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Scientists Hack Cellphone To Detect Diseases

Dave Bullock (eecue) plugs his piece up at Wired on a cellphone modded into a portable blood tester. This could become a significant piece of medical technology. "A new MacGyver-esque cellphone hack could bring cheap, on-the-spot disease detection to even the most remote villages on the planet. Using only an LED, plastic light filter, and some wires, scientists at UCLA have modded a cellphone into a portable blood tester capable of detecting HIV, malaria, and other illnesses. Blood tests today require either refrigerator-sized machines that cost hundreds of thousands of dollars or a trained technician who manually identifies and counts cells under a microscope. These systems are slow, expensive and require dedicated labs to function. And soon they could be a thing of the past."

32 of 100 comments (clear)

  1. star trek isn't dead yet by peragrin · · Score: 5, Funny

    And thus the building blocks of the medical tricorder are laid.

    tack on a portal ultrasound, xray , and micro MRI and maybe doctors bills will start to come down.

    --
    i thought once I was found, but it was only a dream.
    1. Re:star trek isn't dead yet by Anonymous Coward · · Score: 2, Funny

      "Obi-wan, give me a count of midichlorines in this child's blood..."

    2. Re:star trek isn't dead yet by Anonymous Coward · · Score: 2, Funny

      You must be new here. Episodes 1-3 were fake.

    3. Re:star trek isn't dead yet by toppavak · · Score: 2, Insightful

      Oh its quite dead, I assure you. Journalistic sensationalism, however, is apparently quite powerfully alive.

    4. Re:star trek isn't dead yet by zappepcs · · Score: 3, Insightful

      Not just the building blocks, but the first of many iterations. The compute power going into cell phones lately is pretty high and it won't be long before you can do much more. Imagine a small suitcase lab powered by a cellphone and a few accessories. It will cost less than those $100 laptops and do much more for poor communities. Imagine your $100 donation every year keeping 1000 in better physical health? Imagine....

      With a bit of tech and a sat link, very expensive western doctors can very cheaply be part of the suitcase experiment that allows them to add their knowledge to a database of medical knowledge that builds the code for the first robotic doctor, or online third world doctor.

      Software can be written that uses video analysis to identify visible symptoms if there is a picture of the patient when not sick. All that ear/nose/throat simple visual analysis can be done by a computer or a tech with medical computers etc. If a cell phone can do this much already, just wait.

      Now, if Bill G were really interested in changing the world's health... perhaps he'd get on-board with this obvious idea. Who knows. He's got a lot of money.

    5. Re:star trek isn't dead yet by ruadatha · · Score: 3, Insightful

      Doc bills won't ome down : the amount of time they spend on each patient will.

    6. Re:star trek isn't dead yet by Hurricane78 · · Score: 2, Interesting

      Doesn't matter much tough. I saw a medical professor close to tears because of the state of competence and the medical industry.

      Main problems:
        Doctors don't think "I don't know this (yet)." They think "There will never ever exist a solution to this". This is because of their god complex.
        Doctors don't care for the underlying cause. Most of the time, they "fix" your symptoms by giving you drugs. Of course if you don't take them forever, everything goes back to how it was before.
        Patients believe the crap their doctors tell them. They do net think for themselves. Most often, they don't even want the heal the cause. They love to be (neurotically) ignorant about it.
        Doctors and the health industry earn more money when there are more sick people, instead of when there are more healthy people (which is interestingly the model used in China).
        The whole pharma industry works like any other industry: The main (and often only) target is to maximize profit.
        Health insurance companies work that way too. So their target is to get the most in, and the least out. "Ideally", you pay, and they deny you everything.

      I have to push my doctor real hard until he even considers doing any tests. It's nearly impossible to find the underlying cause because of him.
      And I tried dozens of doctors. They are no different. Most of the time they weasel their way out by just prescribing you painkillers... that way it does not hurt while you fuckin' die.

