Sasikala 1
Sasikala 1
https://doi.org/10.1007/s42979-021-00680-y
SURVEY ARTICLE
Abstract
The airborne disease is a severe disease in the world that spreads exponentially. An Immunochromatography Test(IT) and
Biological Aerosol Particles (BAP) test with a disposable instrument that will be recorded in the literature is a standard
diagnostic procedure for respiratory infections, such as influenza and TB, in the investigation causes of suspected disease.
This examination helps the examiner to identify infectious patients quickly, efficiently, and inexpensively. Self-diagnosis,
however, is problematic because it requires a medical specialist to diagnose the diseases in infections. Chest radiography
is also not only the primary screening method that is focused on surgical imaging but also diagnostic radiology. Various
methods of classification of Tuberculosis are analyzed here. Computer-Assisted Diagnosis (CAD) has become popular, and
many researchers are involved in these fields of study. Numerous methods have been suggested for airborne identification
and Classification of lung diseases. The medical history of airborne tuberculosis disease in chest X-rays and a review of the
different approaches to diagnosing and Classification of the airborne disease are discussed in this article. According to the
literature on the relevant policies, items in this research field have been surveyed until 2020.
Introduction nuclei are produced when people cough, sneeze, yell or sing
when they have pulmonary or laryngeal TB disease.
In the human population, Tuberculosis (TB) is an infectious TB is distributed through the air from individual to indi-
disease. In airborne particles, termed droplet nuclei, TB is vidual. It is often caused by bacteria known as Mycobacte-
held from 1 to 5 microns in diameter [1]. Infectious droplet rium tuberculosis, often infected by human lungs [1]. TB is
conveyed by everyone or anywhere through the air. TB bac-
teria are easily spread through the air by coughing, sneezing,
spitting felt in patients. One-third of the world’s population
This article is part of the topical collection “Artificial Intelligence is contaminated with Mycobacterium TB bacteria at a rate of
for HealthCare” guest edited by Lydia Bouzar-Benlabiod, Stuart one percent of the newly infected people per year. TB bacte-
H. Rubin and Edwige Pissaloux.
ria have given the planet population a brief lifespan. Around
* S. Appavu alias Balamurugan nine million people worldwide are infected with TB disease.
[email protected] Over one million die per year [2]. Symptoms of TB, such as
J. Senthil Kumar cough, fever, weight loss, night sweats, will quickly deter-
[email protected] mine whether people have TB disease or not. Among the
S. Sasikala various types of individuals, TB is commonly accelerated
[email protected] quite slowly. Proactive for TB disease is also better suited to
1
reducing the transmission of the disease Velocity. The best
Department of Computer Science and Engineering,
Kalaginar Karunanidhi Institute of Technology, Coimbatore,
prevention of TB disease [3] is early diagnosis and medica-
Tamil Nadu, India tion reception from doctors. Other strategies or strategies for
2
Department of Computer Science, Central University
detecting TB in most developed countries have been expen-
of Tamil Nadu, Thiruvarur, Tamil Nadu, India sive. The cheapest early-detection method for other detection
3
Department of Computer Science and Engineering,
methods is detection from chest radiography images. 80%
Velammal College of Engineering and Technology, Madurai, of the population of Asia and African countries have been
Tamil Nadu, India
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screened for TB disease. Just 5–10% of the U.S. popula- system detect all bioaerosol particles immediately in the
tion has been contaminated with TB. Dealing with TB is sampling bag and indicates whether the patient’s disease is
very costly, complicated, and time-consuming for developed favorable or not. Sampling and operation of the BAP [9] is
countries. To highlight all the key drawbacks, causes, etc., a simple job so that anyone, not just medical personnel, can
the World Health Organisation (WHO) summarized the TB use theBAP.
management strategy [4]. This company has developed TB The BAP, by comparison, rapidly detects recovered air-
disease protocols, publications, and recommendations for borne biological particles like viruses by labeling fluorescent
the WHO. antibodies that directly bind with target particles [10]. The
There is a need for X-rays and successful TB screening in BAP can identify only one form of bioparticle. However, it
a substantial number of patients with TB infections to ensure can detect different types of biological particles using fluo-
adequate care for their conditions. In contrast to laboratory rescent antibodies and an optical fluorescence device across
methods, taking regular Chest X-rays (CXRs) is a cheap way many wavelength ranges. The downside of the method, as
to test for the presence of TB [5]. The screening method mentioned earlier, is cost-efficient, and medical experts are
aims to classify anything that is or may be relevant to a TB- required to diagnose the disease [11]. Therefore, the empha-
infected patient. Yet, mass screening of a large population sis was on the image processing side to diagnose airborne
is a time-consuming and tedious task that needs significant disease [12].
