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Run locally: python app/app.py then open http://127.0.0.1:7860
Hugging Face: see docs/DEPLOY.md
"""
from __future__ import annotations
import csv
import glob
import html
import os
import sys
import tempfile
import gradio as gr
import torch
ROOT = os.path.dirname(os.path.dirname(os.path.abspath(__file__)))
sys.path.insert(0, ROOT)
from leukoai import load_models # noqa: E402
from leukoai.explain import gradcam, overlay # noqa: E402
from leukoai.models import DX1, DX2, DX3 # noqa: E402
from leukoai.pipeline import analyse_paths # noqa: E402
torch.set_num_threads(max(1, os.cpu_count() or 1))
MODELS = load_models(device="cpu")
MAX_IMAGES = int(os.environ.get("LEUKOAI_MAX_IMAGES", "100"))
ASSETS = os.path.join(ROOT, "assets")
PAPER = "https://doi.org/10.21037/jmai-24-74"
CODE = "https://github.com/synav/LeukoAI"
DATA = "https://doi.org/10.5281/zenodo.17814776"
CARD = "https://github.com/synav/LeukoAI/blob/main/MODEL_CARD.md"
EXAMPLES = {
key: sorted(glob.glob(os.path.join(ASSETS, "examples", key, "*.jpg")))
for key in ("aml", "cll", "cml", "normal")
}
def _logo_svg() -> str:
path = os.path.join(ASSETS, "logo-mark.svg")
if not os.path.exists(path):
return ""
with open(path) as f:
return f.read().replace("<svg ", '<svg aria-hidden="true" focusable="false" ', 1)
LOGO_SVG = _logo_svg()
def _access_list():
"""Logins from the LEUKOAI_ACCESS secret: "user:password;user2:password2".
On Hugging Face (SPACE_ID set) the app refuses to start without it, so it can never be
opened to the public by accident. Locally it runs without a login unless the variable is set.
"""
raw = os.environ.get("LEUKOAI_ACCESS", "").strip()
pairs = [tuple(x.split(":", 1)) for x in raw.split(";") if ":" in x]
pairs = [(u.strip(), p.strip()) for u, p in pairs if u.strip() and p.strip()]
if not pairs and os.environ.get("SPACE_ID"):
raise SystemExit("LEUKOAI_ACCESS secret is not set: refusing to start without a login on Hugging Face.")
return pairs or None
AUTH_MESSAGE = ("LeukoAI is a research tool available to invited researchers, collaborators and journal "
"reviewers. To request access, contact Dr Syed Naveed (github.com/synav/LeukoAI). "
"Not a medical device; not for clinical use.")
FAVICON = os.path.join(ASSETS, "logo-mark.svg")
# ---------------------------------------------------------------- page text
HEAD = """
<meta name="description" content="LeukoAI: research tool that predicts leukemia and its subtype from peripheral blood smear images. Based on Naveed S et al., J Med Artif Intell 2025.">
<meta property="og:title" content="LeukoAI: leukemia prediction from blood smear images">
<meta property="og:description" content="Upload the microscope fields from one smear and get a case-level result with heatmaps. Research use only.">
<link rel="preconnect" href="https://fonts.googleapis.com">
<link rel="preconnect" href="https://fonts.gstatic.com" crossorigin>
<link href="https://fonts.googleapis.com/css2?family=IBM+Plex+Mono:wght@500;600&family=IBM+Plex+Sans:wght@400;500;600;700&display=swap" rel="stylesheet">
<script>
(function () {
var u = new URL(window.location.href);
if (u.searchParams.get('__theme') !== 'light') { u.searchParams.set('__theme', 'light'); window.location.replace(u.toString()); }
})();
</script>
"""
HEADER = f"""
<header class="lk-nav">
<a class="lk-brand" href="#top" aria-label="LeukoAI home">
<span class="lk-mark">{LOGO_SVG}</span><span class="lk-wordmark">Leuko<span>AI</span></span>
</a>
<nav class="lk-links" aria-label="Main">
<a href="#tool">Try it</a>
<a href="#about">About</a>
<a href="{PAPER}" target="_blank" rel="noopener">Paper</a>
<a href="{CODE}" target="_blank" rel="noopener">Code</a>
<a href="{DATA}" target="_blank" rel="noopener">Data</a>
</nav>
</header>
"""
HERO = """
<section class="lk-hero" id="top">
<p class="lk-eyebrow">LeukoAI 1.1 · Research tool</p>
<h1>Leukemia prediction from peripheral blood smear images</h1>
