用于全球健康应用的基于手机的临床显微镜检查。

Mobile phone based clinical microscopy for global health applications.

作者信息

Breslauer David N, Maamari Robi N, Switz Neil A, Lam Wilbur A, Fletcher Daniel A

机构信息

UCSF/UC Berkeley Bioengineering Graduate Group, University of California Berkeley, Berkeley, CA, USA.

出版信息

PLoS One. 2009 Jul 22;4(7):e6320. doi: 10.1371/journal.pone.0006320.

Abstract

Light microscopy provides a simple, cost-effective, and vital method for the diagnosis and screening of hematologic and infectious diseases. In many regions of the world, however, the required equipment is either unavailable or insufficiently portable, and operators may not possess adequate training to make full use of the images obtained. Counterintuitively, these same regions are often well served by mobile phone networks, suggesting the possibility of leveraging portable, camera-enabled mobile phones for diagnostic imaging and telemedicine. Toward this end we have built a mobile phone-mounted light microscope and demonstrated its potential for clinical use by imaging P. falciparum-infected and sickle red blood cells in brightfield and M. tuberculosis-infected sputum samples in fluorescence with LED excitation. In all cases resolution exceeded that necessary to detect blood cell and microorganism morphology, and with the tuberculosis samples we took further advantage of the digitized images to demonstrate automated bacillus counting via image analysis software. We expect such a telemedicine system for global healthcare via mobile phone -- offering inexpensive brightfield and fluorescence microscopy integrated with automated image analysis -- to provide an important tool for disease diagnosis and screening, particularly in the developing world and rural areas where laboratory facilities are scarce but mobile phone infrastructure is extensive.

摘要

光学显微镜为血液学和传染病的诊断及筛查提供了一种简单、经济高效且至关重要的方法。然而,在世界上许多地区,所需设备要么无法获得,要么便携性不足,而且操作人员可能没有接受过充分的培训来充分利用所获取的图像。与直觉相反的是,这些地区往往拥有良好的移动电话网络,这表明利用具备摄像头的便携式移动电话进行诊断成像和远程医疗是有可能的。为此,我们制造了一种安装在手机上的光学显微镜,并通过在明场下对感染恶性疟原虫的红细胞和镰刀状红细胞进行成像,以及在LED激发下对感染结核分枝杆菌的痰液样本进行荧光成像,展示了其临床应用潜力。在所有情况下,分辨率都超过了检测血细胞和微生物形态所需的水平,对于结核样本,我们进一步利用数字化图像,通过图像分析软件实现了杆菌的自动计数。我们期望这样一种通过手机实现的全球医疗远程医疗系统——提供集成了自动图像分析的廉价明场和荧光显微镜——能为疾病诊断和筛查提供重要工具,特别是在实验室设施匮乏但移动电话基础设施广泛的发展中世界和农村地区。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/37da/2709430/21a4bace7385/pone.0006320.g001.jpg

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