effort when performed manually. For this cause, Computer-
Aided Diagnostic (CAD) systems have been used to diag- Chest Radiography and Tuberculosis Screening
nose X-rayed chest tuberculosis infections. These systems
can reduce TB error detection risk and are therefore reli- Chest X-rays are a familiar supporting image that can iden-
ant on radiologists [6]. This paper reviews and outlines the tify and track breathing infections easily and rapidly, such
uses of automated image processing methods to diagnose as Tuberculosis and even other medical diagnoses imaging,
Tuberculosis in chest radiography images and examines the can be investigated [13]. The purpose of the current survey
potential possibilities. was to detect and monitor the efficient method for airborne
disease prediction. Patient inspirational efforts, penetration
or video blacks, and patient positioning/rotation adequacy
Popular Methods are the three critical technological considerations for chest
X-rays [14, 15]. This article explains chest X-rays in the
Concept of Detecting Biological Aerosol Particles test for Tuberculosis. Commonly used types of X-ray from
in a Patient’s Breath the healthcare and general hospital may be obtained. The
radiographic imaging and scanning result can be achieved
Figure 1 demonstrates a conceptual diagnostics focused by encouraging a dark space and a moving X-ray unit [16].
on a biological aerosol particle(BAP) identification in the TB screening is sufficient in communities with a high propa-
patient’s breath using a physical aerosol particle detection gation rate of TB active disease. The sick, the refugees, the
system [7]. We believe BAP can be installed in classrooms, season employees, the foreign-born will consume TB bac-
nurseries, offices, grocery stores, convenience stores, etc. teria in many situations. A clinical review of the laboratory
because it does not have to be delivered by medical profes- testing should begin screening for any disease. The follow-
sionals. In a sampling bag, users blow in and set the BAP ing are some high TB infections [17].
with a breath-filled sampling bag and a disposable unit con- • Remain close to confirmed or alleged active
taining the purpose of biological detection of particulates Tuberculosis.
by aerosol [8]. The BAP sample pack collection and the • HIV-positive people at risk.
• The best products for good people worldwide are those
who use illegal drug injecting and the High-Risk Consumers
TB Preventive Strategy [18].
Immunochromatographic Assay
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of Mycobacterium tuberculosis tough from nontuberculous neath. Given a preparation set of models with adequate
mycobacteria in liquid cultures is especially recognized. objectives, and dependent on this preparation set,
Fronterre et al. [20] Immunochromatographic assay pro- calculations react effectively to every single achiev-
vides a laboratory method for the safety of research labora- able information. Administered learning is otherwise
tories. However, in almost patient, the research uses com- called Learning from models. The Supervised Learning
mercially made ’pins’ using immunochromatography. The viewpoints are Classification and relapse [26–28]. By
theory is that the sample is added to the stick, for example, arrangement calculations, a class worth can be clarified
the urine, which is then formed through capillary attraction, or anticipated. For some AI applications, the order is
the interest study binding in a region with antibodies [21]. a necessary part. The order calculations are not con-
Positive and negative controls are also integrated. When fined to two classes and can be utilized in an assort-
combination the antigen and the antibody, a visible color ment of classifications to order protests. It gives a Yes
point or band forms, confirming the interesting compound’s or No expectation, for example, “Is this threatening
existence (Fig. 2). Although these instruments are costly and tumor?’’; “Does this patient have CVD or not?’’ For
unreliable, they offer a scientifically appropriate advantage preparing administered ML, relapse methods are uti-
as long as they are appropriately used [22]. lized. Relapse techniques are mainly pointed toward
depicting or anticipating an individual mathematical
worth using a past dataset. Relapse draws near, for the
Computer‑Aided Diagnosis for Tuberculosis model will take information from past examples of
coronary illness and gage the likelihood of coronary
Diagnosis by computer-assisted identification is often disease of a patient having comparable information.
referred to as computer-aided diagnosis, a diagnostic image The least complex and most essential methodology is
processing for radiological image diagnosis [23]. CAD known as straight relapse. Spectral signatures from
aims to obtain the best diagnostic precision outcome and training samples are used to identify an image in the
use the device output to interpret the coherent radiology supervised Classification [29].
image. The performance of CAD will assist radiologists in • Uncontrolled Classification:
diagnosing and offer care based on subjective judgment. In
computerized CAD applications, there are usually two types Unsupervised learning is preparing a machine utilizing no
of methods that find the position of lesions and measure ordered or then again named data that permits the calcula-
radiographic images’ characteristics, whether regular or tion to deal with this data without direction. Here, without
irregular patterns are included in the lungs. Other medical past information readiness, the machine’s job is to aggregate
imaging methods, such as X-ray, MRI, ultrasound, etc., col- unsorted information as indicated by likenesses, patterns,
lect information and help in the short-term study of tumor and varieties. Solo Learning will be learning without a guide
detection [24]. Image categorization applies to the test image or educator. It will then chip away at the datasets and make
files [25]. There are typically two forms of Classification connections or examples on those datasets dependent on
defined as follows: the made relationships. Unaided learning system attempts
to evaluate the varieties in information and groups the results
• Classification under supervision: dependent on those disparities. It is frequently called size
In point of supervised learning at which the model assessment. Clustering needs exercises without management
is getting prepared on a marked dataset. The marked [26–28]. The job of grouping is to part the populace or infor-
dataset has both info and yield boundaries. In this mation focuses into an assortment of gatherings. The same
kind of learning, both designing and approval, data- communities’ information purposes are more like the infor-
sets are marked as demonstrated in the figures under- mation purposes of a similar organization, what is more,
separate from different gatherings’ information purposes.
