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International Journal of Trend in Scientific Research and Development (IJTSRD)
Volume: 3 | Issue: 2 | Jan-Feb 2019 Available Online: www.ijtsrd.com e-ISSN: 2456 - 6470
@ IJTSRD | Unique Reference Paper ID - IJTSRD20293 | Volume – 3 | Issue – 2 | Jan-Feb 2019 Page: 137
An Automated Solution for Extracting and Counting of
White Blood Cells in a Blood Smear Images
Chaya P
Assistant Professor, Department of Information Science and Engineering, GSSSIETW, Mysuru, Karnataka, India
ABSTRACT
There are various tools present commercially for automatic counting of Blood Cells. These tools are used for counting and
finding the different types of Blood Cells present in the Blood Smear. The count of White Blood Cells is important for detecting
various diseases as well as to follow the accurate treatment for the diseases like Anemia, Leukemia, Inflammation, Systemic
illness, Allergy and Burn-Induced etc. The White Blood Cell count gives the vital information about the disease’s which is used
for diagnosing the patients. The old conventional method of counting White Blood Cells under microscope givesaninaccurate
and unreliable results depending upon how the laboratory technician works on it. Another method for White Blood Cell
counting is done through cell counter machine, which is very expensive and cannotbe affordedtoremote/ruralareas, henceto
overcome such problems this paper proposes a cost-effective approach, i.e, automated solution using smart phone based
solution for extracting and counting of White Blood Cells.
KEYWORDS: Blood Smear Image, Contour, OPENCV, Smart Phone, White Blood Cell
I. INTRODUCTION
The analysis of microscopic images is acutely important in
both the medical and the computer/information science
fields. Many research issues are related to the analysis of
microscopic images, such as Complete Blood Cell(CBC)tests
and the analysis of blood smears, which is considered the
first step in detecting and diagnosingAnemia, Leukemia,and
Malaria. Also, during a complete physical exam a series of
tests are performed. One of these tests is the CBC, which is
used to evaluate the composition and concentration of the
cellular blood components. The CBC determines red blood
cells (RBC) counts, white blood cell (WBC) counts, platelet
counts, hemoglobin (HB) measurements, and mean red
blood cell volume. In this paper, we have focused on White
Blood Cell as these cells provide major defense system
against infections. The normal WBC countrangesfrom4,500
to 11,000 WBC’s per cubic millimeter of blood. Higher WBC
counts (above 30000 cells per cubic millimeter) indicate an
infection, systemic illness, inflammation, leukemia, or burn-
induced tissue injury. However, manual or visual
quantification of parasitemia in the thin blood films and
WBCs in leukemiais anextremelytiresome,time-consuming,
and subjective task with a high probability of countingerror.
An accurate segmenting mechanism and counting
mechanism that gathers information about the distribution
of microscopic particles may help diagnose abnormalities
during clinical analysis.
WBCs count is very important in the diagnosis of several
diseases, hence this paper has acutely worked on the issues
of extracting and counting of White Blood Cellsin theimages
captured from the Electronic microscope.
The proposed algorithm separates WBCs from other blood
cells in the image and counts the total number of WBCs
present in the images. The proposed work has been done
using OPENCV 2.4.10 library and ANDROID 4.2.2(Jellybean)
platform. Finally the count is obtained in per cubic
millimeter (cu mm), which is standard practice of a medical
practitioner.
II. LITERATURE REVIEW
In [1] provide the very fast, easy and non-expensive
segmentation process through thresholding. With the aid of
thresholding methods differentiate the grey level in the
image from the background level and also the images are do
not touch each other, it is one of the significant role of the
segmentation by thresholding. One more image
segmentationmethodforwhitebloodcellswasimplemented
in [2], but this also based upon thresholding but that
thresholding is depending upon several gray level
thresholding. Filters are implemented in this method. Low
pass filters are used in this method with window size of 5 x
5. In [3] performed comparisons between nine image
segmentation which is gray level thresholding pattern
matching, filtering operators, morphologicaloperators,edge
detection operators, gradient-in method, RGB color
thresholding, color matching andHSL (hue, saturation,
lightness) and color thresholding techniques on RBC and
concluded that there is no single method can be considered
good for RBC segmentation [4].These are two difficultissues
in image segmentation where common segmentation
algorithms cannot solve this problem [5]. Besides that, there
are staining and illumination inconsistencies also acts as
uncertainty to the image SabinoandCosta[7]usedtheGreen
channel of the RGB model to segment WBC. On the other
hand, Westpfalz applied HSI color model to separate WBC
from background and de-cluster the clustered WBCYang,
Foran and Meer [9] improved the algorithmof IGDStobetter
segment WBC from other BCs presented in the smearimage.