<p class="lk-lead">Upload the microscope fields from one patient's smear. LeukoAI classifies every field and
combines them into one research prediction: acute or chronic leukemia, the likely subtype (ALL, AML, CLL, CML)
or no leukemia, with heatmaps showing where the model looked. For research and education only.</p>
<div class="lk-stats">
<div><span class="lk-num">417/417</span><span>images give identical results to the published desktop tool</span></div>
<div><span class="lk-num">0/417</span><span>real smear fields falsely flagged by the image check</span></div>
<div><span class="lk-num">No scanner</span><span>works on ordinary photos taken at the microscope</span></div>
</div>
</section>
"""
STEPS = """
<section class="lk-steps" aria-label="How it works">
<div><span class="lk-step">1</span><h3>Capture</h3><p>Photograph 20 or more fields of one smear at 1000× (oil immersion, May-Grünwald-Giemsa stain).</p></div>
<div><span class="lk-step">2</span><h3>Upload</h3><p>Select all the images at once (Ctrl+A in the folder) and accept the terms of use.</p></div>
<div><span class="lk-step">3</span><h3>Review</h3><p>Read the research prediction, the warnings and the heatmaps on the most influential fields.</p></div>
</section>
"""
PLACEHOLDER = """
<div class="lk-empty">
<p class="lk-empty-title">Your research prediction will appear here</p>
<p>Upload one patient's smear fields, or load an example case, then select <b>Analyse case</b>.
Analysis takes about 1–2 seconds per image.</p>
</div>
"""
ABOUT = f"""
<section class="lk-about" id="about">
<h2>About LeukoAI</h2>
<div class="lk-grid">
<div>
<h3>How it works</h3>
<p>Three DenseNet-121 models work in sequence: the first screens each field for leukemia, the second
separates acute from chronic, and the third suggests the subtype. A rule then combines the fields into one
case-level prediction: leukemia is predicted when more than 3 fields are classed leukemic.</p>
</div>
<div>
<h3>How it was validated</h3>
<p>The published study used 7,255 images from 162 adult patients. On 64 external patients the
acute / chronic / no-leukemia result reached an F1 score of 0.94 (accuracy 0.92); the five-class subtype
result reached a macro-F1 of 0.77. This web version reproduces the original desktop tool exactly.</p>
</div>
<div>
<h3>Limitations</h3>
<ul>
<li>Single centre, adult patients, 1000× MGG-stained peripheral smears only.</li>
<li>ALL vs AML separation is weak (F1 0.36 for ALL); treat the subtype as unconfirmed.</li>
<li>APML is not reported separately. Scores are not calibrated probabilities.</li>
</ul>
</div>
<div>
<h3>Privacy</h3>
<p>Images are processed on Hugging Face servers, which are outside the UAE, only to produce your result.
They are deleted automatically within about an hour and are never used for training. No usage analytics
are collected.</p>
</div>
</div>
<div class="lk-cite" id="terms">
<h3>Terms of use</h3>
<ul>
<li>LeukoAI is a research and education tool. It is not a medical device, has not been approved by any
regulator, and must not be used for diagnosis, screening or treatment decisions.</li>
<li>Access is limited to invited researchers, collaborators and journal reviewers, and may be withdrawn at any time.</li>
<li>You must be authorised to use any images you upload, and they must be de-identified: no names, record
numbers, dates or other identifiers in the image or file name.</li>
<li>You are responsible for complying with the data-protection and health-data laws that apply to you,
including rules on transferring health data outside your country.</li>
<li>The tool is provided as is, without warranty of any kind; predictions may be wrong.</li>
</ul>
</div>
<div class="lk-cite">
<h3>Cite</h3>
<p>Naveed S, et al. Novel hierarchical deep learning models predict type of leukemia from whole slide
microscopic images of peripheral blood. <i>Journal of Medical Artificial Intelligence</i>. 2025.
