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Case Study

Kenya – Integration of CAD4TB & National TB Data System (TIBULIMS)

Two radiographers reviewing a CAD4TB chest X-ray result on a laptop, with an AI-generated heat map highlighting lung abnormalities, at a health facility in Kenya.

Through iNTP supported by USAID, Kenya NTP has acquired new tools for TB screening and diagnosis, including Delft Light ultra-portable X-rays and CAD4TB. NTP decided to integrate data from these new tools into the existing national TB data system, TIBULIMS, which has been integrating GeneXpert results.

National data system integration

CAD4TB data were integrated into the national TB data system, TIBULIMS.

API-based data exchange

An API gateway was set up for information exchange to collect data in line with the M&E framework.

Dashboard and reporting tools

Dashboards and reporting functions were developed to support data visualization and analysis.

Result
  • By integrating CAD4TB and TIBULIMS, users can access CXR images and CAD4TB results from anywhere with just a few clicks, enabling Radiologists to create the best possible report based on patient data and reduce turnaround time for reporting.
  • The systems integrate laboratory test results. Thus, reviewing the test results of Presumptive TB cases based on CXR and CAD4TB outputs in one system is possible.
Two radiographers reviewing a CAD4TB chest X-ray result on a laptop, with an AI-generated heat map highlighting lung abnormalities, at a health facility in Kenya.
Conclusion
  • By expanding the connectivity and network, TB diagnostic tools used in the field are connected to TIBULIMS, making it easier to integrate devices into the system in the future.

REFERENCE: Kerubo, M., Muriithi, E. (2023, November 1). Integration to TIBULIMS and CAD4TB Lessons from Kenya [Webinar session]. Delft Imaging Webinar.