classical baselines, while improving the F1-score from 98.54% to 98.69% in the more challenging 8-class scenario with near-saturated performance. Additional evaluation on IBM quantum hardware shows that the model remains robust under noise, with only a modest performance degradation relative to simulated results. These results indicate that quantum feature transformations can enhance discriminative representations, particularly in challenging classification scenarios, and highlight the practical potential of HQNN models for medical imaging tasks.

Label-free single-cell imaging offers a scalable, non-invasive alternative to fluorescence-based cytometry, yet inferring molecular phenotypes directly from bright-field morphology remains challenging. We present a unified Deep Learning (DL) framework that jointly performs White Blood Cell (WBC) classification and continuous protein-expression regression from label-free Differential Phase Contrast (DPC) images. Our model employs a Hybrid architecture that fuses convolutional fine-grained texture features with transformer-based global representations through a learnable cross-branch gating module, enabling robust morpho-molecular inference from DPC images. To support downstream interpretability, we further incorporate a Large Language Model (LLM) that generates concise, biologically grounded summaries of the predicted cell states. Experiments on the Berkeley Single Cell Computational Microscopy (BSCCM) and Blood Cells Image benchmarks demonstrate strong performance, achieving a 91.3% WBC classification accuracy and a 0.72 Pearson correlation for CD16 expression regression on BSCCM. These results underscore the promise of label-free single-cell imaging for cost-effective hematological profiling, enabling simultaneous phenotype identification and quantitative biomarker estimation without fluorescent staining. The source code is available at https://github.com/saqibnaziir/Single-Cell-Phenotyping.

Automated white blood cell (WBC) classification is essential for scalable leukaemia screening. However, real-world deployment is challenged by domain shifts caused by staining protocols, scanner characteristics, and inter-laboratory variability, which often degrade model performance. The White Blood Cell Classification Challenge (WBCBench) at ISBI 2026 aims to advance robust WBC recognition, with a focus on accurately identifying blast cells and other clinically critical rare subtypes. We propose a memory-augmented, hierarchical ensemble pipeline for WBC classification under domain shifts, leveraging a feature bank and a DinoBloom backbone fine-tuned with LoRA. Our three-stage inference hierarchy combines k-nearest neighbors (kNN) retrieval at each level, reducing over-reliance on any single decision. Evaluated on the WBCBench dataset, our method ranks within the top ten by macro F1-score in the final testing phase.

We present WBCBench 2026, an ISBI challenge and benchmark for automated WBC classification designed to stress-test algorithms under three key difficulties: (i) severe class imbalance across 13 morphologically fine-grained WBC classes, (ii) strict patient-level separation between training, validation and test sets, and (iii) synthetic scanner- and setting-induced domain shift via controlled noise, blur and illumination perturbations. All images are single-site microscopic blood smear acquisitions with standardised staining and expert hematopathologist annotations. This paper reviews the challenge and summarises the proposed solutions and final outcomes. The benchmark is organised into two phases. Phase 1 provides a pristine training set. Phase 2 introduces degraded images with split-specific severity distributions for train, validation and test, emulating a realistic shift between development and deployment conditions. We specify a standardised submission schema, open-source evaluator, and macro-averaged F1 score as the primary ranking metric.

Automating white blood cell classification for diagnosis of leukaemia is a promising alternative to time-consuming and resource-intensive examination of cells by expert pathologists. However, designing robust algorithms for classification of rare cell types remains challenging due to variations in staining, scanning and inter-patient heterogeneity. We propose a lightweight ensemble approach for classification of cells during Haematopoiesis, with a focus on the biology of Granulopoiesis, Monocytopoiesis and Lymphopoiesis. Through dataset expansion to alleviate some class imbalance, we demonstrate that a simple ensemble of lightweight pretrained SwinV2-Tiny, DinoBloom-Small and ConvNeXT-V2-Tiny models achieves excellent performance on this challenging dataset. We train 3 instantiations of each architecture in a stratified 3-fold cross-validation framework; for an input image, we forward-pass through all 9 models and aggregate through logit averaging. We further reason on the weaknesses of our model in confusing similar-looking myelocytes in granulopoiesis and lymphocytes in lymphopoiesis. Code: https://gitlab.com/siddharthsrivastava/wbc-bench-2026.

The classification of white blood cells (WBCs) from peripheral blood smears is critical for the diagnosis of leukemia. However, automated approaches still struggle due to challenges including class imbalance, domain shift, and morphological continuum confusion, where adjacent maturation stages exhibit subtle, overlapping features. We present a multi-stage fine-tuning methodology for 13-class WBC classification in the WBCBench 2026 Challenge (ISBI 2026). Our best-performing model is a fine-tuned DINOBloom-base, on which we train multiple classifier head families (linear, cosine, and multilayer perceptron (MLP)). The cosine head performed best on the mature granulocyte boundary (Band neutrophil (BNE) F1 = 0.470), the linear head on more immature granulocyte classes (Metamyelocyte (MMY) F1 = 0.585), and the MLP head on the most immature granulocyte (Promyelocyte (PMY) F1 = 0.733), revealing class-specific specialization. Based on this specialization, we construct a head-diverse ensemble, where the MLP head acts as the primary predictor, and its predictions within the four predefined confusion pairs are replaced only when two other head families agree. We further show that cases consistently misclassified by all models are substantially enriched for probable labeling errors or inherent morphological ambiguity.

Automated white blood cell (WBC) classification is essential for leukemia screening but remains challenged by extreme class imbalance, long-tail distributions, and domain shift, leading deep models to overfit dominant classes and fail on rare subtypes. We propose a hybrid framework for rare-class generalization that integrates a generative Pix2Pix-based restoration module for artifact removal, a Swin Transformer ensemble with MedSigLIP contrastive embeddings for robust representation learning, and a biologically-inspired refinement step using geometric spikiness and Mahalanobis-based morphological constraints to recover out-of-distribution predictions. Evaluated on the WBCBench 2026 challenge, our method achieves a Macro-F1 of 0.77139 on the private leaderboard, demonstrating strong performance under severe imbalance and highlighting the value of incorporating biological priors into deep learning for hematological image analysis. The code is available at https://github.com/trongduc-nguyen/WBCBench2026

White blood cell (WBC) classification is fundamental for hematology applications such as infection assessment, leukemia screening, and treatment monitoring. However, real-world WBC datasets present substantial appearance variations caused by staining and scanning conditions, as well as severe class imbalance in which common cell types dominate while rare but clinically important categories are underrepresented. To address these challenges, we propose a stain-normalized, decoupled training framework that first learns transferable representations using instance-balanced sampling, and then rebalances the classifier with class-aware sampling and a hybrid loss combining effective-number weighting and focal modulation. In inference stage, we further enhance robustness by ensembling various trained backbones with test-time augmentation. Our approach achieved the top rank on the leaderboard of the WBCBench 2026: Robust White Blood Cell Classification Challenge at ISBI 2026.