Evidence map›Paper›PMID 34492039›Full record

ArticlePLoS neglected tropical diseases2021

Mobile microscopy and telemedicine platform assisted by deep learning for the quantification of Trichuris trichiura infection.

Elena Dacal, David Bermejo-Peláez, Lin Lin, Elisa Álamo, Daniel Cuadrado, Álvaro Martínez, Adriana Mousa, María Postigo, Alicia Soto, Endre Sukosd and 7 more

Open access · goldAbstract read
In one paragraph

Article in PLoS neglected tropical diseases, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 26 papers.

0numbers the graph read from it
0cells of the map it votes in
26citing papers in PubMed
3.4field-weighted citation impact, top 6% of its field
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

26 citing papers in PubMed, 52 citations in OpenAlex.

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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

17 authors at 3 institutions in 2 countries.

Elena DacalSpotlab, Madrid, Spain.ORCID 0000-0003-4599-0370
David Bermejo-PeláezSpotlab, Madrid, Spain.ORCID 0000-0002-0181-3957
Lin LinSpotlab, Madrid, Spain.ORCID 0000-0003-3397-6002
Elisa ÁlamoSpotlab, Madrid, Spain.
Daniel CuadradoSpotlab, Madrid, Spain.ORCID 0000-0001-7216-0298
Álvaro MartínezSpotlab, Madrid, Spain.
Adriana MousaSpotlab, Madrid, Spain.
María PostigoSpotlab, Madrid, Spain.
Alicia SotoSpotlab, Madrid, Spain.ORCID 0000-0002-8148-5913
Endre SukosdSpotlab, Madrid, Spain.
Alexander VladimirovSpotlab, Madrid, Spain.
Charles MwandawiroEastern and Southern Africa Center for International Parasite Control (ESACIPAC), Kenya Medical Research Institute (KEMRI), Nairobi, Kenya.
Paul GichukiEastern and Southern Africa Center for International Parasite Control (ESACIPAC), Kenya Medical Research Institute (KEMRI), Nairobi, Kenya.ORCID 0000-0001-6558-5538
Nana Aba WilliamsBarcelona Institute for Global Health (ISGlobal), Hospital Clínic-Universitat de Barcelona, Barcelona, Spain.ORCID 0000-0003-3520-7573
José MuñozBarcelona Institute for Global Health (ISGlobal), Hospital Clínic-Universitat de Barcelona, Barcelona, Spain.
Stella KephaEastern and Southern Africa Center for International Parasite Control (ESACIPAC), Kenya Medical Research Institute (KEMRI), Nairobi, Kenya.
Miguel Luengo-OrozSpotlab, Madrid, Spain.ORCID 0000-0002-8694-2001
Kenya Medical Research Institute · KEBarcelona Institute for Global Health · ESUniversidad Politécnica de Madrid · ES

Funding

Wellcome Trust
6 · The paper itself

Abstract

Soil-transmitted helminths (STH) are the most prevalent pathogens among the group of neglected tropical diseases (NTDs). The Kato-Katz technique is the diagnosis method recommended by the World Health Organization (WHO) although it often presents a decreased sensitivity in low transmission settings and it is labour intensive. Visual reading of Kato-Katz preparations requires the samples to be analyzed in a short period of time since its preparation. Digitizing the samples could provide a solution which allows to store the samples in a digital database and perform remote analysis. Artificial intelligence (AI) methods based on digitized samples can support diagnosis by performing an objective and automatic quantification of disease infection. In this work, we propose an end-to-end pipeline for microscopy image digitization and automatic analysis of digitized images of STH. Our solution includes (a) a digitization system based on a mobile app that digitizes microscope samples using a 3D printed microscope adapter, (b) a telemedicine platform for remote analysis and labelling, and (c) novel deep learning algorithms for automatic assessment and quantification of parasitological infections by STH. The deep learning algorithm has been trained and tested on 51 slides of stool samples containing 949 Trichuris spp. eggs from 6 different subjects. The algorithm evaluation was performed using a cross-validation strategy, obtaining a mean precision of 98.44% and a mean recall of 80.94%. The results also proved the potential of generalization capability of the method at identifying different types of helminth eggs. Additionally, the AI-assisted quantification of STH based on digitized samples has been compared to the one performed using conventional microscopy, showing a good agreement between measurements. In conclusion, this work has presented a comprehensive pipeline using smartphone-assisted microscopy. It is integrated with a telemedicine platform for automatic image analysis and quantification of STH infection using AI models.

Indexed as

Deep LearningAlgorithmsAnimalsHumansMicroscopyTelemedicineTrichuriasisTrichuris

Identifiers

PMID34492039
PMCPMC8448303
OpenAlexW3197182202

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

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.