Smartphone app for non-invasive detection of anemia using only patient-sourced photos

Nat Commun. 2018 Dec 4;9(1):4924. doi: 10.1038/s41467-018-07262-2.

Abstract

We introduce a paradigm of completely non-invasive, on-demand diagnostics that may replace common blood-based laboratory tests using only a smartphone app and photos. We initially targeted anemia, a blood condition characterized by low blood hemoglobin levels that afflicts >2 billion people. Our app estimates hemoglobin levels by analyzing color and metadata of fingernail bed smartphone photos and detects anemia (hemoglobin levels <12.5 g dL-1) with an accuracy of ±2.4 g dL-1 and a sensitivity of 97% (95% CI, 89-100%) when compared with CBC hemoglobin levels (n = 100 subjects), indicating its viability to serve as a non-invasive anemia screening tool. Moreover, with personalized calibration, this system achieves an accuracy of ±0.92 g dL-1 of CBC hemoglobin levels (n = 16), empowering chronic anemia patients to serially monitor their hemoglobin levels instantaneously and remotely. Our on-demand system enables anyone with a smartphone to download an app and immediately detect anemia anywhere and anytime.

Publication types

  • Research Support, Non-U.S. Gov't
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Adolescent
  • Adult
  • Algorithms
  • Anemia / diagnostic imaging*
  • Calibration
  • Child
  • Child, Preschool
  • Color
  • Diagnostic Imaging / instrumentation*
  • Diagnostic Imaging / methods*
  • Female
  • Georgia
  • Hematologic Diseases / diagnostic imaging
  • Hemoglobins / analysis
  • Humans
  • Infant
  • Male
  • Middle Aged
  • Mobile Applications*
  • Sensitivity and Specificity
  • Signal Processing, Computer-Assisted
  • Smartphone*
  • Young Adult

Substances

  • Hemoglobins