how digital technologies can improve diagnostics
DESCRIPTION
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
@KoenDL