Water-associated diseases create major problems in the developing parts of the world where there is no reliable infrastructure for proper decontamination of water resources which also brings inadequate access to clean drinking water. The same danger also occurs during natural disasters and wars, where water treatment and sewage facilities lose their functionality. As a matter of fact, the occurrence of waterborne diseases has been dramatically increasing worldwide including in highly industrialized countries such as the United States.2–5
Two widely spread examples of such diarrheal diseases include Giardiasis and Cryptosporidiosis which are caused by protozoan parasites, namely Giardia Lamblia and Cryptosporidium Parvum, respectively.6
Unfortunately, these parasites can survive in cold water for several weeks and are resistant to most of the conventional water treatment methods such as chlorination.7
Various approaches have been demonstrated so far for identification and quantification of pathogens in drinking and recreational water resources.8–25
Traditional culture-based methods are time-consuming and have serious drawbacks due to lack of accurate enumeration methods as well as rapid transition of some of the species into non-culturable state after being released into freshwater.11,12
To address the challenges of these laborious tools, culture-independent techniques have also been demonstrated, which utilize various technologies including polymerase chain reaction (PCR),13,14
surface plasmon resonance,18
flow cytometry, as well as optofluidics and others.20–26
Although these approaches complement each other and emerge as effective tools for detection of pathogens in water, such platforms require moderately complex maintenance and operation skills together with relatively bulky and expensive architectures which partially hinder their application in field settings.
To provide an alternative solution to this important problem, here we investigate the use of a field-portable lensfree holographic microscope (see ) to image and automatically detect pathogenic protozoan parasites such as Giardia Lamblia and Cryptosporidium Parvum at low concentration levels of <400/mL without
the use of any pre-concentration steps. As we have demonstrated in our earlier work,1
this holographic microscope has various important features that make it highly attractive for use in resource limited environments. First, it does not utilize any lenses or other bulky optical components which makes it rather compact as shown in , with a total weight of ~46 grams. This handheld microscope utilizes an incoherent light source (i.e.
, a simple light emitting diode - LED) to vertically illuminate the samples of interest, which then permits recording of lensfree in-line holograms of the cells/bacteria within the sample volume using an opto-electronic sensor array such as a CMOS chip. The recorded holograms are then digitally transferred to a computer for rapid reconstruction1
of microscopic images of the sample. This computation does not
need to be performed locally since wireless transmission of the acquired lensfree holographic images (using e.g.
, a cellphone) to a central PC station could potentially be used to reduce the hardware and software requirements at the user end. Data load of such a cloud computing model is rather easy to manage since each lensfree holographic image can be compressed (without loss of apparent resolution) to less than 0.1 Mbytes per 1mm2
field of view (FOV).1
Fig. 1 (a) The lensfree holographic microscope1 used in this study is shown. This fully-functional lensless microscope uses a light emitting diode (at 591nm) and a pinhole of ~50μm diameter as shown in (b). The entire assembly weighs ~46 grams and achieves (more ...)
Having a total imaging field of view of ~24 mm2 (i.e., more than an order of magnitude larger FOV than a typical 10X objective lens) together with a numerical aperture (NA) of ~0.1–0.2, this compact and light weight microscope may provide an important high-throughput analysis tool for combating water-borne diseases especially in resource poor settings. We expect further improvements in these imaging parameters as next generation sensor chips with smaller pixel sizes and larger Mega Pixel counts are made available.
To investigate the performance of our lensfree holographic microscope as a screening tool for water quality management, we imaged heterogeneous and homogeneous solutions of two protozoan pathogens, Giardia Lamblia Cyst and Cryptosporidium Parvum which are commonly spread by contaminated drinking water (see ). In these experiments, parasite suspensions were fixed in 5% Formalin at pH 7.4/0.01% Tween 20 with a concentration of 5 × 106
parasites/mL(Waterborne Inc., USA). Each parasite sample is placed between two identical type-1 glass slides using a micro-pipette.27
This disposable sample is then positioned onto the sample tray located on the side of the lensfree microscope shown in . left column illustrates the raw lensfree holograms of these pathogens (over selected regions of interest that are digitally cropped from a much larger FOV of ~24 mm2
). The middle column of the same figure shows the reconstructed microscopic images of these parasites. The details of this reconstruction process are provided in Ref. 1
. For comparison purposes, the same regions of the sample are also imaged using a 40X objective lens (NA~0.65) as illustrated in the right column of , which very well match to our reconstruction results.
Fig. 2 Lensfree holographic imaging results of homogeneous and heterogeneous samples of G. Lamblia Cyst and Cryptosporidium Par-vum are illustrated. The raw holographic images (first column on the left) are acquired using the lensfree microscope shown in (more ...)
Next, we imaged Giardia Lamblia Trophozoite samples using the same lensfree holographic microscope (see ). For these experiments, 1 μL of G. Lamblia Trophozoite sample (~106
/mL) is dropped on the top of a type-0 glass slide and another glass slide is used for smearing the sample droplet with ~30 degrees spreading angle. Smeared specimen was air-dried for 5 min in room conditions. For the staining process, air-dried samples were sequentially dipped into three jars which contained HEMA 3 fixative solution, HEMA 3 Eosinophilic staining solution (Fisher Scientific), and de-ionized water, which was then repeated 5 times in a row.27
Fig. 3 Lensfree holographic imaging results of G. Lamblia Trophozoite smears are illustrated. The raw holograms of the samples are acquired using the lensfree microscope of and are shown on the left column. The second and third columns at the middle show (more ...)
