Evidence map›Paper›PMID 38630833›Full record

ArticlePLoS neglected tropical diseases2024

Edge Artificial Intelligence (AI) for real-time automatic quantification of filariasis in mobile microscopy.

Lin Lin, Elena Dacal, Nuria Díez, Claudia Carmona, Alexandra Martin Ramirez, Lourdes Barón Argos, David Bermejo-Peláez, Carla Caballero, Daniel Cuadrado, Oscar Darias-Plasencia and 9 more

Abstract read
In one paragraph

Article in PLoS neglected tropical diseases, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing 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

7 citing papers in PubMed.

  1. Article
  2. Review
  3. Article
  4. Article
  5. Article
  6. Article
  7. AI sees an end to filariasis.PLoS neglected tropical diseases · 2024
    Article
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

19 authors.

Lin LinSpotlab, Madrid, Spain.ORCID 0000-0003-3397-6002
Elena DacalSpotlab, Madrid, Spain.
Nuria DíezSpotlab, Madrid, Spain.
Claudia CarmonaMalaria and Emerging Parasitic Diseases Laboratory, National Microbiology Centre, Instituto de Salud Carlos III-Madrid, Madrid, Spain.
Alexandra Martin RamirezMalaria and Emerging Parasitic Diseases Laboratory, National Microbiology Centre, Instituto de Salud Carlos III-Madrid, Madrid, Spain.
Lourdes Barón ArgosMalaria and Emerging Parasitic Diseases Laboratory, National Microbiology Centre, Instituto de Salud Carlos III-Madrid, Madrid, Spain.
David Bermejo-PeláezSpotlab, Madrid, Spain.
Carla CaballeroSpotlab, Madrid, Spain.
Daniel CuadradoSpotlab, Madrid, Spain.
Oscar Darias-PlasenciaSpotlab, Madrid, Spain.
Jaime García-VillenaSpotlab, Madrid, Spain.
Alexander BakardjievSpotlab, Madrid, Spain.
Maria PostigoSpotlab, Madrid, Spain.
Ethan Recalde-JaramilloSpotlab, Madrid, Spain.
Maria Flores-ChavezMalaria and Emerging Parasitic Diseases Laboratory, National Microbiology Centre, Instituto de Salud Carlos III-Madrid, Madrid, Spain.
Andrés SantosBiomedical Image Technologies, ETSI Telecomunicación, Universidad Politécnica de Madrid, Madrid, Spain.
María Jesús Ledesma-CarbayoBiomedical Image Technologies, ETSI Telecomunicación, Universidad Politécnica de Madrid, Madrid, Spain.
José M RubioMalaria and Emerging Parasitic Diseases Laboratory, National Microbiology Centre, Instituto de Salud Carlos III-Madrid, Madrid, Spain.ORCID 0000-0002-1903-6711
Miguel Luengo-OrozSpotlab, Madrid, Spain.ORCID 0000-0002-8694-2001

Funding

Bill and Melinda Gates FoundationComunidad de Madrid Industrial PredoctoralEuropean Union’s H2020 Innovation In SMEs research and innovation programmeSpanish Ministry of Science, Innovation and Universities
6 · The paper itself

Abstract

Filariasis, a neglected tropical disease caused by roundworms, is a significant public health concern in many tropical countries. Microscopic examination of blood samples can detect and differentiate parasite species, but it is time consuming and requires expert microscopists, a resource that is not always available. In this context, artificial intelligence (AI) can assist in the diagnosis of this disease by automatically detecting and differentiating microfilariae. In line with the target product profile for lymphatic filariasis as defined by the World Health Organization, we developed an edge AI system running on a smartphone whose camera is aligned with the ocular of an optical microscope that detects and differentiates filarias species in real time without the internet connection. Our object detection algorithm that uses the Single-Shot Detection (SSD) MobileNet V2 detection model was developed with 115 cases, 85 cases with 1903 fields of view and 3342 labels for model training, and 30 cases with 484 fields of view and 873 labels for model validation before clinical validation, is able to detect microfilariae at 10x magnification and distinguishes four species of them at 40x magnification: Loa loa, Mansonella perstans, Wuchereria bancrofti, and Brugia malayi. We validated our augmented microscopy system in the clinical environment by replicating the diagnostic workflow encompassed examinations at 10x and 40x with the assistance of the AI models analyzing 18 samples with the AI running on a middle range smartphone. It achieved an overall precision of 94.14%, recall of 91.90% and F1 score of 93.01% for the screening algorithm and 95.46%, 97.81% and 96.62% for the species differentiation algorithm respectively. This innovative solution has the potential to support filariasis diagnosis and monitoring, particularly in resource-limited settings where access to expert technicians and laboratory equipment is scarce.

Indexed as

Artificial IntelligenceMicroscopyAlgorithmsAnimalsElephantiasis, FilarialFilariasisHumansMicrofilariaeSmartphone

Identifiers

PMID38630833
PMCPMC11057975

What OpenQuestion holds

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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.