SC-MAPS: Image-based deep learning for bacterial identification and antibiotic-susceptibility testing

Rapid bacterial identification could help guide antimicrobial susceptibility testing (AST), but image-based classification must generalise across bacterial strains. We developed SC-MAPS, a multichannel microscopy dataset comprising 916,435 single cells from 13 bacterial species, with independent strains reserved for evaluation. Combining phase-contrast and fluorescence information using deep learning achieved 65.4% single-cell species-classification accuracy on held-out strains. To assess whether imperfect species predictions retained useful information for downstream testing, we defined eight antimicrobial-resistance-informed AST-routing groups. Pooling species probabilities increased routing accuracy to 77.1%, rising to 91.1% when predictions from five cells were combined and 96.2% with 20 cells. Synthetic mixtures revealed limitations in minority-species recovery, while exploratory analysis of unseen organisms demonstrated the potential for out-of-distribution detection. SC-MAPS provides a framework for investigating transferable bacterial phenotypes and developing image-based identification and AST-routing strategies.

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Publication Details

Journal
medRxiv
Published
2026-10-26
DOI
https://doi.org/10.64898/2026.10.23.26366325
Primary Topic
Bacterial Identification and Susceptibility Testing
Type
preprint
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preprint

SC-MAPS: Image-based deep learning for bacterial identification and antibiotic-susceptibility testing

Nicole E Stoesser, Achillefs N. Kapanidis, Christoffer Nellåker, Conor Feehily et al.
medRxiv
Bacterial Identification and Susceptibility Testing
preprint

SC-MAPS: Image-based deep learning for bacterial identification and antibiotic-susceptibility testing

Nicole E Stoesser, Achillefs N. Kapanidis, Christoffer Nellåker, Conor Feehily, Stelios Chatzimichail, Piers Turner, Anuj Tiwari
preprint en

Abstract

Rapid bacterial identification could help guide antimicrobial susceptibility testing (AST), but image-based classification must generalise across bacterial strains. We developed SC-MAPS, a multichannel microscopy dataset comprising 916,435 single cells from 13 bacterial species, with independent strains reserved for evaluation. Combining phase-contrast and fluorescence information using deep learning achieved 65.4% single-cell species-classification accuracy on held-out strains. To assess whether imperfect species predictions retained useful information for downstream testing, we defined eight antimicrobial-resistance-informed AST-routing groups. Pooling species probabilities increased routing accuracy to 77.1%, rising to 91.1% when predictions from five cells were combined and 96.2% with 20 cells. Synthetic mixtures revealed limitations in minority-species recovery, while exploratory analysis of unseen organisms demonstrated the potential for out-of-distribution detection. SC-MAPS provides a framework for investigating transferable bacterial phenotypes and developing image-based identification and AST-routing strategies.

medRxiv
University of Oxford (GB), University of Glasgow (GB)
Bacterial Identification and Susceptibility Testing
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