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Measurement of Skin Induration Size Using Smartphone Images and Photogrammetric Reconstruction: Pilot Study

Dendere, R; Mutsvangwa, T; Goliath, R; Rangaka, MX; Abubakar, I; Douglas, TS; (2017) Measurement of Skin Induration Size Using Smartphone Images and Photogrammetric Reconstruction: Pilot Study. JMIR Biomedical Engineering , 2 (1) , Article e3. 10.2196/biomedeng.8333. Green open access

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Abstract

Background: The tuberculin skin test (TST) is the most common method for detecting latent tuberculosis infection (LTBI). The test requires that a patient return to the health facility or be visited by a health care worker 48 to 72 hours after the intradermal placement of tuberculin so that the size of the resulting skin induration, if any, can be measured. Objective: This study aimed to propose and evaluate an image-based method for measuring induration size from images captured using a smartphone camera. Methods: We imaged simulated skin indurations, ranging from 4.0 to 19 mm, in 10 subjects using a handheld smartphone, and performed three-dimensional reconstruction of the induration sites using photogrammetry software. An experienced TST reader measured the size of each induration using the standard clinical method. The experienced reader and an inexperienced observer both measured the size of each induration using the software. The agreement between measurements generated by the standard clinical and image-based methods was assessed using the intraclass correlation coefficient (ICC). Inter- and intraobserver agreement for the image-based method was similarly evaluated. Results: Results showed excellent agreement between the standard and image-based measurements performed by the experienced reader with an ICC value of .965. Inter- and intraobserver agreements were also excellent, indicating that experience in reading TSTs is not required with our proposed method. Conclusions: We conclude that the proposed smartphone image-based method is a potential alternative to standard induration size measurement and would enable remote data collection for LTBI screening.

Type: Article
Title: Measurement of Skin Induration Size Using Smartphone Images and Photogrammetric Reconstruction: Pilot Study
Open access status: An open access version is available from UCL Discovery
DOI: 10.2196/biomedeng.8333
Publisher version: http://dx.doi.org/10.2196/biomedeng.8333
Language: English
Additional information: ©Ronald Dendere, Tinashe Mutsvangwa, Rene Goliath, Molebogeng X Rangaka, Ibrahim Abubakar, Tania S Douglas. Originally published in JMIR Biomedical Engineering (http://biomedeng.jmir.org), 07.12.2017. This is an open-access article distributed under the terms of the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/)
Keywords: tuberculosis; skin tests; telemedicine; computer assisted diagnosis
UCL classification: UCL
UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Institute for Global Health
URI: https://discovery.ucl.ac.uk/id/eprint/10112457
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