Optimized Lateral Flow Immunoassay Reader for the Detection of Infectious Diseases in Developing Countries

Detection and control of infectious diseases is a major problem, especially in developing countries. Lateral flow immunoassays can be used with great success for the detection of infectious diseases. However, for the quantification of their results an electronic reader is required. This paper presents an optimized handheld electronic reader for developing countries. It features a potentially low-cost, low-power, battery-operated device with no added optical accessories. The operation of this proof of concept device is based on measuring the reflected light from the lateral flow immunoassay and translating it into the concentration of the specific analyte of interest. Characterization of the surface of the lateral flow immunoassay has been performed in order to accurately model its response to the incident light. Ray trace simulations have been performed to optimize the system and achieve maximum sensitivity by placing all the components in optimum positions. A microcontroller enables all the signal processing to be performed on the device and a Bluetooth module allows transmission of the results wirelessly to a mobile phone app. Its performance has been validated using lateral flow immunoassays with influenza A nucleoprotein in the concentration range of 0.5 ng/mL to 200 ng/mL

Compact pixel architecture for CMOS lateral flow immunoassay readout systems

A novel pixel architecture for CMOS image sensors is presented. It uses only one amplifier for both integration of the photocurrent and in-pixel noise cancelation, thus minimizing power consumption. The circuit is specifically designed to be used in readout systems for lateral flow immunoassays. In addition a switching technique is introduced enabling the use of column correlated double sampling technique in capacitive transimpedance amplifier pixel architectures without the use of any memory cells. As a result the reset noise which is crucial in these architectures can be suppressed. The circuit has been designed in a 0.35-μm CMOS technology and simulations are presented to show its performance

1.2V Energy-Efficient Wireless CMOS Potentiostat for Amperometric Measurements

Wireless biosensors are playing a pivotal role in health monitoring, disease detection and management. The development of wireless biosensor nodes and networks strongly relies on the design of novel low-power, low-cost and flexible CMOS sensor readouts. This paper presents a CMOS potentiostat that integrates a control amplifier, a dual-slope ADC and a wireless unit on the same chip. It implements a novel time-based readout scheme, whereby the counter of the dual-slope ADC is moved to the receiver and the sensor current is encoded in the timing between two wireless pulses transmitted via pulse-harmonic modulation across an inductive link. Measured results show that the potentiostat chip can resolve a minimum input current of 10pA at a sampling frequency of 125 Hz and a power consumption of 12 μW

Magnetic resonance imaging with pathological correlation in a case of mantle cell lymphoma of the parotid gland: a case report

<p>Abstract</p> <p>Introduction</p> <p>Mantle cell lymphoma is a rare non-Hodgkin's lymphoma. It is a subtype of B-cell lymphoma with frequent involvement of the bone marrow and the gastrointestinal tract. Isolated parotid gland involvement seldom occurs. Here we report an unusual case of isolated infiltration of the parotid gland by mantle cell lymphoma. The aim of our study is to correlate magnetic resonance imaging findings with the histological features of the disease. To the best of our knowledge, no similar radiological findings of mantle cell lymphoma have been published before.</p> <p>Case presentation</p> <p>A 72-year-old Caucasian woman presented with a painful left parotid enlargement. She was diagnosed with mantle cell lymphoma involving the left submandibular gland seven years prior to presentation. Her whole body CT scan showed the absence of pathologically enlarged lymph nodes. However, a magnetic resonance imaging showed enlargement of her left parotid gland and an abnormal parenchyma with mixed-type solid and cystic lesions. A biopsy of her left parotid gland and subsequent histological examination confirmed a mantle cell lymphoma (common variant) relapse.</p> <p>Conclusion</p> <p>Although rare, the involvement of parotid gland with mantle cell lymphoma must be considered in the differential diagnosis of parotid tumors.</p

Unsuspected pulmonary alveolar proteinosis in a patient with acquired immunodeficiency syndrome: a case report

<p>Abstract</p> <p>Introduction</p> <p>Diffuse lung infiltrates are a common finding in patients with acquired immunodeficiency syndrome and causes range from infectious processes to malignancies or interstitial lung diseases. Pulmonary alveolar proteinosis is a rare pulmonary disorder rarely reported in patients infected with human immunodeficiency virus. Secondary pulmonary alveolar proteinosis is associated with conditions involving functional impairment or reduced numbers of alveolar macrophages. It can be caused by hematologic malignancies, inhalation of toxic dust, fumes or gases, infectious or pharmacologic immunosuppression, or lysinuric protein intolerance.</p> <p>Case presentation</p> <p>A 42-year-old African American man infected with human immunodeficiency virus was admitted with chronic respiratory symptoms and diffuse pulmonary infiltrates. Chest computed tomography revealed bilateral spontaneous pneumothoraces, for which he required bilateral chest tubes. Initial laboratory investigations did not reveal any contributory conditions. Histological examination of a lung biopsy taken during video-assisted thoracoscopy showed pulmonary alveolar proteinosis concurrent with cytomegalovirus pneumonitis. After ganciclovir treatment, our patient showed radiologic and clinical improvement.</p> <p>Conclusion</p> <p>The differential diagnosis for patients with immunosuppression and lung infiltrates requires extensive investigations. As pulmonary alveolar proteinosis is rare, the diagnosis can be easily missed. Our case highlights the importance of invasive investigations and histology in the management of patients infected with human immunodeficiency virus and pulmonary disease who do not respond to empiric therapy.</p