      If I had money, I'd create my own health insurance. Completely owned by the insured. One CEO who is completely alone, and responsible for updates to the program. The rest is a program, created by me. That program allows the insured to completely control the terms of their contract and change them, including the income of the CEO. They can fire the CEO too, or fork the company, electing a new CEO. The program would manage how the money would be spent, by calculating what the insured want to spend or have to spend, to be able to deliver what they want or need.
      At least this is the basic idea of the project. I will have the quirks worked out before I have that kind of money anyway. ;)

      --
      Any sufficiently advanced intelligence is indistinguishable from stupidity.
    7. Re:star trek isn't dead yet by eltaco · · Score: 2

      uhhh,
      maybe you shouldn't assume where I live. also, please don't assume words inbetween my words. I never talked of free, and never implied I lived in the UK.
      but, seeing as you staggered down this path anyhow, I'll humor you.

      nope, I don't actually believe healthcare is free. I do know, that anyone can get medical insurance in europe, no matter what their condition, pre-existing condition, income, belly-button size and anything else american insurance companies use to weed out who they insure and never pay healthcare for.
      I'm a student living in germany and I pay something like 50 euros (of my own free accord) a month and can get any treatment I need - medical, rehab, psychology, psychiatry, dental, etc, etc - as can everyone else. insurance companies here usually don't pay for aesthetic surgery, if there's no actual medical need. which means fatties don't get liposuction (unless their life is in danger), but burn victims will get plastic surgery.

      of course it's deducted from our paycheck. healthcare / insurance still costs money, duh. but no-one here dives into bankruptcy because of medical bills.
      we pay like 1-5% of the scrips' total price, with an upper barrier (specifics unknown to me). the rest is paid by the gov't and/or teh insurance. hospital visits cost like 10 euros a day - if you want a phone and a tv in your room.

      I love how yankee boys always rant on about freedom. yeah, I likes me mah freedoms too, but when it comes down to my health, the only choice I need is which doctor to go to. seeing as governments (well, I know of germany & uk from first hand experience) usually have strict "quality control" on their doctors and pay them boni for healing above average numbers (for instance getting people to stop smoking), then I'd much rather have the freedom to choose a country that motivates its doctors to heal people rather than keeping you in hospital, bleeding you dry, until you get the next ailment.
      so, yeah, I'd gladly buy a "microsoft hospital", as their motivation and their quality is incredibly strict and they're actually interested in healing me and not bleeding my out.

      --
      It's not about fate, it's about character.
      there be no shelter here, the frontline is everywhere!
    8. Re:star trek isn't dead yet by Spiked_Three · · Score: 3, Informative

      "Now, if Bill G were really interested in changing the world's health... perhaps he'd get on-board with this obvious idea. Who knows. He's got a lot of money."

      For some reason, I was bored and just happen to watch the PowerPoint presentation on this thing last week on TV from Washington University. It was quite an impressive device, with many possibilities for multiple uses as part of the design criteria.
       
      And the Bill & Melinda Gates foundation was a huge contributor.

      --
      slashdot troll = you make a compelling argument I do not like the implications of.
  2. How it works by marcansoft · · Score: 4, Informative

    If anyone is wondering how exactly this works, or wants to build their own, they might want to check out this Weekend Project

    Basically, if you've got a (near-)point source of light, and transmit it through the sample, there is only one path of light from the light, through a point in the sample, to a pixel on the sensor, so you don't need a lens. The farther away you place the sample and the closer you place the light source, the larger the image appears (but then you also need to progressively use a better, closer to a true point source light).

    I imagine this could work very well with a naked silicon laser diode, since they appear as damn tiny, near point sources of light.

    1. Re:How it works by toppavak · · Score: 4, Interesting

      It may work, but its completely useless from a diagnostics standpoint. Knowing the size of a cell is useless, especially with the resolution and sensitivity a cell phone camera could provide. Past publications from this lab show no reliable size discrimination below 15 microns, so even if it were useful information, it would be useless for human cell samples of which nearly all interesting species are smaller than or border this threshold. Sub-cellular resolution might help you do something like malaria diagnostics, but the amount of sample that needs to be analyzed and the magnification level you would need to be able to discriminate the plasmodium within a red blood cell are so high that, surprise, you're so much better off using a $100 microscope.

