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The tested cell image datasets were acquired from high-throughput imaging of over 20,000 drug-treated and untreated cells with an optofluidic time-stretch microscope. Results The framework we built beats other methods with an accuracy of over 97% and a classification frequency of 3000 cells / s. In addition, we determined the optimal structure of training sets according to model performances under different training set components. Conclusions The proposed XGBoost-based framework acts as a promising solution to processing large flow ima