Location: Kenya // Organization: Delft Imaging
Introduction
With the introduction of Delft Light portable X-rays with CAD4TB, Kenya NTP needed to integrate screening data onto TIBULIMS, the national data repository for all diagnostic data, to facilitate reporting, disease surveillance, and monitoring.
Intervention
The needs of various users were collected through a multi-stakeholder workshop. Use cases, dashboard features, and reports were then scoped for development.
A software code was developed to facilitate data exchange between the eight devices and TIBULIMs, along with user interfaces.
Stakeholders, including radiologists, radiographers, and clinicians, had hands-on experience with the CXR module and validated its features in a workshop. The code was successfully tested, raised user awareness, and provided remote support through a dedicated help desk.
Result
The API fetches data from the primary storage devices (CAD4TBboxes) to the CAD4TB cloud and subsequently sends them to TIBULIMS.
The TIBULIMS dashboard provides comprehensive statistics regarding the usage of each integrated device, including the total number of CXR images taken, disaggregated by CAD4TB score, age, lab results, and specific CXR sites.
Radiologists access and report the images with a turnaround time of less than an hour.
At the point of care, clinicians can view the images, CAD4TB/AI report, radiologist report, and laboratory results on a single platform.
Conclusion
The integration offered streamlined access to comprehensive screening and diagnostic data for clinical decision-making.
Detailed statistics on device usage and screening outcomes offer valuable insights for program evaluation and resource allocation.
REFERENCE: Gichanga, K. et al (2024, November 12-16). Innovative integration: Digital CXR screening data on national LIMS for TB surveillance in Kenya [Poster Presentation]. The Union World Conference on Lung Health, Bali, Indonesia.
