Temporal dynamics improves machine learning-based prediction of cell state from quantitative phase imaging

Cell morphology reflects cell health and can distinguish cell-cycle stage, growth arrest, and distinct pathways of cell death. Live, label-free quantitative phase imaging (QPI) captures these features non-invasively and with high temporal resolution, yet many image-based classifiers rely on single frames and cannot separate states whose differences emerge only over time. How much temporal information is needed, and which architecture best exploits it, remain open questions. We assembled 1,874 QPI timelapse sequences spanning six cell states (interphase, mitosis, cell cycle arrest, apoptosis, ferroptosis, and necroptosis) and compared two-dimensional convolutional neural networks (CNNs) with a three-dimensional (3D) spatiotemporal CNN across increasing frame counts. Accuracy improved as frames were added, with the largest gain between one and three frames. The 2D models saturated beyond three frames, whereas the 3D architecture kept improving, reaching 96.5% accuracy and a 3.5% error rate at eleven frames. The temporal information needed tracked the timescale of each process: mitosis was resolved from a single frame, while ferroptosis benefited most from extended sequences. Overall, these results show that dynamic information, rather than static morphology alone, drives accurate cell-state classification, and that 3D architectures are needed to fully exploit it for label-free dynamic phenotyping.