Evidence map›Paper›PMID 39215368›Full record

ArticleIMA fungus2024

Artificial intelligence-driven mobile interpretation of a semi-quantitative cryptococcal antigen lateral flow assay.

David Bermejo-Peláez, Ana Alastruey-Izquierdo, Narda Medina, Daniel Capellán-Martín, Oscar Bonilla, Miguel Luengo-Oroz, Juan Luis Rodríguez-Tudela

Abstract read
In one paragraph

Article in IMA fungus, 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.

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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

7 authors.

David Bermejo-PeláezSpotlab, Madrid, Spain. david@spotlab.org.ORCID http://orcid.org/0000-0002-0181-3957
Ana Alastruey-IzquierdoMycology Reference Laboratory, National Center for Microbiology, Instituto de Salud Carlos III, Madrid, Spain.ORCID http://orcid.org/0000-0001-8651-4405
Narda MedinaAsociación de Salud Integral, Guatemala City, Guatemala.ORCID http://orcid.org/0000-0001-6176-0052
Daniel Capellán-MartínSpotlab, Madrid, Spain.ORCID http://orcid.org/0000-0002-9743-0845
Oscar BonillaMycology Reference Laboratory, National Center for Microbiology, Instituto de Salud Carlos III, Madrid, Spain.ORCID http://orcid.org/0000-0003-4227-3632
Miguel Luengo-OrozSpotlab, Madrid, Spain.ORCID http://orcid.org/0000-0002-8694-2001
Juan Luis Rodríguez-TudelaGlobal Action for Fungal Infections, Geneva, Switzerland. jlrtudela@gmail.com.

Funding

Agencia Estatal de Investigación PTQ2020-011340/AEI/10.13039/501100011033Instituto de Salud Carlos III PI20CIII/00043
6 · The paper itself

Abstract

objectivesCryptococcosis remains a severe global health concern, underscoring the urgent need for rapid and reliable diagnostic solutions. Point-of-care tests (POCTs), such as the cryptococcal antigen semi-quantitative (CrAgSQ) lateral flow assay (LFA), offer promise in addressing this challenge. However, their subjective interpretation poses a limitation. Our objectives encompass the development and validation of a digital platform based on Artificial Intelligence (AI), assessing its semi-quantitative LFA interpretation performance, and exploring its potential to quantify CrAg concentrations directly from LFA images.

methodsWe tested 53 cryptococcal antigen (CrAg) concentrations spanning from 0 to 5000 ng/ml. A total of 318 CrAgSQ LFAs were inoculated and systematically photographed twice, employing two distinct smartphones, resulting in a dataset of 1272 images. We developed an AI algorithm designed for the automated interpretation of CrAgSQ LFAs. Concurrently, we explored the relationship between quantified test line intensities and CrAg concentrations.

resultsOur algorithm surpasses visual reading in sensitivity, and shows fewer discrepancies (p < 0.0001). The system exhibited capability of predicting CrAg concentrations exclusively based on a photograph of the LFA (Pearson correlation coefficient of 0.85).

conclusionsThis technology's adaptability for various LFAs suggests broader applications. AI-driven interpretations have transformative potential, revolutionizing cryptococcosis diagnosis, offering standardized, reliable, and efficient POCT results.

Indexed as

Antigen quantificationArtificial intelligence (AI)CryptococcosisLateral flow assay (LFA)Semiquantitative assaySmartphone

Identifiers

PMID39215368
PMCPMC11365246

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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.