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Plasmodium species differentiation by non-expert on-line volunteers for remote malaria field diagnosis.
Ortiz-Ruiz, Alejandra; Postigo, María; Gil-Casanova, Sara; Cuadrado, Daniel; Bautista, José M; Rubio, José Miguel; Luengo-Oroz, Miguel; Linares, María.
Afiliación
  • Ortiz-Ruiz A; Research Institute Hospital 12 de Octubre, Universidad Complutense de Madrid, Ciudad Universitaria, 28040, Madrid, Spain.
  • Postigo M; SPOTLAB, S.L. C/Gran Vía 39, 2º, 28013, Madrid, Spain.
  • Gil-Casanova S; Biomedical Image Technologies Group, DIE, ETSI Telecomunicación, Universidad Politécnica de Madrid, CEI Moncloa UPM-UCM, Madrid, Spain.
  • Cuadrado D; SPOTLAB, S.L. C/Gran Vía 39, 2º, 28013, Madrid, Spain.
  • Bautista JM; Biomedical Image Technologies Group, DIE, ETSI Telecomunicación, Universidad Politécnica de Madrid, CEI Moncloa UPM-UCM, Madrid, Spain.
  • Rubio JM; Biomedical Image Technologies Group, DIE, ETSI Telecomunicación, Universidad Politécnica de Madrid, CEI Moncloa UPM-UCM, Madrid, Spain.
  • Luengo-Oroz M; SPOTLAB, S.L. C/Gran Vía 39, 2º, 28013, Madrid, Spain.
  • Linares M; Research Institute Hospital 12 de Octubre, Universidad Complutense de Madrid, Ciudad Universitaria, 28040, Madrid, Spain.
Malar J ; 17(1): 54, 2018 Jan 30.
Article en En | MEDLINE | ID: mdl-29378588
BACKGROUND: Routine field diagnosis of malaria is a considerable challenge in rural and low resources endemic areas mainly due to lack of personnel, training and sample processing capacity. In addition, differential diagnosis of Plasmodium species has a high level of misdiagnosis. Real time remote microscopical diagnosis through on-line crowdsourcing platforms could be converted into an agile network to support diagnosis-based treatment and malaria control in low resources areas. This study explores whether accurate Plasmodium species identification-a critical step during the diagnosis protocol in order to choose the appropriate medication-is possible through the information provided by non-trained on-line volunteers. METHODS: 88 volunteers have performed a series of questionnaires over 110 images to differentiate species (Plasmodium falciparum, Plasmodium ovale, Plasmodium vivax, Plasmodium malariae, Plasmodium knowlesi) and parasite staging from thin blood smear images digitalized with a smartphone camera adapted to the ocular of a conventional light microscope. Visual cues evaluated in the surveys include texture and colour, parasite shape and red blood size. RESULTS: On-line volunteers are able to discriminate Plasmodium species (P. falciparum, P. malariae, P. vivax, P. ovale, P. knowlesi) and stages in thin-blood smears according to visual cues observed on digitalized images of parasitized red blood cells. Friendly textual descriptions of the visual cues and specialized malaria terminology is key for volunteers learning and efficiency. CONCLUSIONS: On-line volunteers with short-training are able to differentiate malaria parasite species and parasite stages from digitalized thin smears based on simple visual cues (shape, size, texture and colour). While the accuracy of a single on-line expert is far from perfect, a single parasite classification obtained by combining the opinions of multiple on-line volunteers over the same smear, could improve accuracy and reliability of Plasmodium species identification in remote malaria diagnosis.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Parasitología / Plasmodium / Malaria Tipo de estudio: Diagnostic_studies / Guideline / Prognostic_studies Límite: Adolescent / Adult / Child / Humans / Infant Idioma: En Revista: Malar J Asunto de la revista: MEDICINA TROPICAL Año: 2018 Tipo del documento: Article País de afiliación: España Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Parasitología / Plasmodium / Malaria Tipo de estudio: Diagnostic_studies / Guideline / Prognostic_studies Límite: Adolescent / Adult / Child / Humans / Infant Idioma: En Revista: Malar J Asunto de la revista: MEDICINA TROPICAL Año: 2018 Tipo del documento: Article País de afiliación: España Pais de publicación: Reino Unido