Enabling Remote TB Screening with the Delft Light Portable X-ray and CAD4TB Software

www.delft.care

A long history in TB screening

Presence Delft Imaging

Argentina | Brazil | Bolivia| Botswana| Cameroon | Canada | Colombia| Denmark | Ethiopia | Eritrea | Ecuador | Gambia| Georgia | Ghana | Guatemala | Hungary | India | Indonesia |Liberia | Libya | Lesotho | Kenya| Malawi | Malaysia | Mozambique| Myanmar| Namibia|

The Netherlands | Nigeria | Pakistan | Paraguay | Peru | Philippines | Papua New Guinea | Poland | Qatar | Romania | Rwanda| Sierra Leone | South Africa | South Korea | Spain | Sudan| Swaziland | Tanzania | Thailand | Timor-Leste | Turkey | UAE | Vietnam | Yemen | Zambia | Zimbabwe

40+ countries

130+ projects

900+ installations

8+ million

TB screenings

Proud member of the Million Lives Club

• Million Lives Club recognizes innovations that have

impacted over 1 million people

• Supported by many of the world’s leading development

organizations

• Through CAD4TB, we have screened 8+ million people

Delft Light

The backpack X-ray

Delft Light

The backpack X-ray

• Designed for screening in remote locations under challenging

conditions (e.g. high humidity, high temperatures, portable-use)

• Package consists off; X-ray generator (Mikasa, Japan), X-ray

generator stand, X-ray detector (Canon, Japan), X-ray detector

stand, workstation, software (Canon, Japan), charging system,

solar panel, 1 lead apron, backpack.

• Weight < 25 kg for complete system

• Carried in sturdy backpack

• Exposures: 200 per day

• Easy to assemble, setup takes around 10-15 minutes

• Implemented in: e.g. Eritrea, Zambia, Ghana, Thailand, Nigeria,

Uganda, Kiribati

CAD4TB

CAD4TB

Computer-Aided Detection for Tuberculosis

• 1996: Research starts

• 2007: Prototype projects start

• 2011: First implementation in South Africa & Zambia

• 2015: CAD4TB is CE certified – first CAD software available

• 2018: Milestone: 1+mil p/y screened; covered on BBC

• 2020: WHO endorses CAD for TB screening

• 2021: CAD4TB has screened 8 million + people in 40+ countries

• Processes DICOM (or JPG/PNG) from any X-ray system

• Output: score (0-100) and a heatmap

• Available via Cloud and offline

• Results: <20 seconds

Score CAD4TB 7: 80.5Tuberculosis: yes

Score CAD4TB 7: 47.8Tuberculosis: no

TB Screening: More than only AI

• Patient registration

• Symptom screening

• CAD4TB artificial intelligence

• Lab result integration

• Management data dashboard

Ghana South-Africa

• 96 correctional facilities

• 800,000+ inmates screened

• Prison screening program

Pakistan

• 76 mobile clinics

• 3million+ people screened

• Active case finding

CAD4TB supporting TB screening programs globally

Recommendation letters available

Dubai

• Clinic based screening

• Visa purposes

• 52 X-ray systems

• 850,000+ people screened

• Passive case finding

Strong scientific foundation

Gambia: o 4,552 CXR’s o On-par with human experts

Philippines: o 14,094 subjects o On-par with human experts

1) Maduskar, P et. al. Computerized Reading of

Chest Radiographs in The Gambie National

Tuberculosis Prevalence Survey: Retrospective

Comparison with Human Experts. The Union

World Conference on Lung Health, 2015.

2) Philipsen, R et. al. Automated Chest X-ray

Reading for Tuberculosis in the Phillipines to

Improve Case Detection: a Cohort Study. The

International Journal of Tuberculosis and Lung

Disease, 2019.

3) Melendez, J et. al. Automatic Versus Human

Reading of Chest X-rays in the Zambia

National Tuberculosis Prevalence Survey. The

International Journal of Tuberculosis and Lung

Disease, 2017.

4) Keelin, M et. al. Computer-Aided Detection of

Tuberculosis on Chest Radiographs: An

Evaluation of the CAD4TB v6 system, 2018.

*Full publication list available upon request

Pakistan: o 5,565 CXR’s o On-par with human experts

Zambia: o 46,099 participantso On-par with human experts

50+

scientific

publications

Training, service and after-sales support

• Installation and calibration support (in line with WHO guidelines)

• Dedicated after-sales support on Delft Light (X-ray) and/or CAD4TB (CAD/AI)

• Combination of in-country support and regional / headquarter support

• Delft eLearning platform available for continuous learning on Delft Light and CAD4TB

• Spare-parts: fully covered (incl. tube & detector)

• Patches, updates and upgrades: fully covered

• Your partner to enable effective remote TB screening

Thank you for your attention

www.delft.care