Sinha and Ramakrishnan [10]used colorused HISequivalent
of the WBC image, K-Means clustering followed by EM-
algorithm to segment WBC along with the cytoplasm
nucleus. In [11] used fuzzy patch labeling to segment WBC
from other blood elements. The main drawback oftheabove
systems is that they have not concentrated on doing
segmentation process in the Android Smart phone. Hence
those systems cannot be afforded toremote/rural areas. The
proposed system has focused on this aspect. The proposed
system will run on the Android Smart phone and it has used
HSV color model in order tosegmenttheblood smearimages
collected from the different Blood samples
International Journal of Trend in Scientific Research and Development (IJTSRD) @ www.ijtsrd.com eISSN: 2456-6470
@ IJTSRD | Unique Reference Paper ID - IJTSRD20293 | Volume – 3 | Issue – 2 | Jan-Feb 2019 Page: 138
III. METHODOLOGY
This paper introduces an automatic WBC count using
computer vision which helps to perform the counts
accurately using image based analysis from which the blood
smear taken by the electronic microscopic. Stepsinvolved in
the process of estimating the White Blood Cells include:
Image Acquisition, Image Preprocessing, Image
Segmentation, Image Post processing and WBC counting.
Figure 1 shows the overall flow of the proposed system.
Figure.1: Flowchart of the proposed system
A. Image Acquisition
This is the first method which is performed to capture the
image from the prepared blood smear image using
Electronic microscope. The blood smear slide is prepared in
the form of tongue shape, and then the images are captured
from the feather edge of the blood smear as shown in
Figure2. The images are captured from the slides by an
Olympus BX50 microscope equipped with Moti camera.
For the proposed method the blood smear images of thetwo
patients are considered, for each patient a single slide is
prepared from which ten sample images are captured at
different angles. These imagesarestoredinJPEGformat. The
dataset used in this project consists of actual microscopic
images of blood samples, captured in the Laboratories.
Figure 2: Blood smear in tongue shape
The images were taken by placing the preparedblood smear
under the electronic microscope at a magnification factor of
40x. The image thus captured is provided as an input for the
preprocessing stage.
Figure.3, shows the original blood smearmicroscopicimage
Figure.3: Original blood smear microscopic image
B. Image Pre-Processing
The input for this step is a blood smear image and thisimage
is enhanced and filtered to get a good quality image for the
next steps. The higher resolution image is decoded using
Bitmap decode in order to reduce the resolution of the
image.
Further the image is converted to HSV image, which clearly
defines the bright objects such as WBC. The pre-processed
image is sent for Image Segmentation. Figure. 4, shows the
HSV image.
Figure.4: HSV image.
C. Image Segmentation
The input for this step is the pre-processed image. Here two
threshold values have been considered namely lower and
upper threshold values. Where the lower threshold value is
set to (120,100,100) and the upper threshold value is set to
International Journal of Trend in Scientific Research and Development (IJTSRD) @ www.ijtsrd.com eISSN: 2456-6470
@ IJTSRD | Unique Reference Paper ID - IJTSRD20293 | Volume – 3 | Issue – 2 | Jan-Feb 2019 Page: 139
(179,255,255), in order to segment the image. i.e, these
threshold values are applied to extract the saturation
component say S, because this S in the image show clearly
the White blood cells. Figure 5, shows thesegmentedimage.
Figure.5: Segmented image
D. Image Post-Processing
After segmentation the noise present in the segmented
image will be removed using Gaussian blur method of kernel
size 17 x 17. A Contour can be explained simply as a curve
joining continuous points, having same color or intensity.
The proposed method extracts the contours of the cells in
the segmented image and then the area of the each contour
will be found. From the experimental resultswefound thatif
the contour area lies between 5,400 to 6,000 pixels, then
those contours are considered as WBCs contours. For
highlighting WBCs area draw contour methodisused.Inthis
case, we obtain three different images for each method.
