{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T23:16:33Z","timestamp":1780355793387,"version":"3.54.1"},"reference-count":53,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T00:00:00Z","timestamp":1765843200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Cell. Infect. Microbiol."],"abstract":"<jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>\n                      <jats:italic>Cryptococcus<\/jats:italic>\n                      spp. infection can lead to cryptococcal meningitis (called CM) and pulmonary cryptococcosis, and how to diagnose\n                      <jats:italic>Cryptococcus<\/jats:italic>\n                      spp. infection accurately and timely is an urgent need in clinical practice. However, the existing methods such as cerebrospinal fluid (CSF) ink staining smear microscopy and CSF\n                      <jats:italic>Cryptococcus<\/jats:italic>\n                      spp. culture only rely on manual counting to determine the number of\n                      <jats:italic>Cryptococcus<\/jats:italic>\n                      spp., resulting in low efficiency. Thus, how to identify\n                      <jats:italic>Cryptococcus<\/jats:italic>\n                      spp. in cerebrospinal fluid and achieve automated counting of\n                      <jats:italic>Cryptococcus<\/jats:italic>\n                      spp. is of great significance for helping clinical experts accurately and timely diagnose\n                      <jats:italic>Cryptococcus<\/jats:italic>\n                      spp. infections to reduce the risk of deterioration.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Method<\/jats:title>\n                    <jats:p>\n                      We propose a small target\n                      <jats:italic>Cryptococcus<\/jats:italic>\n                      spp. detection and counting method called CsDETC, where three important components are integrated, such as data augmentation, hypergraph computation empowered semantic collecting and scattering module called HGC-SCS, and attention-enhanced path aggregation network called AEPAN. The\n                      <jats:italic>Cryptococcus<\/jats:italic>\n                      spp. dataset has been expanded through multiple data augmentation techniques such as random cropping, horizontal flipping, and rotation before training the model. Subsequently, the\n                      <jats:italic>Cryptococcus<\/jats:italic>\n                      spp. morphological features have been enriched by data augmentation based on perspective transformation and vertical flipping in the training process, thereby improving the generalization ability. Then different morphological features can be adaptively detected by learning high-order relationships between visual features when adding HGC-SCS into the neck network. Eventually, the convolution block attention module (CBAM) is integrated into path aggregation network to generate attention maps along the channel and spatial dimensions, transmitting more detailed information contained in the shallow layer to the deep layers to enhance the perception ability of small targets.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>The experimental results on private dataset show that CsDETC outperforms other advanced object detection models with excellent performance such as YOLOv10 and YOLO11, etc. Typically, compared to the baseline, CsDETC shows significant improvements in mAP50 (93.6% vs. 91.3%), APs (51.0% vs. 49.5%), and MAE (1.865 vs. 2.370), while only a 0.7 millisecond increase in the inference time.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion<\/jats:title>\n                    <jats:p>\n                      CsDETC is a promising tool that has performed well in preliminary validation. After validation with larger and more diverse datasets from different medical centers in the future, CsDETC can help doctors accurately and timely identify\n                      <jats:italic>Cryptococcus<\/jats:italic>\n                      spp. and achieve automated counting of\n                      <jats:italic>Cryptococcus<\/jats:italic>\n                      spp., providing reference for treatment plans and improving the diagnostic efficiency.\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fcimb.2025.1701899","type":"journal-article","created":{"date-parts":[[2025,12,16]],"date-time":"2025-12-16T06:27:46Z","timestamp":1765866466000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":1,"title":["CsDETC: detection and counting of small target Cryptococcus spp."],"prefix":"10.3389","volume":"15","author":[{"given":"Yanhui","family":"Chen","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yiwen","family":"Luo","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zan","family":"Yang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Longhua","family":"Hu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qiaoshi","family":"Zhong","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tianle","family":"Sheng","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2025,12,16]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"1","DOI":"10.1371\/journal.pone.0260609","article-title":"Object detection for automatic cancer cell counting in zebrafish xenografts","volume":"16","author":"Albuquerque","year":"2021","journal-title":"PloS One."},{"key":"B2","unstructured":"YOLOv4: optimal speed and accuracy of object detection\n          \n          \n            \n              Bochkovskiy\n              A.\n            \n            \n              Wang\n              C.-Y.\n            \n            \n              Liao\n              H.-Y. M.\n            \n          \n          \n          2020"},{"key":"B3","doi-asserted-by":"crossref","DOI":"10.1109\/CVPR.2018.00644","article-title":"Cascade R-CNN: delving into high quality object detection","author":"Cai","year":"2018"},{"key":"B4","doi-asserted-by":"publisher","DOI":"10.1016\/j.swevo.2020.100665","article-title":"Recent trends in the use of statistical tests for comparing swarm and evolutionary computing algorithms: Practical guidelines and a critical review","volume":"54","author":"Carrasco","year":"2020","journal-title":"Swarm Evol. 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