    2. Re:How it works by toppavak · · Score: 2, Informative

      To elaborate on the inadequacy of this technique for malaria diagnostics, for example, the Poisson statistics indicate that a reliable diagnosis requires the analysis of about 2 microliters of blood. Now this doesn't seem like much except that 2 microliters of blood contains 10-14 million red blood cells. In order to just have all of those cells on the sensor while able to discriminate between adjacent cells that means you'd need at least a 90-megapixel camera on which to smear your blood sample. Now if you wanted to reliably detect a malaria infection, you would obviously need a lot more than 1 pixel per cell so the magnitude of the problem increases exponentially from there.

    3. Re:How it works by toppavak · · Score: 2, Interesting

      Even if your point were valid, the microscope works, this gadget doesn't. You can reliably detect things like tuberculosis and malaria using a microscope, and if its a fluorescence model you could even do CD4+ T-cell counts manually. This cell-phone doohicky is incapable of all of those, or even of anything remotely medically relevant. As for your point, though, the w810i that they used in their contraption has a list price of about $200, still without managing to deal with the little problem that it.doesn't.work.

  3. Well then that's it! by jmerlin · · Score: 3, Funny

    We need to stop worrying about ending hunger there and start getting every last one of them a cell phone!

  4. Interesting comment on Wired's website by Adrian+Lopez · · Score: 4, Insightful

    Posted by: jamesdionne:

    I call bullshit on this one. First off, HIV can be tested for by an ELISA method which is way cheaper than a cell phone camera. And the quality of other lab results are the most important function of those "refigerator" sized analyzers, not because of cost but because you can kill way more people with inaccurate results than with no results at all. I could shine a flashlight at a blood smear and take a good guess at your H&H too, but I wouldn't trust my life to it.

    I agree.

    --
    "In prison you just have to shut your eyes and take it. Here you have to shut your eyes and give it."
  5. Re:But... by Garrett+Fox · · Score: 4, Insightful

    Well, it's not like those countries are literally in the Stone Age. They're dirt-poor by Western standards, but they have access to some modern technology and can scrape together the money for relatively cheap stuff. (Unfortunately this includes Kalashnikovs.) As the West continues to develop cutting-edge technology, the standard for what kind of things the world's poor can afford rises. That is, nobody at all had LEDs until the 20th century.

    Inventions like this raise the level of technology available to most of the world, and do more good for more people than (say) yet another model of iPod. One of the main things I've learned from studying history is that the maximum level of technology in a society is less important than the level that the masses have. Making things cheaper is one of the main ways in which technology has advanced; eg. iron is actually inferior to bronze in several ways, but is cheaper.

    In fact, in some ways poor countries have had an opportunity to leapfrog the West. If your country has never had a copper-wire phone system, and you're just getting started with phones, you may as well start off with cell phones or fiber optics.

    --
    Revive the Constitution.
  6. Bullshit by toppavak · · Score: 5, Informative

    A. It can't detect HIV. No imaging technology short of electron microscopy can directly detect the virus itself and even electron microscope would be a retarded way to attempt diagnostics.

    Even the original paper describing this technology showed that they have no sub-cellular resolution and even their size resolution was extremely unreliable for anything smaller than 15 microns... which all interesting human cells are (even if you could tell what size cells are you've accomplished.... nothing).

    If they are suggesting they can do CD4+ T-lymphocyte counts they're either idiots, ignorant or both. There is no morphological distinction between a CD4+ and a CD4- T-lymphocyte. Even using fluorescence imaging (which they aren't) you have to be able to look at two colors of fluorescence (CD3 label to check to see if its a lymphocyte and a CD4 label to see if its CD4+) immunofluorescence is way too weak to be detected by a cell phone camera, especially a color sensor with 2 micron pixels. The CD4 antigen is never expressed at levels greater than approximately 50,000 / cell, the detection limit of a 5 micron pixel monochrome sensor (the bayer mask makes you lose about 30% of your light) is close to about 150,000 molecules. The bayer mask also makes your sensor pretty much useless for analytical applications, you're screwed if your green-fluorescent cell is centered over a red or blue-sensitive pixel which would happen in, oh, 66% of your pixels.