Figure 6, shows the image after applying Guassian blur.
Figure 7, shows the image after extracting the contours.
Figure 8, shows the image after applying Draw contour.
Figure.6: After applying Guassian Blur
Figure.7: Extraction of contours
Figure.8: After applying draw contour
E. Counting
After the application of Draw contourmethodonlytheWBCs
cells will be highlighted, which will be used for counting
purposes. However, blood count in medicalterms meansthe
number of blood cells in a cubic millimeter of blood volume.
Hence we have deduced a formula (1) to calculate the
number of white blood cells per cubic millimeter, based on
the number of cells in the area of the given image of the
blood sample. We have assumed that the thickness of the
blood sample film is 0.1 mm, which is the normal medical
practice. This allows for an overlapping of maximum two
layers in thickness, which is the common trendin theimages
provided. This formula requires number of whitebloodcells
International Journal of Trend in Scientific Research and Development (IJTSRD) @ www.ijtsrd.com eISSN: 2456-6470
@ IJTSRD | Unique Reference Paper ID - IJTSRD20293 | Volume – 3 | Issue – 2 | Jan-Feb 2019 Page: 140
obtained from each blood smearimage, wherethenumber of
blood smear images per patient is considered to be ten.
There is a standard value which is suggested by the
pathology technician, which is a constant value to be
multiplied with the result obtained from dividing the
number of White blood cells obtained with the number of
input images per patient i.e., ten. The overall result is
measured in cubic millimeter (cu mm). Considering these
factors the formula for the WBCs count becomes:
(1)
Where,
N = the actual WBC count per Cu mm.
C = WBC count obtained from images.
IV. RESULTS AND DISCUSSION
Here in this paper we have considered five patient’s blood
smear images for our study. Each of these images is pre-
processed by the above mentioned techniques. Finally the
number of White blood cells was extracted and counted in
each of these images bases on the contours area. The results
of our study have been discussed in Table – 1.
Table1. Comparison of the results between the proposed
method and the Manual method
Patient
ID
Number of
Images
Taken
per
patient
Blood count
Manually
per Cu mm
(in millions)
Blood count
by proposed
method per
Cu mm
(in millions)
1 10 4990 4800
2 10 5020 4780
3 10 4870 4950
4 10 4980 4875
5 10 5180 5030
V. CONCLUSION
This paper presents a methodology to achieve anautomated
extraction and counting of White blood cells in microscopic
images using Contours. This technique is affordable to
remote/rural area, independent of specialist to generate
patient WBC report. Results indicate that the proposed
method for White Blood Cell countingin blood smearimages
offers a remarkable accuracy of 96.6% by restricting the
input images to ten in number per patient. The proposed
method is also very cost-effective and can be easily
implemented in medical facilities anywhere with minimal
investment in infrastructure. It is also very time effective as
manual counting is a very tedious job and time consuming.
VI. REFERENCES
[1] Milan Sonka, VaclawHlavac and RogerBoyle,“Image
processing, Analysis and Machine Vision”, Chapman
and Hall, London, 1993.
[2] Ferdinand van der Heijden, “Image Based
Measurement Systems, Object Recognition and
Parameter Estimation”, John Wiley&Sons, West
Sussex, England, 1995
[3] Khoo Boon How, Alex See Kok Bin, Alex See Kok Bin,
Ng TeckSiong, Khoo Kong Soo: “Red Blood Cell
Segmentation Utilizing Various Image
Segmentation Techniques”, Proceeding of
International Conference on Man-Machine Systems
2006, September 15-16 2006, Langkawi, Malaysia.
[4] Nor HazlynaHarun , N. R. Mokhtar ,M. Y. Mashor, H.
Adilah, R. Adollah, Nazahah Mustafa, N. F. MohdNasir,
H. Roseline, ‘Color image enhancement techniques
based on partial contrast and contrast stretching for
acute leukaemia images’, ICPE-2008.
[5] FatemehZamani, Reza Safabakhhsh: “An
Unsupervised GVF Snake Approach for White Blood
Cell Segmentation Based on Nucleus”, Signal
Processing, The 8th International Conference on
Volume 2, 2006.
