Predictive Detection of Tuberculosis using Electronic Nose Technology

摘要

The adaptation and use of a Bloodhound ST214 electronic nose to rapidly detect TB in sputum samples has been discussed in the past, with some promising results being obtained in 2007. Some of the specific VOC's associated with Mycobacteria tuberculosis organisms are now being discovered and a paper was published in 2008, but the method of predicting the presence of TB in sputum samples using the VOC biomarkers has yet to be fully optimised. Nevertheless, with emphasis on the sampling techniques and with new data processing techniques to obtain consistent results progress is being made Sensitivity and specificity levels for field detection of TB have been set by WHO at a minimum level of 85% and 95% respectively, and the e-nose technique is working towards these figures. In a series of experiments carried out in Mbeya, Tanzania, Africa, data from a full 5 days of sampling was combined giving a total of 248 sputum samples analysed. From the data obtained we can report results that show specificities and sensitivities in the 70-80% region when actually predicting the presence of TB in unknown sputum samples. The results are a further step forward in the rapid detection of TB in the clinics in developing countries and show continued promise for future development of an optimised instrument for TB prediction.