Screening and Triage for TB using Computer-Aided Detection (CAD) Technology and Ultra-Portable X-Ray Systems: A Practical Guide 

With support from the United States Agency for International Development (USAID) and Global Affairs Canada, a practical guide on the implementation of CAD technology and ultra-portable X-ray systems was developed to provide advice on how to convert WHO policy guidance into a practical implementation plan, building on initial field experience gained by early implementers that could be more widely adopted.

Explore the contents of the guide

Chapter 1

Chapter 1 provides an overview of CAD technology, including the place of CAD in diagnostic algorithms, international policy on the use of CAD, the technology behind CAD, an overview of the CAD product landscape, and how to understand the output of CAD - and CAD accuracy.

Chapter 2

Chapter 2 discusses key implementation considerations when deploying CAD technologies, including the hardware, software, server and internet requirements. This chapter describes the selected CAD products included in Stop TB Partnership’s GDF catalog and pricing information.

Chapter 3

Chapter 3 introduces ultra-portable X-ray systems available through the GDF procurement mechanism, discussing the core components and accessories, key implementation considerations including portability, electrical power, console and radiation safety. This chapter also discuss all the configurations and pricing of integration of the CAD software with the ultra-portable X-ray systems (with a comparison of all possibility hardware and software combinations).

Chapter 4

Chapter 4 describes key programmatic steps and considerations for the implementation of CAD and ultra-portable X-ray systems, including situation assessment, stakeholder framework, registration, site preparation and assessment, data privacy and security, installation, training and capacity building as well as monitoring and evaluation. The chapter also introduces several resources (provided below as annexes to this guide) that will help implementers to follow the relevant recommendations.

Chapter 5

Chapter 5 provides a closer look at threshold score selection strategies for CAD software users and details several alternative strategies for consideration.

Chapter 6

Chapter 6 highlights the experiences of some early implementers of CAD with ultra-portable X-ray systems.