<a href="{PAPER}" target="_blank" rel="noopener">doi:10.21037/jmai-24-74</a></p>
<p class="lk-small">Model card: <a href="{CARD}" target="_blank" rel="noopener">github.com/synav/LeukoAI</a> ·
Public image dataset: <a href="{DATA}" target="_blank" rel="noopener">Zenodo 10.5281/zenodo.17814776</a></p>
</div>
</section>
"""
FOOTER = """
<footer class="lk-footer">
<p><b>Research use only.</b> LeukoAI is not a medical device and must not be used for diagnosis or treatment
decisions. See the <a href="#terms">terms of use</a>.</p>
<p>Developed by Dr Syed Naveed, FRCPath, and team at Sheikh Shakhbout Medical City, Abu Dhabi, with the
Mohamed bin Zayed University of Artificial Intelligence.</p>
</footer>
"""
CSS = """
:root, .gradio-container { --lk-ink:#14212E; --lk-muted:#55606E; --lk-line:#DCE3EA; --lk-ground:#F4F6F9;
--lk-brand:#2B6698; --lk-brand-dark:#1D4A70; --lk-card:#FFFFFF; }
html, body, gradio-app, .gradio-container { background: var(--lk-ground) !important; }
.gradio-container { max-width: min(1180px, 100vw) !important; margin: 0 auto !important; padding: 0 clamp(10px, 2.5vw, 16px) !important; overflow-x: hidden;
font-family: 'IBM Plex Sans', system-ui, sans-serif !important; color: var(--lk-ink); }
.lk-nav { display:flex; align-items:center; justify-content:space-between; flex-wrap:wrap; gap:12px;
padding: 18px 0 14px; border-bottom: 1px solid var(--lk-line); }
.lk-brand { display:inline-flex; align-items:center; gap:10px; text-decoration:none; }
.lk-mark { width: clamp(34px, 4.5vw, 42px); height: clamp(34px, 4.5vw, 42px); display:inline-block; }
.lk-mark svg { width:100%; height:100%; display:block; }
.lk-wordmark { font-weight:700; font-size: clamp(22px, 2.8vw, 27px); letter-spacing:-0.01em; color:var(--lk-ink); }
.lk-wordmark span { color: var(--lk-brand); }
.lk-links { display:flex; flex-wrap:wrap; gap: 4px 22px; }
.lk-links a { color: var(--lk-ink); text-decoration:none; font-weight:500; font-size:15px; padding:8px 0; }
.lk-links a:hover { color: var(--lk-brand); }
.lk-hero { padding: clamp(28px, 5vw, 44px) 0 clamp(20px, 3vw, 28px); }
.lk-eyebrow { font-family:'IBM Plex Mono', monospace; font-size:13px; letter-spacing:.08em; text-transform:uppercase;
color: var(--lk-brand); font-weight:600; margin:0 0 12px; }
.lk-hero h1 { font-size: clamp(30px, 4.4vw, 48px); line-height:1.1; letter-spacing:-.02em; margin:0 0 16px;
font-weight:700; color:var(--lk-ink); max-width: 860px; }
.lk-lead { font-size: clamp(16px, 2vw, 18px); line-height:1.55; color:var(--lk-muted); max-width: 760px; margin:0 0 28px; }
.lk-stats { display:grid; grid-template-columns: repeat(auto-fit, minmax(220px, 1fr)); gap:16px;
border-top: 2px solid var(--lk-ink); padding-top: 20px; }
.lk-stats div { display:flex; flex-direction:column; gap:6px; }
.lk-stats span { font-size:15px; line-height:1.45; color:var(--lk-muted); }
.lk-stats .lk-num { font-family:'IBM Plex Mono', monospace; font-size:28px; font-weight:600; color:var(--lk-brand); }
.lk-steps { display:grid; grid-template-columns: repeat(auto-fit, minmax(240px, 1fr)); gap:16px; margin: 8px 0 28px; }
.lk-steps > div { background: var(--lk-card); border:1px solid var(--lk-line); border-radius:10px; padding:18px 20px; }
.lk-steps h3 { margin: 10px 0 6px; font-size:17px; color:var(--lk-ink); }