[6] Montseny, P. Sobrevilla, S. Romani (2004): “A Fuzzy
Approach to White Blood Cells Segmentation in Color
Bone Marrow Images”, IEEE on 25-29 July, 2004,
Budapest, Hungry
[7] Sabino, D. M. U, L. da F. Costa, E. G. Rizzatti and M. A.
Zago, “A texture approach to leukocyte recognition,”
Real-Time Imaging, Vol.10, pp. 205–216, Usenet post
to http://www.cse.iitd.ernet.in/~csa03027, February
2004.
[8] Hengen, H , O. Gabel, A. Hajra, T. Paulus, M. Ross and S.
Spoor, “Development of a system for the analysis and
classification of blood and bonemarrowcellimagesto
support morphological diagnosis of
leukemia,”Kaiserslautern,Germany, February 2004.
[9] Yang, L, P. Meer and D. J. Foran, “Unsupervised
Segmentation Based on Robust Estimation and
Color Active Contour Models,” IEEE, Usenet post to
http://www.caip.rutgers.edu/riul/research/papers/p
df/snake.pdf, January 2004.
[10] Sinha, N (neelam@ee.iisc.ernet.in) and A. G.
Ramakrishnan (ramkiag@ee.iisc.ernet.in),
“Automation of Differential BloodCount,”Bio-Medical
Lab, Department of Electrical Engineering, Indian
Institute of Science, Bangalore, IEEE, 2003.
[11] Ongun,G,U.Halici,K. Leblebicioglu and V. Atalay,
“Feature Extraction and Classification of Blood Cells
for an Automated Differential Blood Count System,”
IEEE International Joint Conference on Neural
Networks, pp. 2461-2466, 2001.
[12] Vinutha H Reddy. “Automatic RBC and WBC
counting for telemedicine system”. Volume 2, Issue 1,
January 2014.
[13] Prof. Samir K. Bandyopadhyay, Sudipta Roy/
International Journal of Engineering Research and
Applications (IJERA) “Detection of Sharp Contour of
the element of the WBC and Segmentation of two
leading elements like Nucleus and Cytoplasm”.
[14] P.S.Hiremath,, Parashuram Bannigidad, Sai Geeta
“Automated Identification and Classification of White
Blood Cells (Leukocytes) in Digital Microscopic
Images”. IJCA Special Issue on “Recent Trends in
Image Processing and Pattern Recognition” RTIPPR,
2010.
[15] International Journal of Emerging Technology and
Advanced Engineering Website: www.ijetae.com
(ISSN 2250-2459, ISO 9001:2008 Certified Journal,
Volume 3, Issue 6, June 2013) “White Blood C

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  • 1. International Journal of Trend in Scientific Research and Development (IJTSRD) Volume: 3 | Issue: 2 | Jan-Feb 2019 Available Online: www.ijtsrd.com e-ISSN: 2456 - 6470 @ IJTSRD | Unique Reference Paper ID - IJTSRD20293 | Volume – 3 | Issue – 2 | Jan-Feb 2019 Page: 137 An Automated Solution for Extracting and Counting of White Blood Cells in a Blood Smear Images Chaya P Assistant Professor, Department of Information Science and Engineering, GSSSIETW, Mysuru, Karnataka, India ABSTRACT There are various tools present commercially for automatic counting of Blood Cells. These tools are used for counting and finding the different types of Blood Cells present in the Blood Smear. The count of White Blood Cells is important for detecting various diseases as well as to follow the accurate treatment for the diseases like Anemia, Leukemia, Inflammation, Systemic illness, Allergy and Burn-Induced etc. The White Blood Cell count gives the vital information about the disease’s which is used for diagnosing the patients. The old conventional method of counting White Blood Cells under microscope givesaninaccurate and unreliable results depending upon how the laboratory technician works on it. Another method for White Blood Cell counting is done through cell counter machine, which is very expensive and cannotbe affordedtoremote/ruralareas, henceto overcome such problems this paper proposes a cost-effective approach, i.e, automated solution using smart phone based solution for extracting and counting of White Blood Cells. KEYWORDS: Blood Smear Image, Contour, OPENCV, Smart Phone, White Blood Cell I. INTRODUCTION The analysis of microscopic images is acutely important in both the medical and the computer/information science fields. Many research issues are related to the analysis of microscopic images, such as Complete Blood Cell(CBC)tests and the analysis of blood smears, which is considered the first step in detecting and diagnosingAnemia, Leukemia,and Malaria. Also, during a complete physical exam a series of tests are performed. One of these tests is the CBC, which is used to evaluate the composition and concentration of the cellular blood components. The CBC determines red blood cells (RBC) counts, white blood cell (WBC) counts, platelet counts, hemoglobin (HB) measurements, and