Deformability Cytometry Moves Closer to Clinical Use
A drop of blood contains millions of cells, each of which provides vital insights into our health. With a promising diagnostic technique – deformability cytometry (DC) –, researchers at the Max-Planck-Zentrum für Physik und Medizin (MPZPM) can record thousands of these cells every second and explore their mechanical properties. Until now, the main challenge was processing this enormous amount of data quickly and accurately. By combining DC with machine learning, scientists have now taken a major step toward turning this technology into a practical clinical tool.
Imaging flow cytometry has the ability to capture detailed images of thousands of cells per second. One of its most powerful modes is DC, developed by the group of Prof. Jochen Guck†, Director at the Max Planck Institute for the Science of Light (MPL) and Head of the Division “Cell Physics” at MPZPM and MPL. Cells are pushed through narrow channels on a microfluidic chip with tightly defined forces squeezing them. This deforms cells slightly, allowing researchers to evaluate their mechanical properties, which can serve as markers for various diseases.
Before this can be done, cells in the DC images must be recognized and outlined, a process called segmentation. After segmentation, blood cells are classified by type, for example erythrocytes, lymphocytes or neutrophils. The team around Guck has refined both of these processes with two different machine learning approaches.
For segmentation, they developed a compact U-Net neural network that identifies cells in bright-field images with high precision. Unlike traditional thresholding methods, which work very quickly but often miss faint cells such as lymphocytes, the new approach works reliably whilst processing large datasets quickly — even on standard clinical computers. This would not be possible with a standard U-Net network, which can take almost an entire day to process a single DC measurement on a CPU.
The reduction in the size of the network requires the careful selection and annotation of training images, allowing the network to learn efficiently. As a result, systematic errors in mechanical characterization of the cells were significantly reduced.
After blood is drawn from a patient, the sample is analyzed using deformability cytometry (DC), where cells flow through narrow microfluidic channels and deform as they pass. To accurately detect individual cells in the captured images, the team developed a compact U-Net–based neural network. Another development is an algorithm based on unsupervised clustering that classifies white blood cells (WBCs) as neutrophils, eosinophils, monocytes, or lymphocytes.
“This study shows that small convolutional neural networks can achieve the same accuracy as the larger models while being faster and cheaper. This makes them suitable for real-time clinical use,” says Dr. Sara Kaliman, Postdoctoral Fellow at MPL/MPZPM in the Guck division.
“Equally important, the tools we developed are not limited to this study. Any researcher using imaging flow cytometry can adopt our approach for their own applications. By making these resources openly available, we aim to help standardize and advance the field, bringing more accuracy and reproducibility to cell-based diagnostics,” adds Dr. Shada Hofemeier Abuhattum, Postdoctoral Fellow at MPL/MPZPM in the Guck division.
The team also automated the classification of white blood cells, a process that previously required manual work by trained experts. The algorithm, that utilizes unsupervised clustering, can distinguish major white blood cell types based on cell shape and texture. Together, these advances mean that not only millions of cells from a single experiment can be analyzed precisely, but hundreds of measurements per day can now be processed reliably and reproducibly — a major leap toward practical clinical use.
Kaliman and Shada Hofemeier Abuhattum emphazise that these new methods enabled crucial advances in data analysis for DC. A long-held vision of the late Prof. Jochen Guck was bringing DC into clinical diagnostics and this work, they added, represented another important step in that direction.
Original Publication
Kaliman, S. et al. Small U-Net for Fast and Reliable Segmentation in Imaging Flow Cytometry. Cytometry. Part A: The journal of the International Society for Analytical Cytology vol. 107,7 (2025): 450-463.
DOI:10.1002/cyto.a.24947
Kaliman, S. et al. "Automation and Improvement of WBC Mechanical Profiling in Deformability Cytometry." Biophysical Journal. (2025)
DOI: 10.1016/j.bpj.2025.10.007
Scientific Contact:
Dr. Sara Kaliman
Max Planck Institute for the Science of Light / Max-Planck-Zentrum für Physik und Medizin
Email: sara.kaliman@mpzpm.mpg.de
Dr. Shada Hofemeier Abuhattum
Max Planck Institute for the Science of Light / Max-Planck-Zentrum für Physik und Medizin
Email: shada.abuhattum@mpzpm.mpg.de
Image created with BioRender. The DC illustration is adapted from Soteriou, D., Kubánková et al., Nat. Biomed. Eng. 7, 1392–1403 (2023). doi.org/10.1038/s41551-023-01015-3