how digital technologies can improve diagnostics

Post on 14-Jun-2015

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A talk I gave at IDWeek 2014. I am making the case for the smartphone (mobile, connectivity, sensors, and computing) as the ultimate enabler of remote diagnostics. Use cases, examples of products, and the (possible) future of remote diagnosis.

TRANSCRIPT

H O W N E W D I G I TA L T E C H N O L O G I E S C A N B E U S E D T O I M P R O V E D I A G N O S T I C S R E M O T E LY

K O E N D E L O M B A E R T M D M B A C O - F O U N D E R Y U Z U L A B S

T H E A R T A N D S C I E N C E O F D I A G N O S I S

• Diagnosis central to treatment, prognosis, and education

• 3 stage process:

• history

• examination

• tests

• Technology leaps improve diagnostics

R E M O T E D I A G N O S T I C S

• Effective tracking/monitoring of public health threats

• Chronic conditions & Infectious diseases

• Minimally trained personnel or consumers

• Cost

• Scale

D I G I TA L + R E M O T E = S M A R T P H O N E

!

• Mobile, versatile audiovisual capability, sensors, GPS!

• Incredible adoption rate

A P P A S A D I A G N O S T I C

A D D - O N A N D A P P A S A D I A G N O S T I C

• ECG

• Otoscope

• Stethoscope

https://www.ted.com/talks/andrew_bastawrous_get_your_next_eye_exam_on_a_smartphonePeek Vision

L AT E R A L F L O W, U R I N E , A N D M O L E C U L A R T E S T S

• Qualitative and quantitative RDT

• Colorimetric test

• No need for trained person

• Observer variability

• Metadata

U S E O F M E TA D ATA T O I M P R O V E D I A G N O S T I C S

Immunochromatographic Diagnostic Test Analysis Using Google Glass, Fen et al., UCLA, 2014

• Geotagging

• Time

• Type of test

• Patient ID

• Test result

“ S M A R T ” M E D I C A L D E V I C E SA M B I E N T AWA R E N E S S

N E T W O R K A N A LY S I SP R E D I C T I O N O F S P R E A D O F I N F E C T I O N

http://www.technologyreview.com/view/531316/office-networks-reveal-which-co-workers-to-avoid-during-infectious-outbreaks/

W E B B A S E D T O O L S

• Symptom checkers

• Health assessment form

• Google included diagnosis in 58% of cases after manipulation by specialists

Googling for a diagnosis—use of Google as a diagnostic aid: internet based study

L O W T E C H S O L U T I O N S

http://www.technologyreview.com/view/525471/the-1-origami-microscope/

T H E O R I G A M I M I C R O S C O P E

3 D P R I N T I N G O F A D D - O N S

T H E D I S T R I B U T I O N O F M E D I C A L D E V I C E S

“Making health care more accessible and diagnosis possible, outside of doctor’s offices,

is one of the key themes of digital health ” H T T P : / / V E N T U R E B E A T. C O M / 2 0 1 3 / 0 9 / 1 1 / H O W - N E W - D I G I TA L - D I A G N O S T I C - T O O L S - C A N - H E L P - R E PA I R - H E A LT H C A R E /

Koen De Lombaert

koen@yuzulabs.com

@KoenDL

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