.lk-steps p { margin:0; color:var(--lk-muted); font-size:15px; line-height:1.5; }
.lk-step { display:inline-flex; align-items:center; justify-content:center; width:30px; height:30px; border-radius:50%;
background: var(--lk-brand); color:#fff; font-weight:600; font-size:15px; }
#tool { gap: 20px; scroll-margin-top: 16px; }
.lk-panel { background: var(--lk-card) !important; border:1px solid var(--lk-line) !important; border-radius:12px !important;
padding: clamp(12px, 2vw, 18px) !important; max-width: 100% !important; }
.gradio-container .main, .gradio-container .app { max-width: 100% !important; min-width: 0 !important; }
#tool { flex-wrap: wrap !important; max-width: 100% !important; }
#tool > .lk-panel:first-child { flex: 5 1 340px !important; min-width: min(340px, 100%) !important; }
#tool > .lk-panel:last-child { flex: 7 1 340px !important; min-width: min(340px, 100%) !important; }
.lk-panel-title { margin:0 0 4px; font-size:18px; font-weight:600; color:var(--lk-ink); }
.lk-panel-sub { margin:0 0 10px; font-size:14px; color:var(--lk-muted); line-height:1.5; }
.lk-ex-label { font-size:14px; color:var(--lk-muted); margin: 6px 0 0; }
.lk-empty { border: 2px dashed var(--lk-line); border-radius:10px; padding: 36px 24px; text-align:center; color:var(--lk-muted); }
.lk-empty-title { font-size:18px; font-weight:600; color:var(--lk-ink); margin:0 0 6px; }
.lk-result { border-radius:10px; padding:18px 20px; margin-bottom:12px; border:2px solid; background:#fff; }
.lk-result .lk-label { font-family:'IBM Plex Mono', monospace; font-size:12px; letter-spacing:.06em; text-transform:uppercase; color:var(--lk-muted); }
.lk-result .lk-dx { font-size:30px; font-weight:700; margin:4px 0; letter-spacing:-.01em; }
.lk-result .lk-sub { font-size:18px; color:var(--lk-ink); }
.lk-result .lk-meta { font-size:14px; color:var(--lk-muted); margin-top:10px; line-height:1.5; }
.lk-flag { padding:10px 14px; margin:8px 0; border-radius:8px; font-size:14px; line-height:1.5; color:#101828; }
.lk-about { padding: 40px 0 8px; scroll-margin-top: 16px; }
.lk-about h2 { font-size: 30px; margin:0 0 20px; color:var(--lk-ink); letter-spacing:-.01em; }
.lk-grid { display:grid; grid-template-columns: repeat(auto-fit, minmax(260px, 1fr)); gap: 20px 32px; }
.lk-about h3 { font-size:17px; margin: 0 0 8px; color:var(--lk-ink); }
.lk-about p, .lk-about li { font-size:15px; line-height:1.6; color:var(--lk-muted); margin:0 0 8px; }
.lk-about ul, .lk-cite ul { padding-left: 18px; margin:0; }
.lk-cite li { font-size:15px; line-height:1.6; color:var(--lk-muted); margin:0 0 6px; }
.lk-about a, .lk-footer a { color: var(--lk-brand); }
.lk-cite { margin-top: 20px; padding: 18px 20px; background: var(--lk-card); border:1px solid var(--lk-line); border-radius:10px; }
.lk-small { font-size:14px !important; }
.lk-footer { border-top:1px solid var(--lk-line); margin-top: 32px; padding: 20px 0 8px; }
.lk-footer p { font-size:14px; color:var(--lk-muted); margin: 0 0 8px; line-height:1.5; }
"""
THEME = gr.themes.Base(
primary_hue=gr.themes.Color(c50="#EEF4FA", c100="#D6E5F2", c200="#AECBE5", c300="#7FAAD3", c400="#4F88BE",
c500="#2B6698", c600="#245A87", c700="#1D4A70", c800="#173B59", c900="#112C43",
c950="#0B1E2E"),
neutral_hue="slate",