    You run into almost identical sets of problems with every other so-called "application" of this "technology" so, yeah, bullshit.

    IAABME.

    1. Re:Bullshit by PolarBearFire · · Score: 4, Funny

      Dude stop it, you're gonna blow some conniving scientists's grant money.

    2. Re:Bullshit by The+Living+Fractal · · Score: 2, Funny

      Yes but I believe you forgot the CDx5 aphysical dipole bacterium, usually called "Bull" for its similarity to same, which is so small that it actually lives *within* molecules. These new scanners are able to detect levels of the excretions of these Bull, and plot them against known levels during infections of certain diseases. Scientists are still trying to figure out a name for these excretions, but suffice it to say the obvious choice was not picked for obvious reasons.

      --
      I do not respond to cowards. Especially anonymous ones.
    3. Re:Bullshit by Spiked_Three · · Score: 2, Interesting

      No your bullshit. You are basing your conclusions on a stupid wired magazine article that was written for consumer consumption. The device does RNA/DNA amplfications on a credit card sized piece of platic (replacing the refrigerators) as well as flourecense tests you talk about, and a bunch of other test also. I saw the presentation on Washington University TV and it is quite real.

      --
      slashdot troll = you make a compelling argument I do not like the implications of.
  7. Alternate Device Name by DCheesi · · Score: 4, Funny

    "UCLA researcher Dr. Aydogan Ozcan images thousands of blood cells instantly by placing them on an off-the-shelf camera sensor and lighting them with a filtered-light source (coherent light, for you science buffs)."

    So instead of Occam's Razor, this is Ozcan's RAZR?

  8. Re:But... by Velox_SwiftFox · · Score: 2, Interesting

    If you think this is exciting, wait until next month's article on how to turn an ordinary 7-color photo ink jet printer into a $119 DNA sequencing machine.

    Of course, throwing out the old one and buying new will turn out to still be cheaper than buying refills for them.

  9. Reware projects by Anonymous Coward · · Score: 3, Interesting

    Here's the big BIG thing that is going to hit mainstream radar soon, though I haven't even seen much tech punditry as usual this year, with everyone so deflated over the economy, but I bechya this is going to be massive over the next few years. Re-waring / re-purposing, whatever you call it, basically a new layer and second wind to technology in developed AND developing countries. People stop building things from scratch, it's more expensive than reuse. Just make small mods.

    For a decade or more, we've been producing basically general purpose computers disguised as specific function devices, like phones, pda and suchlike. This is the first fruits of tech convergence coupled with a tightening economy and environmental reluctance to dispose in landfills. Such industry will emerge based around unique, perculiar, creative repurposing of hardware en-masse, it becomes inevitable. Out of nowhere will come cellphones transformed into musical instruments, alarm clocks, intruder detectors, baby monitors, health aides, point to point walkie talkies, and from that ad-hoc userland communication networks that will eventually bypass and replace the telco choke point/gatekeeper model (In other words expect much development to be resisted and made "illegal" by vested interest groups under the cry of "health, safety and security".) But that will do nothing to stop this enevitable shift that prevailing conditions invite. Basically we have a situation of commodity hardware. The raw materials are zero cost (would already be in a landfill if the manufacturers had their way) and are easy to jailbreak/unlock and retask. There's something like 2 or 3 discarded cellphones to every person on Earth right now. Objects that cost less than a skilled hour of salary, can be retasked in seconds with firmware flashing and combining via USB or wifi networks. Certain models of things are obviously going to become really popular because they can be more easily rewared, their second hand value will rise again.

