Kenya – Integration of CAD4TB and national TB data system (TIBULIMS)
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.
Multi-stakeholder requirements gathering
User needs were collected through a multi-stakeholder workshop to define use cases, dashboards, and reports.
System integration development
Software code was developed to enable data exchange between eight devices and TIBULIMS.
User validation and training
Radiologists, radiographers, and clinicians validated the CXR module through hands-on workshops.
Testing and ongoing support
The solution was successfully tested and supported through a dedicated remote help desk.
- 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.
- 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.