Evidence map›Paper›PMID 42582445›Full record

ArticleBMC digital health2026

Seeing beyond positivity: computer vision approach to decoding BinaxNOW COVID-19 tests and forecasting negative results.

Morgan N Greenleaf, Richard Parsons, Colin Shea, Phuong-Vi Nguyen, Jesse J Waggoner, Anuradha Rao, Leda Bassit, Heather Bowers, Courtney Sabino, Raymond F Schinazi and 3 more

Abstract read
In one paragraph

Article in BMC digital health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

13 authors.

Morgan N GreenleafEmory University School of Medicine, Atlanta, GA USA.
Richard ParsonsAtlanta Center for Microsystems Engineered Point-of-Care Technologies, Atlanta, GA USA.
Colin SheaAtlanta Center for Microsystems Engineered Point-of-Care Technologies, Atlanta, GA USA.
Phuong-Vi NguyenEmory University School of Medicine, Atlanta, GA USA.
Jesse J WaggonerEmory University School of Medicine, Atlanta, GA USA.
Anuradha RaoAtlanta Center for Microsystems Engineered Point-of-Care Technologies, Atlanta, GA USA.
Leda BassitAtlanta Center for Microsystems Engineered Point-of-Care Technologies, Atlanta, GA USA.
Heather BowersAtlanta Center for Microsystems Engineered Point-of-Care Technologies, Atlanta, GA USA.
Courtney SabinoCenter for ViroScience and Cure, Laboratory of Biochemical Pharmacology, Department of Pediatrics, Emory University, Atlanta, GA USA.
Raymond F SchinaziCenter for ViroScience and Cure, Laboratory of Biochemical Pharmacology, Department of Pediatrics, Emory University, Atlanta, GA USA.
Santiago ArconadaEmory University School of Medicine, Atlanta, GA USA.
Robert G ManninoEmory University School of Medicine, Atlanta, GA USA.
Wilbur LamEmory University School of Medicine, Atlanta, GA USA.

Funding

Technology Training and Dissemination CoreU54EB027690 · NIBIB · EMORY UNIVERSITY · PI Wilbur A Lam, GREGORY S MARTIN · 2018 to 2026
$96.1M
Implementing a Maternal health and PRegnancy Outcomes Vision for Everyone (IMPROVE)UL1TR002378 · NCATS · EMORY UNIVERSITY · PI Andres J Garcia, Elizabeth O. Ofili · 2017 to 2026
$92.1M
NCATS NIH HHS UL1 TR002378NIBIB NIH HHS U54 EB027690
6 · The paper itself

Abstract

Background: The emergence of COVID-19 facilitated the widespread use, regulatory awareness, and societal familiarity of lateral flow assays (LFA) for self-diagnosis. The increased frequency in the use of LFA's as well as their increased use by the general population amplified some of the major drawbacks of these tests, namely, the reliance on user interpretation of the test result, the qualitative nature of the result itself, and the lower sensitivity and specificity compared to traditional polymerase chain reaction (PCR)-based diagnostic testing. Furthermore, the results of these tests and the interpretation of them by lay users were increasingly used as a public health tool by authorities, where recommendations were made on how members of the public should act in response to self-interpretation of test results. Our aims were to develop an objective image analysis algorithm that can (1) interpret the result of a popular COVID-19 LFA Rapid Antigen Test (RAT) and accurately estimate viral load, and (2) predict how long after a positive test a user will test negative on the RAT, indicating loss of infectiousness and the ability to be around others without fear of spreading infection. Results: Indeed, we found that we could estimate viral load to within a RMSE of 1.44 Cycle Threshold (C Conclusion: The development of an objective image analysis algorithm for estimating viral load combined with smartphone apps represents a significant improvement upon LFA RAT technologies being used by millions worldwide to diagnose a variety of epidemiologically significant diseases. Supplementary Information: The online version contains supplementary material available at 10.1186/s44247-026-00287-4.

Indexed as

Computer visionDigital healthLateral flow assay (LFA)Rapid antigen test (RAT)Viral load estimation

Identifiers

PMID42582445
PMCPMC13457443

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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.