Evidence map›Paper›PMID 33788940›Full record

ArticleClinical chemistry2021

A Highly Automated Mobile Laboratory for On-site Molecular Diagnostics in the COVID-19 Pandemic.

Wanli Xing, Jiadao Wang, Chao Zhao, Han Wang, Liang Bai, Liangbin Pan, Hang Li, Huili Wang, Zhi Zhang, Ying Lu and 13 more

Abstract read
In one paragraph

Article in Clinical chemistry, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

13 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

23 authors.

Wanli XingDepartment of Biomedical Engineering, School of Medicine, Tsinghua University, Beijing, China.
Jiadao WangState Key Laboratory of Tribology, Tsinghua University, Beijing, China.
Chao ZhaoDepartment of Industrial Design, Academy of Arts & Design, Tsinghua University, Beijing, China.
Han WangDepartment of Biomedical Engineering, School of Medicine, Tsinghua University, Beijing, China.
Liang BaiCapitalBio Technology, Beijing, China.
Liangbin PanNational Engineering Research Center for Beijing Biochip Technology, Beijing, China.
Hang LiNational Engineering Research Center for Beijing Biochip Technology, Beijing, China.
Huili WangDepartment of Biomedical Engineering, School of Medicine, Tsinghua University, Beijing, China.
Zhi ZhangNational Engineering Research Center for Beijing Biochip Technology, Beijing, China.
Ying LuDepartment of Biomedical Engineering, School of Medicine, Tsinghua University, Beijing, China.
Xiang ChenCapitalBio Technology, Beijing, China.
Sisi ShanCenter for Global Health and Infectious Diseases, Comprehensive AIDS Research Center, Beijing, Advanced Innovation Center for Structural Biology, School of Medicine, Tsinghua University, Beijing, China.
Dong WangNational Engineering Research Center for Beijing Biochip Technology, Beijing, China.
Yifei PanNational Engineering Research Center for Beijing Biochip Technology, Beijing, China.
Ding WengState Key Laboratory of Tribology, Tsinghua University, Beijing, China.
Xinying ZhouCapitalBio Technology, Beijing, China.
Rudan HuangNational Engineering Research Center for Beijing Biochip Technology, Beijing, China.
Jianxing HeState Key Laboratory of Respiratory Disease and National Clinical Research Center for Respiratory Disease, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
Ronghua JinBeijing Ditan Hospital, Capital Medical University, Beijing, China.
Weimin LiDepartment of Respiratory and Critical Care Medicine, West China Hospital, Sichuan University, Chengdu, China.
Hong ShangNational Clinical Research Center for Laboratory Medicine, The First Affiliated Hospital of China Medical University, No 155, Nanjing North Street, Heping District, Shenyang, Liaoning Province, China.
Nanshan ZhongState Key Laboratory of Respiratory Disease/National Clinical Research Center for Respiratory Disease/National Center for Respiratory Medicine/Guangzhou Institute of Respiratory Health/The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.
Jing ChengDepartment of Biomedical Engineering, School of Medicine, Tsinghua University, Beijing, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundInfectious disease outbreaks such as the COVID-19 (coronavirus disease 2019) pandemic call for rapid response and complete screening of the suspected community population to identify potential carriers of pathogens. Central laboratories rely on time-consuming sample collection methods that are rarely available in resource-limited settings.

methodsWe present a highly automated and fully integrated mobile laboratory for fast deployment in response to infectious disease outbreaks. The mobile laboratory was equipped with a 6-axis robot arm for automated oropharyngeal swab specimen collection; virus in the collected specimen was inactivated rapidly using an infrared heating module. Nucleic acid extraction and nested isothermal amplification were performed by a "sample in, answer out" laboratory-on-a-chip system, and the result was automatically reported by the onboard information platform. Each module was evaluated using pseudovirus or clinical samples.

resultsThe mobile laboratory was stand-alone and self-sustaining and capable of on-site specimen collection, inactivation, analysis, and reporting. The automated sampling robot arm achieved sampling efficiency comparable to manual collection. The collected samples were inactivated in as short as 12 min with efficiency comparable to a water bath without damage to nucleic acid integrity. The limit of detection of the integrated microfluidic nucleic acid analyzer reached 150 copies/mL within 45 min. Clinical evaluation of the onboard microfluidic nucleic acid analyzer demonstrated good consistency with reverse transcription quantitative PCR with a κ coefficient of 0.979.

conclusionsThe mobile laboratory provides a promising solution for fast deployment of medical diagnostic resources at critical junctions of infectious disease outbreaks and facilitates local containment of SARS-CoV-2 (severe acute respiratory syndrome coronavirus 2) transmission.

Indexed as

LaboratoriesMobile Health UnitsAdultAutomobilesCOVID-19COVID-19 Nucleic Acid TestingFemaleHumansLab-On-A-Chip DevicesMaleMicrofluidic Analytical TechniquesMiddle East Respiratory Syndrome CoronavirusMolecular Diagnostic TechniquesPandemicsPathology, MolecularRNA, ViralRNA, Viral

Identifiers

PMID33788940
PMCPMC8083610

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.