font=[gr.themes.GoogleFont("IBM Plex Sans"), "system-ui", "sans-serif"],
font_mono=[gr.themes.GoogleFont("IBM Plex Mono"), "monospace"],
radius_size="md",
).set(button_primary_background_fill="#2B6698", button_primary_background_fill_hover="#1D4A70",
button_primary_text_color="#FFFFFF")
# ---------------------------------------------------------------- analysis
SEV_STYLE = {
"warning": ("#B42318", "#FEF3F2", "Warning"),
"caution": ("#93370D", "#FFFAEB", "Caution"),
"info": ("#175CD3", "#EFF8FF", "Note"),
}
DX_COLOUR = {"NO LEUKEMIA": "#027A48", "ACUTE LEUKEMIA": "#B42318", "CHRONIC LEUKEMIA": "#93370D"}
def _result_html(rep) -> str:
r = rep.result
colour = DX_COLOUR[r.three_class]
title = r.three_class.capitalize().replace("leukemia", "leukemia")
subtype = "" if r.three_class == "NO LEUKEMIA" else (
f"<div class='lk-sub'>Likely subtype: <b>{html.escape(rep.subtype_display)}</b></div>")
votes = " · ".join(f"{k.title() if k == 'NO LEUKEMIA' else k} {v}" for k, v in r.votes.items())
parts = [
f"<div class='lk-result' style='border-color:{colour}'>",
"<div class='lk-label'>Research prediction · not for clinical use</div>",
f"<div class='lk-dx' style='color:{colour}'>{html.escape(title)}</div>{subtype}",
f"<div class='lk-meta'>{r.n_images} fields analysed · {r.n_leukemic} classed leukemic "
f"(needs more than {r.threshold}) · acute {r.n_acute}, chronic {r.n_chronic}<br>Subtype votes: {votes}</div>",
"<div class='lk-meta'><b>Not a diagnosis.</b> Research output only; it must not be used for patient care. "
"Confirm every case with standard laboratory work-up.</div>",
"</div>",
]
for fl in sorted(rep.flags, key=lambda f: ["warning", "caution", "info"].index(f.severity)):
fg, bg, label = SEV_STYLE[fl.severity]
parts.append(f"<div class='lk-flag' style='background:{bg};border-left:4px solid {fg}'>"
f"<b style='color:{fg}'>{label}:</b> {html.escape(fl.message)}</div>")
return "\n".join(parts)
def _per_image_rows(rep):
rows = []
for im in rep.images:
q = im.quality or {}
rows.append([im.name, DX1[im.k1].capitalize(), round(im.p1[1], 3), DX2[im.k2].capitalize(), DX3[im.k3],
round(max(im.p3), 3), "OK" if q.get("ok", True) else "; ".join(q.get("reasons", []))])
return rows
def _write_csv(rep) -> str:
fd, path = tempfile.mkstemp(prefix="leukoai_", suffix=".csv")
with os.fdopen(fd, "w", newline="") as f:
w = csv.writer(f)
w.writerow(["image"] + [f"m1_{c}" for c in DX1] + [f"m2_{c}" for c in DX2] + [f"m3_{c}" for c in DX3]
+ ["quality_ok", "quality_reasons"])
for im in rep.images:
q = im.quality or {}
w.writerow([im.name] + [round(x, 5) for x in im.p1 + im.p2 + im.p3]
+ [q.get("ok", ""), "; ".join(q.get("reasons", []))])
r = rep.result
w.writerow([])
w.writerow(["case_result", r.three_class, "subtype", rep.subtype_display, "threshold", r.threshold])
for fl in rep.flags:
w.writerow(["flag", fl.code, fl.severity, fl.message])
return path
def analyse(files, threshold, show_heatmaps, consent):
if not consent:
raise gr.Error("Please accept the terms of use (tick the box above the Analyse button).")
if not files:
raise gr.Error("Please upload the field images from one patient's smear, or load an example case.")
paths = [f if isinstance(f, str) else f.name for f in files]
if len(paths) > MAX_IMAGES:
raise gr.Error(f"Please upload at most {MAX_IMAGES} images per case.")
