Evidence map›Paper›PMID 42144397›Full record

ArticleNature communications2026

Interpretable machine learning and signal processing for automated reading and quality control of lateral flow tests for schistosomiasis.

Chris Ho, Christin Puthur, Betty Nabatte, Carson P Moore, Theresia Abdoel, Rene Paulussen, Pafue Nganjimi, Pytsje T Hoekstra, Narcis B Kabatereine, Bumali Kawesa and 6 more

Abstract read
In one paragraph

Article in Nature communications, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

16 authors.

Chris Ho *Big Data Institute, Nuffield Department of Population Health, University of Oxford, Oxford, UK.ORCID http://orcid.org/0009-0009-7290-9452
Christin Puthur *Big Data Institute, Nuffield Department of Population Health, University of Oxford, Oxford, UK.
Betty NabatteDivision of Vector Borne Diseases and Neglected Tropical Diseases, Uganda Ministry of Health, Kampala, Uganda.
Carson P MooreDepartment of Chemistry, Vanderbilt University, Nashville, TN, USA.
Theresia AbdoelMondial Diagnostics, Amsterdam, The Netherlands.
Rene PaulussenMondial Diagnostics, Amsterdam, The Netherlands.
Pafue NganjimiDepartment of Engineering Science, University of Oxford, Oxford, UK.
Pytsje T HoekstraLeiden University Center for Infectious Diseases, Leiden University Medical Center, Leiden, The Netherlands.
Narcis B KabatereineDivision of Vector Borne Diseases and Neglected Tropical Diseases, Uganda Ministry of Health, Kampala, Uganda.
Bumali KawesaMayuge District Local Government, Uganda Ministry of Health, Mayuge, Uganda.
John OdeaDivision of Vector Borne Diseases and Neglected Tropical Diseases, Uganda Ministry of Health, Kampala, Uganda.
Ronald BogereDivision of Vector Borne Diseases and Neglected Tropical Diseases, Uganda Ministry of Health, Kampala, Uganda.ORCID http://orcid.org/0009-0006-7787-3776
Rosette KatushabeDivision of Vector Borne Diseases and Neglected Tropical Diseases, Uganda Ministry of Health, Kampala, Uganda.
Govert J van DamLeiden University Center for Infectious Diseases, Leiden University Medical Center, Leiden, The Netherlands.
Thomas F ScherrDepartment of Chemistry, Vanderbilt University, Nashville, TN, USA.
Goylette F ChamiBig Data Institute, Nuffield Department of Population Health, University of Oxford, Oxford, UK. goylette.chami@ndph.ox.ac.uk.ORCID http://orcid.org/0000-0002-4653-0846

Funding

MEDSCAN: Mobile Enabled Diagnostics for Schistosomiasis Control AnalyticsR01AI163472 · NIAID · VANDERBILT UNIVERSITY · PI SCHERR, THOMAS F · 2021 to 2025
$2.8M
NIAID NIH HHS R01 AI163472RCUK | Engineering and Physical Sciences Research Council (EPSRC) EP/X021793/1U.S. Department of Health & Human Services | National Institutes of Health (NIH) R01AI163472Wellcome TrustWellcome Trust (Wellcome) 204826/Z/16/Z
6 · The paper itself

Abstract

There is a lack of automated pipelines for diagnostic classification of point-of-care tests for neglected tropical diseases. Here, we present an end-to-end automated pipeline for the analysis of point-of-care circulating cathodic antigen tests for schistosomiasis. We incorporated deep learning for cassette segmentation with signal processing. Automated classifications were compared to quantitative readings from calibrated antigen samples examined in lateral flow readers and visual readings from highly trained field and senior technicians. The pipeline was evaluated for 3188 individuals within the SchistoTrack cohort in rural Uganda. Our quantitative classifications were on par with a lateral flow reader and showed 86.6% sensitivity and 96.5% specificity with visual readings from a senior technician, which was an improvement on the visual readings from field technicians. Automated classifications were possible in as little as five min after test preparation for high antigen concentrations. We showed that visual trace uncertainty can be resolved with signal processing, indicating that visual traces should be classified as negative. Our pipeline will aid in advancing diagnostics to meet the World Health Organization target product profile for schistosomiasis, provide quantitative assessments for other diagnostics, enable large-scale surveillance in areas targeting elimination and provide real-time quality control for diagnostics introduced into primary healthcare facilities.

Indexed as

Machine LearningSchistosomiasisSignal Processing, Computer-AssistedAnimalsAntigens, HelminthHumansQuality ControlRapid Diagnostic TestsSensitivity and SpecificityUgandaAntigens, Helminth

Identifiers

PMID42144397
PMCPMC13376430

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.