mean red blood cell volume. In this paper, we have focused on White Blood Cell as these cells provide major defense system against infections. The normal WBC countrangesfrom4,500 to 11,000 WBC’s per cubic millimeter of blood. Higher WBC counts (above 30000 cells per cubic millimeter) indicate an infection, systemic illness, inflammation, leukemia, or burn- induced tissue injury. However, manual or visual quantification of parasitemia in the thin blood films and WBCs in leukemiais anextremelytiresome,time-consuming, and subjective task with a high probability of countingerror. An accurate segmenting mechanism and counting mechanism that gathers information about the distribution of microscopic particles may help diagnose abnormalities during clinical analysis. WBCs count is very important in the diagnosis of several diseases, hence this paper has acutely worked on the issues of extracting and counting of White Blood Cellsin theimages captured from the Electronic microscope. The proposed algorithm separates WBCs from other blood cells in the image and counts the total number of WBCs present in the images. The proposed work has been done using OPENCV 2.4.10 library and ANDROID 4.2.2(Jellybean) platform. Finally the count is obtained in per cubic millimeter (cu mm), which is standard practice of a medical practitioner. II. LITERATURE REVIEW In [1] provide the very fast, easy and non-expensive segmentation process through thresholding. With the aid of thresholding methods differentiate the grey level in the image from the background level and also the images are do not touch each other, it is one of the significant role of the segmentation by thresholding. One more image segmentationmethodforwhitebloodcellswasimplemented in [2], but this also based upon thresholding but that thresholding is depending upon several gray level thresholding. Filters are implemented in this method. Low pass filters are used in this method with window size of 5 x 5. In [3] performed comparisons between nine image segmentation which is gray level thresholding pattern matching, filtering operators, morphologicaloperators,edge detection operators, gradient-in method, RGB color thresholding, color matching andHSL (hue, saturation, lightness) and color thresholding techniques on RBC and concluded that there is no single method can be considered good for RBC segmentation [4].These are two difficultissues in image segmentation where common segmentation algorithms cannot solve this problem [5]. Besides that, there are staining and illumination inconsistencies also acts as uncertainty to the image SabinoandCosta[7]usedtheGreen channel of the RGB model to segment WBC. On the other hand, Westpfalz applied HSI color model to separate WBC from background and de-cluster the clustered WBCYang, Foran and Meer [9] improved the algorithmof IGDStobetter segment WBC from other BCs presented in the smearimage. Sinha and Ramakrishnan [10]used colorused HISequivalent of the WBC image, K-Means clustering followed by EM- algorithm to segment WBC along with the cytoplasm nucleus. In [11] used fuzzy patch labeling to segment WBC from other blood elements. The main drawback oftheabove systems is that they have not concentrated on doing segmentation process in the Android Smart phone. Hence those systems cannot be afforded toremote/rural areas. The proposed system has focused on this aspect. The proposed system will run on the Android Smart phone and it has used HSV color model in order tosegmenttheblood smearimages collected from the different Blood samples
  • 2. International Journal of Trend in Scientific Research and Development (IJTSRD) @ www.ijtsrd.com eISSN: 2456-6470 @ IJTSRD | Unique Reference Paper ID - IJTSRD20293 | Volume – 3 | Issue – 2 | Jan-Feb 2019 Page: 138 III. METHODOLOGY This paper introduces an automatic WBC count using computer vision which helps to perform the counts accurately using image based analysis from which the blood smear taken by the electronic microscopic. Stepsinvolved in the process of estimating the White Blood Cells include: Image Acquisition, Image Preprocessing, Image Segmentation, Image Post processing and WBC counting. Figure 1 shows the overall flow of the proposed system. Figure.1: Flowchart of the proposed system A. Image Acquisition This is the first method which is performed to capture the image from the prepared blood smear image using Electronic microscope. The blood smear slide is prepared in the form of tongue shape, and then the