MalariAI: A Label-Resilient Decoupled Framework for Annotation-Agnostic Cell Segmentation and Explainable Stage Classification in Dense Malaria Blood Smears 文章

arXiv:2607.00385v2 Announce Type: replace-cross Abstract: Automated malaria diagnosis from blood smear microscopy is a critical global health AI challenge; expert scarcity remains the primary diagnostic bottleneck. Existing deep learning systems face three compounding failures: end-to-end detectors treat unannotated cells as background, skewing recall by annotation completeness rather than true cell recovery; Non-Maximum Suppression suppresses valid detections in dense smears; and pipelines lack per-cell spatial evidence for clinical audit. We present MalariAI, a two-stage decoupled framework addressing all three. Stage 1 applies an annotation-agnostic watershed algorithm to isolate every cell in a full 1600x1200 image, recovering 75.95% of ground-truth cells without any ground-truth input. End-to-end, the pipeline reaches a binary parasitized AP@0.5 of 29.10% - the clinically relevant metric for flagging any infected cell - while the stricter multi-class mAP@0.5 of 8.