Compared to cyst stage (), Trophozoites have flagella and nuclei, together with a more complicated morphology and sub-cellular structure (). As shown in , holographic reconstruction enables imaging of both the phase and amplitude of these smear samples which nicely match with the 40X objective lens images of the same samples, revealing both the flagella as well as the inner features of the stained Giardia Lamblia Trophozoites.
These images shown in – illustrate the success of our lensfree holographic microscope for faithfully imaging Giardia Lamblia Cysts, Cryptosporidium Parvum and Giardia Lamblia Trophozoites. However the concentration of the imaged parasites in these experiments was ≥ 106/mL, which does not shed any light on the detection sensitivity limits of our platform. As a matter of fact, the lensfree holographic microscope of has significant advantages to provide rapid screening of large volumes. First, its imaging field of view is ~24 mm2, which is significantly larger than lens based conventional microscopes. Second, in terms of depth of field, lensfree in-line holography is quite advantageous since it can image a deeper channel, permitting larger volumes to be screened in a single shot.
In order to test the detection limits of our lensless holographic microscope, we further imaged and automatically characterized parasite counts of several diluted samples containing Giardia Lamblia Cysts. We should emphasize that the standard pre-concentration steps28–30
that enrich the density of the sample before the detection process are not used here as our aim was to exclusively quantify the counting limits of our lensfree holographic microscope.
In these automated parasite counting experiments, we started with an initial concentration of >1.5 × 106
parasites/mL, and then diluted it by 1024, 2048, 4096 and 8192 times to create 4 batches of known parasite concentrations, corresponding to 1510/mL, 755/mL, 378/mL, and 189/mL respectively. The original cyst concentration was double checked with a regular bright-field microscope for validating the accuracy of the parasite density. 13 measurements were then made for each one of these dilution levels (i.e.
, 52 measurements total). In each measurement, the sample solution was placed within a custom-made cuvette that had a controlled depth of 2.5mm. Before imaging, we let the samples in the cuvette sediment for ~20–30 min, after which the cuvette was imaged using the lensfree holographic microscope shown in . These holographic images were then reconstructed to create microscopic images of the sample, which were digitally processed for automated counting of Giardia Lamblia Cysts using a custom developed pattern matching algorithm31,32
(for further details refer to the Appendix
). The results of this automated counting process are summarized in , which indicates that our lensfree holographic microscope on average
counted 81.6, 39.9, 23.7 and 16.0 Giardia Lamblia Cysts over the entire imaging FOV (~24 mm2
) for original cyst concentration levels of 1510/mL, 755/mL, 378/mL, and 189/mL, respectively. Considering the fact that the channel height is 2.5mm in each cuvette, these average count values per FOV correspond to measured parasite densities of 1372/mL, 671/mL, 398/mL, and 270/mL, which exhibit an average error of 9.1%, 11.1%, 5.3%, and 42.9% for each dilution level, respectively (see for details). In these results, no data points among 52 measurements were eliminated regardless of their value with respect to the mean and the standard deviation. By simply eliminating the maximum and the minimum of the measured values in each batch (which reduces the number of data points to 11 from 13 for each dilution level), then our mean error in concentration measurements reduced to 7.4%, 7.3%, 3.5% and 37.2%, respectively. These results validate the performance of our lensfree holographic microscope to quantify Giardia Lamblia Cyst concentration of a solution down to a level of ~380 parasites/mL with a mean error of <10%. For a lower concentration of ~190 parasites/mL, this mean error increased to ~40% which corresponds to a standard deviation of only ~3 parasites per imaging FOV (24 mm2
). We should also note that using well established pre-concentration steps such as centrifugation and filteration,28–30
we can further improve our detection limit by a factor of e.g.
, ~100X to claim a detection sensitivity of <5 parasites/mL.
Fig. 4 Lensfree holographic microscope of is used to image 4 different batches of diluted water samples containing Giardia Lamblia cysts at concentration levels of 1510/mL, 755/mL, 378/mL and 189/mL. For each dilution level, 13 different lensfree holograms (more ...)
As for the next steps, we aim to test our lensfree holographic microscopy platform in a field setting, where the water samples would normally contain various other particles besides the parasites of interest. Depending on the heterogeneity of the sample solution, modifications of the automated counting algorithm as well as the sample preparation steps may need to be implemented to increase the specificity of each parasite count.
In conclusion, here we have demonstrated lensfree holographic imaging of protozoan parasites, G. Lamblia Cyst and C. Parvum, as well as Giardia Lamblia Trophozoites using a light-weight, cost-effective and field-portable microscope. Furthermore, using the same lensfree holographic unit, we have achieved automated counting of Giardia Lamblia Cysts at low concentrations of ~380/ mL with a mean error of <10%. These results demonstrate the promising potential of our field-portable lensfree holographic microscopy platform for combating waterborne diseases especially in resource limited settings. When combined with pre-concentration steps, we should be able to further improve our detection limit to <5 parasites/mL. Towards this end, among other approaches,28,29
membrane filtration is a quite promising one that can be applied for specific isolation of bacteria/parasites as described in Ref. 30