images are captured from the feather edge of the blood smear as shown in Figure2. The images are captured from the slides by an Olympus BX50 microscope equipped with Moti camera. For the proposed method the blood smear images of thetwo patients are considered, for each patient a single slide is prepared from which ten sample images are captured at different angles. These imagesarestoredinJPEGformat. The dataset used in this project consists of actual microscopic images of blood samples, captured in the Laboratories. Figure 2: Blood smear in tongue shape The images were taken by placing the preparedblood smear under the electronic microscope at a magnification factor of 40x. The image thus captured is provided as an input for the preprocessing stage. Figure.3, shows the original blood smearmicroscopicimage Figure.3: Original blood smear microscopic image B. Image Pre-Processing The input for this step is a blood smear image and thisimage is enhanced and filtered to get a good quality image for the next steps. The higher resolution image is decoded using Bitmap decode in order to reduce the resolution of the image. Further the image is converted to HSV image, which clearly defines the bright objects such as WBC. The pre-processed image is sent for Image Segmentation. Figure. 4, shows the HSV image. Figure.4: HSV image. C. Image Segmentation The input for this step is the pre-processed image. Here two threshold values have been considered namely lower and upper threshold values. Where the lower threshold value is set to (120,100,100) and the upper threshold value is set to
  • 3. International Journal of Trend in Scientific Research and Development (IJTSRD) @ www.ijtsrd.com eISSN: 2456-6470 @ IJTSRD | Unique Reference Paper ID - IJTSRD20293 | Volume – 3 | Issue – 2 | Jan-Feb 2019 Page: 139 (179,255,255), in order to segment the image. i.e, these threshold values are applied to extract the saturation component say S, because this S in the image show clearly the White blood cells. Figure 5, shows thesegmentedimage. Figure.5: Segmented image D. Image Post-Processing After segmentation the noise present in the segmented image will be removed using Gaussian blur method of kernel size 17 x 17. A Contour can be explained simply as a curve joining continuous points, having same color or intensity. The proposed method extracts the contours of the cells in the segmented image and then the area of the each contour will be found. From the experimental resultswefound thatif the contour area lies between 5,400 to 6,000 pixels, then those contours are considered as WBCs contours. For highlighting WBCs area draw contour methodisused.Inthis case, we obtain three different images for each method. Figure 6, shows the image after applying Guassian blur. Figure 7, shows the image after extracting the contours. Figure 8, shows the image after applying Draw contour. Figure.6: After applying Guassian Blur Figure.7: Extraction of contours Figure.8: After applying draw contour E. Counting After the application of Draw contourmethodonlytheWBCs cells will be highlighted, which will be used for counting purposes. However, blood count in medicalterms meansthe number of blood cells in a cubic millimeter of blood volume. Hence we have deduced a formula (1) to calculate the number of white blood cells per cubic millimeter, based on the number of cells in the area of the given image of the blood sample. We have assumed that the thickness of the blood sample film is 0.1 mm, which is the normal medical practice. This allows for an overlapping of maximum two layers in thickness, which is the common trendin theimages provided. This formula requires number of whitebloodcells
  • 4. International Journal of Trend in Scientific Research and Development (IJTSRD) @ www.ijtsrd.com eISSN: 2456-6470 @ IJTSRD | Unique Reference Paper ID - IJTSRD20293 | Volume – 3 | Issue – 2 | Jan-Feb 2019 Page: 140 obtained from each blood smearimage, wherethenumber of blood smear images per patient is considered to be ten. There is a standard value which is suggested by the pathology technician, which is a constant value to be multiplied with the result obtained from dividing the number of White blood cells obtained with the number of input images per patient i.e., ten. The overall result is measured in cubic millimeter (cu mm). Considering these factors the formula for the WBCs count becomes: (1) Where, N = the actual WBC count per Cu mm. C = WBC count obtained from images. IV. RESULTS AND DISCUSSION