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Strategic reuse of rapid antigen tests for coagulation status assessment: an integrated machine learning approach
2024-10-09 50

Authors

Allan Sun, Arian Nasser, Chaohao Chen, Yunduo Charles Zhao, Haimei Zhao, Zihao Wang, Wenlong Cheng, Pierre Qian & Lining Arnold Ju

Abstract

Addressing the demand for rapid and affordable coagulation testing in cardiovascular care, this study introduces a novel application of repurposed COVID-19 rapid antigen tests (RATs) as paper-based lateral flow assays (LFAs) combined with machine learning for coagulation status evaluation. Using a random forest classifier, the platform evaluates red blood cell (RBC) wicked diffusion distance in recalcified citrated whole blood to inform real-time anticoagulant dosing adjustments. This approach leverages post-pandemic resources and demonstrates a cost-effective, rapid, and smart strategy to optimize clinical decision-making in coagulation management.

Highlights

• Repurposed COVID-19 RATs provide an ideal platform for observing differences in blood coagulability.

• Random Forest image classification algorithms can facilitate rapid coagulation status assessment on a paper-based LFA platform.

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