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Abstract We introduce a digital inline holography (DIH) method combined with deep learning (DL) for real-time detection and analysis of bacteria in liquid suspension. Specifically, we designed a prototype that integrates DIH with fluorescence imaging to efficiently capture holograms of bacteria flowing in a microfluidic channel, utilizing the fluorescent signal to manually identify ground truths for validation. We process holograms using a tailored DL framework that includes preprocessing, detection, and classification stages involving three specific DL models trained on an extensive dataset that included holograms of generic particles present in sterile liquid and five bacterial species featuring distinct morphologies, Gram stain attributes, and viability. Our approach, validated through experiments with synthetic data and sterile liquid spiked with different bacteria, accurately distinguishes between bacteria and particles, live and dead bacteria, and Gram-positive and negative bacteria of similar morphology, all while minimizing false positives. The study highlights the potential of combining DIH with DL as a transformative tool for rapid bacterial analysis in clinical and industrial settings, with potential extension to other applications including pharmaceutical screening, environmental monitoring, and disease diagnostics.more » « less
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