Here in this paper we have considered five patient’s blood smear images for our study. Each of these images is pre- processed by the above mentioned techniques. Finally the number of White blood cells was extracted and counted in each of these images bases on the contours area. The results of our study have been discussed in Table – 1. Table1. Comparison of the results between the proposed method and the Manual method Patient ID Number of Images Taken per patient Blood count Manually per Cu mm (in millions) Blood count by proposed method per Cu mm (in millions) 1 10 4990 4800 2 10 5020 4780 3 10 4870 4950 4 10 4980 4875 5 10 5180 5030 V. CONCLUSION This paper presents a methodology to achieve anautomated extraction and counting of White blood cells in microscopic images using Contours. This technique is affordable to remote/rural area, independent of specialist to generate patient WBC report. Results indicate that the proposed method for White Blood Cell countingin blood smearimages offers a remarkable accuracy of 96.6% by restricting the input images to ten in number per patient. The proposed method is also very cost-effective and can be easily implemented in medical facilities anywhere with minimal investment in infrastructure. It is also very time effective as manual counting is a very tedious job and time consuming. VI. REFERENCES [1] Milan Sonka, VaclawHlavac and RogerBoyle,“Image processing, Analysis and Machine Vision”, Chapman and Hall, London, 1993. [2] Ferdinand van der Heijden, “Image Based Measurement Systems, Object Recognition and Parameter Estimation”, John Wiley&Sons, West Sussex, England, 1995 [3] Khoo Boon How, Alex See Kok Bin, Alex See Kok Bin, Ng TeckSiong, Khoo Kong Soo: “Red Blood Cell Segmentation Utilizing Various Image Segmentation Techniques”, Proceeding of International Conference on Man-Machine Systems 2006, September 15-16 2006, Langkawi, Malaysia. [4] Nor HazlynaHarun , N. R. Mokhtar ,M. Y. Mashor, H. Adilah, R. Adollah, Nazahah Mustafa, N. F. MohdNasir, H. Roseline, ‘Color image enhancement techniques based on partial contrast and contrast stretching for acute leukaemia images’, ICPE-2008. [5] FatemehZamani, Reza Safabakhhsh: “An Unsupervised GVF Snake Approach for White Blood Cell Segmentation Based on Nucleus”, Signal Processing, The 8th International Conference on Volume 2, 2006. [6] Montseny, P. Sobrevilla, S. Romani (2004): “A Fuzzy Approach to White Blood Cells Segmentation in Color Bone Marrow Images”, IEEE on 25-29 July, 2004, Budapest, Hungry [7] Sabino, D. M. U, L. da F. Costa, E. G. Rizzatti and M. A. Zago, “A texture approach to leukocyte recognition,” Real-Time Imaging, Vol.10, pp. 205–216, Usenet post to http://www.cse.iitd.ernet.in/~csa03027, February 2004. [8] Hengen, H , O. Gabel, A. Hajra, T. Paulus, M. Ross and S. Spoor, “Development of a system for the analysis and classification of blood and bonemarrowcellimagesto support morphological diagnosis of leukemia,”Kaiserslautern,Germany, February 2004. [9] Yang, L, P. Meer and D. J. Foran, “Unsupervised Segmentation Based on Robust Estimation and Color Active Contour Models,” IEEE, Usenet post to http://www.caip.rutgers.edu/riul/research/papers/p df/snake.pdf, January 2004. [10] Sinha, N (neelam@ee.iisc.ernet.in) and A. G. Ramakrishnan (ramkiag@ee.iisc.ernet.in), “Automation of Differential BloodCount,”Bio-Medical Lab, Department of Electrical Engineering, Indian Institute of Science, Bangalore, IEEE, 2003. [11] Ongun,G,U.Halici,K. Leblebicioglu and V. Atalay, “Feature Extraction and Classification of Blood Cells for an Automated Differential Blood Count System,” IEEE International Joint Conference on Neural Networks, pp. 2461-2466, 2001. [12] Vinutha H Reddy. “Automatic RBC and WBC counting for telemedicine system”. Volume 2, Issue 1, January 2014. [13] Prof. Samir K. Bandyopadhyay, Sudipta Roy/ International Journal of Engineering Research and Applications (IJERA) “Detection of Sharp Contour of the element of the WBC and Segmentation of two leading elements like Nucleus and Cytoplasm”. [14] P.S.Hiremath,, Parashuram Bannigidad, Sai Geeta “Automated Identification and Classification of White Blood Cells (Leukocytes) in Digital Microscopic Images”. IJCA Special Issue on “Recent Trends in Image Processing and Pattern Recognition” RTIPPR, 2010. [15] International Journal of Emerging Technology and Advanced Engineering Website: www.ijetae.com (ISSN 2250-2459, ISO 9001:2008 Certified Journal, Volume 3, Issue 6, June 2013) “White Blood C