5/16/2023 0 Comments Dr.web cureit identi![]() ![]() Since 2022, our project has used AI in community campaigns and high-volume district-level facilities to read more than 100,000 X-ray images. At community mobile health screening events, where one or two technicians may read hundreds of chest X-rays per day, AI helps avoid decision fatigue and over- or under-selection. Using AI with chest X-ray helps ensure that people with TB are identified at all facilities, including lower levels of the health system where staff may have less experience interpreting chest X-rays. Radiologists interpret a chest X-ray and compare it with the artificial intelligence software’s interpretation. Now, chest X-ray screening in both settings is aided by artificial intelligence (AI). Improving TB diagnosis with artificial intelligenceįinding more people with TB requires high-volume screening at both health care facilities and community mobile health screening events. We can use criteria to tailor the strategy to various risk groups for TB in a variety of settings. ![]() During COVID-19, our project designed adaptations to reach out to communities and refer them to Double X testing locations, and some of these adaptations are still being used today. ![]() It can also be done in very remote areas by bringing in portable X-ray technology and point-of-care molecular diagnostics. We use Double X at community mobile health screening events and at health care facilities. This foundational strategy is flexible enough that no one with TB is missed, no matter where they go to seek care. Chest X-ray is highly sensitive and GeneXpert is highly specific, creating a high-performance strategy to diagnose TB. We are doing this through the Double X strategy, which uses chest X-ray to find people who have signs of pulmonary TB and triage them for more expensive GeneXpert molecular testing to confirm the diagnosis. ![]() Since 2020, FHI 360 has worked with the country’s National Tuberculosis Program to find more people with TB, guarantee access to molecular WHO-recommended rapid diagnostics and incorporate preventive treatment into the TB program for high-risk individuals. Viet Nam has had a high burden of TB for decades, and it still does today. Building a strong foundation for case finding with the latest technologies Agency for International Develop (USAID) Support to End Tuberculosis project in Viet Nam, we have honed the Double X strategy, a TB case-finding strategy that is accurate, comprehensive and adaptable. Just last year, the world did not meet the United Nations’ 2022 TB treatment and prevention targets, which were set in 2018.Īs programs rush to catch up after the COVID-19 pandemic, now is the time to optimize existing tools to improve access to screening and accelerate case finding. Įnding TB feels frustratingly out of reach, despite having excellent diagnostics to detect the disease and effective medicines to cure it. TB sickens more than 10 million people each year and kills about 1.6 million, according to the World Health Organization (WHO). Tuberculosis (TB) is once again the world’s most deadly infectious disease, silently retaking the top spot from COVID-19 sometime in mid-2022. Mobile X-ray technology can be used in very rural areas. This event took place in a rural district of An Giang province, Viet Nam. People wait to have a chest X-ray as part of an active case-finding campaign for tuberculosis. ![]()
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