  10. Plus... by Oktober+Sunset · · Score: 4, Funny

    When it test's a patient positive for HIV, it plays a polyphonic ringtone of 'Always looks on the bright side of life'

  11. Forget HIV, Malaria is enough to make this cool by Neuticle · · Score: 5, Insightful

    I can see this possibly evolving into something that would be able to detect malaria infections, malaria is pretty big and easy enough to spot with good magnification and a little bit of training. Parasite laden blood cells are often chock-full of little plasmodium, so they would definitely have different optical properties in this kind of system. This could also probably do a reliable job of some basic blood values like hemoglobin levels, where the item in question has strong, distinct light-absorbing properties, but it won't come close to replacing an actual lab: there are too many things that just don't interact enough or interact distinctly enough with light to be measured that way, even if you had a lab-quality variable-frequency light source.

    HIV, however, is a virus, and can not currently be detected or diagnosed microscopically (barring electron microscopes), so I'm a bit skeptical on that point. Besides, we have antibody tests that are cheap, effective and (thanks to foreign aid) available even in the poorest, most remote areas. The problem with testing for HIV is not detecting it, it's getting people tested. There is still a HUGE stigma around it, and people are (often with good reason) worried about the privacy of tests. If this guy has figured out how to detect and, more importantly, identify viruses using light microscopy, he'll be up for a Nobel prize, but I highly doubt that is the case. It's more likely that Wired just embellished the story a bit, which I think is unnecessary since even being able to quickly and reliably detect just parasites in the blood like malaria, leishmaniasis or trypanosomes would be a big help for many in the developing world.

    I spent 2 years living in remote, rural Tanzania and some of the clinics near me diagnose malaria in every blood smear they see, because they don't have someone well trained enough to examine the blood, or they don't actually have a functioning microscope (they are freaking expensive, very fragile and hard to get out in the boonies) so they err on the side of caution. Even though they are probably correct a good percentage of the time, people were often "diagnosed" with malaria when they had none of the symptoms: Malaria gets the blame for nearly every ailment. This leads to overuse of anti-malarial drugs, which leads to drug-resistance. I also saw anemia being diagnosed very frequently as well, with out any way to properly test for it. It was the second most popular target for any ailment. "Anemic" people are encouraged to eat a substance made from red clay. It probably has plenty iron so it could actually help and probably can't do any harm, but it tasted about like you would expect dirt to taste.

    To make my point: if this all this could do was detect malaria and hemoglobin levels, at even 10x the cost of a cell phone, but as portable and as durable as a cell phone (relative to a microscope that won't survive a car ride), it would make a sizable impact for a lot of people.

    --
    "Cheeze it!" - Bender
  12. Re:But... by symes · · Score: 2, Interesting

    In fact, in some ways poor countries have had an opportunity to leapfrog the West. If your country has never had a copper-wire phone system, and you're just getting started with phones, you may as well start off with cell phones or fiber optics.

    That's an interesting point and something similar happened after world war two when Germany's obliterated industry got completely rebuilt with all the latest tech. But there's always the issue of who pays...

  13. Re:20 year old technique by zippthorne · · Score: 2, Insightful

    A roll of film is not reusable.

    --
    Can you be Even More Awesome?!
  14. Re:Using only an LED? by story645 · · Score: 2, Interesting

    lebscorpio answered, but the geeky grammar explanation is that use of a and an is tagged to phonetics, not letters, so a gets used for a consonant sound and an when for a vowel sound.

    In this case:
    an 'cause commonly LED is read as el-ee-dee, (probably non accurate phonetic spelling) and el is a vowel sound.

    --
    open source modern art: laser taggi
  15. Torrent Please! by morriscat69 · · Score: 3, Insightful
    Software like this, especially software like this, needs to be shared.

    For the good of mankind.

    And before anyone says a word about IP or profit motive, take a few minutes to think about how unchecked/unrealistic profit motive has lead the US and world economy.