rep = analyse_paths(paths, MODELS, threshold=int(threshold), mode="1.1")
by_name = {os.path.basename(p): p for p in paths}
gallery = []
if rep.result.images_of_interest:
chronic = rep.result.three_class == "CHRONIC LEUKEMIA"
# Model 2 (acute/chronic) heatmaps localise leukocytes well; Model 1 is usually
# saturated near 100% on leukemic fields, which makes its gradients uninformative.
model, cls = MODELS["m2"], (1 if chronic else 0)
from PIL import Image
for name in rep.result.images_of_interest:
img = Image.open(by_name[name]).convert("RGB")
if show_heatmaps:
img = overlay(img, gradcam(model, img, cls))
gallery.append((img, name))
headers = ["Image", "Screening", "Leukemia score", "Category", "Subtype vote", "Subtype score", "Image check"]
return (_result_html(rep), gr.update(value=gallery, visible=bool(gallery)),
gr.update(visible=True), gr.update(value=_per_image_rows(rep), headers=headers),
gr.update(value=_write_csv(rep), visible=True))
_HIDDEN = (PLACEHOLDER, gr.update(value=[], visible=False), gr.update(visible=False), None,
gr.update(value=None, visible=False))
def load_example(key):
return (EXAMPLES[key], gr.update()) + _HIDDEN
def clear():
return (None, False) + _HIDDEN
# ---------------------------------------------------------------- layout
with gr.Blocks(title="LeukoAI · Leukemia prediction from blood smears", delete_cache=(1800, 3600),
analytics_enabled=False) as demo:
gr.HTML(HEADER)
gr.HTML(HERO)
gr.HTML(STEPS)
with gr.Row(elem_id="tool", equal_height=False):
with gr.Column(scale=5, min_width=320, elem_classes="lk-panel"):
gr.HTML("<p class='lk-panel-title'>Upload one patient's smear</p>"
"<p class='lk-panel-sub'>All fields from a single smear, 1000× MGG. JPEG, PNG or TIFF; up to "
f"{MAX_IMAGES} images.</p>")
files = gr.File(label="Field images", file_count="multiple",
file_types=["image", ".tif", ".tiff"], height=220)
gr.HTML("<p class='lk-ex-label'>No images to hand? Load a public example case "
"(from the LeukoAI Zenodo dataset):</p>")
with gr.Row():
ex_buttons = {k: gr.Button(label, size="sm", variant="secondary", min_width=70)
for k, label in (("aml", "AML"), ("cll", "CLL"), ("cml", "CML"), ("normal", "Normal"))}
with gr.Accordion("Settings", open=False):
threshold = gr.Slider(0, 10, value=3, step=1, label="Image count threshold",
info="Leukemia is reported when more than this many fields are classed "
"leukemic. Published setting: 3.")
show_heatmaps = gr.Checkbox(value=True, label="Show heatmaps on the most influential fields")
consent = gr.Checkbox(label="I am a healthcare professional or researcher. I will not use the output for "
"patient care. I am authorised to use these images and they contain no "
"patient identifiers. I accept the terms of use.")
with gr.Row():
run = gr.Button("Analyse case", variant="primary", scale=3)
reset = gr.Button("Clear", variant="secondary", scale=1)
with gr.Column(scale=7, min_width=320, elem_classes="lk-panel"):
result = gr.HTML(PLACEHOLDER)
gallery = gr.Gallery(label="Most influential fields (warm colours = where the model looked)",
columns=3, rows=1, height=260, object_fit="cover", visible=False)
with gr.Accordion("Per-field results", open=False, visible=False) as table_box:
table = gr.Dataframe(interactive=False, wrap=True)
download = gr.File(label="Download all results (CSV)", visible=False)
gr.HTML(ABOUT)
gr.HTML(FOOTER)
outputs = [result, gallery, table_box, table, download]
run.click(analyse, [files, threshold, show_heatmaps, consent], outputs)
for k, b in ex_buttons.items():
b.click(lambda k=k: load_example(k), None, [files, consent] + outputs)
reset.click(clear, None, [files, consent] + outputs)
if __name__ == "__main__":
demo.queue(max_size=20).launch(
server_name=os.environ.get("HOST") or os.environ.get("GRADIO_SERVER_NAME") or "127.0.0.1",
server_port=int(os.environ.get("PORT") or os.environ.get("GRADIO_SERVER_PORT") or 7860),
theme=THEME, css=CSS, head=HEAD, allowed_paths=[ASSETS],
favicon_path=FAVICON if os.path.exists(FAVICON) else None,
auth=_access_list(), auth_message=AUTH_MESSAGE)
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