    Yes, the inventors/innovators (yup, that means the grad students as well professor) of this should make a tidy profit. This should not preclude non-profit use, and especially not preclude open discussion of how to make such potentially live saving technology better.

    Its time for med-tech (and pharma) to come out of greed's dark ages.

  16. Fail. Didn't say the magic word. by denzacar · · Score: 2, Funny

    If only they have used the magic "iPhone" incantation this would have been a success.
    Like they did here. Not very scientistie.

    Just compare these two titles.

    "Scientists Hack Cellphone To Detect Diseases" and "Scientists Hack iPhone To Detect Diseases"

    Can't you see just how much cooler the one on the right is?
    No? Hmm...
    Did you try crossing and uncrossing your eyes or viewing it on an iPhone screen?
    It looks MUCH cooler on an iPhone...

    --
    Mit der Dummheit kämpfen Götter selbst vergebens
  17. maybe you shouldn't assume so much by boombaard · · Score: 2, Informative
    Your "Facts" are wrong on so many levels it isn't even funny.
    Please have a look at this pdf (which admittedly uses OECD data from AD 2000, so they might be somewhat outdated, but it will do to make my point)

    On page 9 you'll see that public health spending (as a %age of total) is lowest in the US, (and highest in Sweden) and on page 10 you'll see that the total amount spent per person on healthcare in the US is nearly 73% higher than in the next country listed (Germany).
    Next, if you have a look at the CIA World Factbook: (website isn't working here, so using wikisource)
    and look at the figures for average life expectancy in the US compared to socialist Europe, the average in the US: about 74 (male) and 80 (female), whereas in Sweden, (which admittedly has better life expectancy than some EU countries, but i can't be arsed to find the median country) it's 78/82 years (2004 est)).
    Additionally, the Infant mortality rates:
    US: 6.63 deaths/1,000 live births
    Swe: total: 2.77 deaths/1,000 live births

    Sweden's per capita spending: less than 1700$
    United States per capita spending: 4100$

    Please show me how or why "government healthcare is bound to fail", or, alternatively, have a look at actual data.

    (Disclaimer: since 2004 a number of european countries are reforming/considering reforms to health care funding, because it's inefficient in some ways. Nevertheless, the fact remains that health care spending here costs less than half of what it costs in the US.)

  18. So "private" healthcare isn't insurance? by boombaard · · Score: 2, Insightful

    Insurance, in law and economics, is a form of risk management primarily used to hedge against the risk of a contingent loss. Insurance is defined as the equitable transfer of the risk of a loss, from one entity to another, in exchange for a premium, and can be thought of as a guaranteed small loss to prevent a large, possibly devastating loss. An insurer is a company selling the insurance; an insured is the person or entity buying the insurance.

    So you're saying this *does* apply to taxes and public healthcare, but not to private health care?
    because it seems to me to be really, really arbitrary how you don't see one as stealing, but you do the other.
    And considering that US per capita health care spending is more than double that of the other G7/European countries, (see my other comment in this thread if you like) I'd say you should care more about getting the care costs down, as that will automatically lower (the need for those idiotically high) premiums.
    It's outright sad that one third to half the US doesn't have access to health care, and that (anecdotal point) "Free Clinics" can still charge you 200$ for their free services. (this was for an SF guy i know who needed an allergy prescription worth 20$)
    And it's all made possible because of that weird fiction that health care is something special, rather than a basic right.
    It allows doctors to charge more (although they also have to pay enormous tuition fees because of lack of government funding), insurers to require more (because people can opt out, there's less carrying power or whatever it's called, because of the reduced number of people paying into the system, which means the costs can be spread less), and so on.
    imagine how much more affordable health care could be if spending was more in line with european spending.. you'd be able to keep healthy 60-80% more people easily at the same cost, people who then would also have smaller chances of contracting other illnesses (prevention is better than cure and all), who could work more (because they were healthier), and so on.

    Choosing to have a partially-diseased workforce is stealing from your GNP just as much as other things are.. it just depends on how far ahead you're able/willing to look.