It is a rundown of items dependent on their closeness and
disparity. It is commonly used to discover solid design, nec-
essary logical components, generative properties, and group-
ings intrinsic in a progression of models as a framework. It
is regularly utilized in numerous utilizations, such as picture
preparing, examining information, and recognizing designs.
Uncontrolled Classification finds multi-band picture clus-
ters without the review. Zhang [30] Many of the methodolo-
gies proposed in the literature for classifying the disease.
Fig. 2 Immunochromatography assay The Image Classification methods are.
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Artificial Neural Network (ANN) CNN has to be used in various fields for several different
purposes. Highlights from the information on the image play
An artificial neural network is a form of artificial intelligence a critical role in this convolution stage. The convolutionary
that has many human mind functions. An ANN has a sheet layer is the first step of CNN continuously. The function-
series. There is a collection of neurons in each layer of a alities are identified from the input image, and the function
neural network system. Weighted connections to all neurons map generated. The next step of the convolution layer is the
on the previous and subsequent layers bind neurons of all straight unit layer. The enactment function has been used
layers. The precision varies depending on the input number here on the function maps to maximize the network non-
and network configuration. ANN is a strategy that is not linearity. Here, we can quickly delete the negative values.
parametric. The Classification of inputs is very fast in this The pooling method will decrease the input size progres-
system, but the process of training is long. It is challenging sively. The pooling move will mitigate overlap. The requisite
to pick the best architecture [27]. parameters can be easily indicated by reducing the amount
The method of the artificial neural network and its archi- of the appropriate parameter. It is a straightforward move in
tecture is illustrated in Fig. 3. the sequential column of numbers to flatten the function’s
polled map. Here, we can merge the functions with the
Convolutional Neural Network (CNN) attributes. The classification method can then be achieved
with a high degree of precision. The error can mainly be
For this Classification, CNN was used, which is one of the measured and distributed back.
robust algorithms. The goal is rated as possible. It is a pre- Softmax is also used for mapping a non-standard network
trained convolution algorithm. CNN provides for the study output over expected output groups on neural networks. The
of differences between the single dependent variable and one Softmax was applied for many problems in different fields
or more separate variables. The CNN measures the likeli- of study. Those decimal odds must be 1.0. Take note of the
hoods of a function. There is a complete distribution. The related softmax variations:
first step of CNN is to read and resize the image and then • Softmax that will measure a probability for each imagi-
measure its possible class, as shown in Fig. 3, to complete nable class.
the classification process. The neural network of convolu- • Softmax is likely only for an arbitrary example of nega-
tion is one of the neural networks of deep learning. In image tive names to estimate all positive words’ probability.
detection and the classification process, CNN marks a sig- The layers of the CNN architecture as illustrated in Fig. 4.
nificant advance. A CNN in the form of layers was created
[31–33]. Support Vector Machine
Decision Tree
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ANN It can distinguish dynamic non-straight communications The customer doesn’t approach the specific dynamic system and
between subordinate also, free factors subsequently it is computationally exorbitant to prepare the
Needs less thorough numerical and measurable information organization for a mind boggling grouping task
Existence of a few preparing calculations Independent highlights should be pre-prepared
Can be reached out to issues of characterization and relapse
CNN The various leveled design in information and collect more Related with their subordinate innovation, for examples semicon-
unpredictable examples utilizing more modest and less com- ductor
plex examples
SVM It is substantially more steady than LR Computational expense is exceptionally high for gigantic and
Able to deal with a few component spaces confounded datasets
The possibility of over-fitting is practically nothing For the situation of boisterous information, execution is excep-
Classification exactness for semi-organized or unstructured tionally poor
documents, The yield model, weight, and impact of highlights are frequently
for example, messages, pictures, and so on is high hard to decipher
Generic SVM can’t arrange multiple classes until it has been
extended
DT The subsequent order tree is easier to get a handle on and Include classes that are totally unrelated
examine The calculation can’t part if a non-leaf hub property or highlight
The pre-handling of information is a lot simpler than different esteem is missing
strategies The calculation depends on the request for the credits or high-
Various information types, for example, mathematical, ostensi- lights
ble, absolute, are similarly acknowledged May not do comparable to each other classifier (e.g., the Artificial
It can create strong classifiers utilizing group strategies and can Neural Network)
be checked by methods for factual testing
Digizaon
Enhancement methods
Calibraon Registraon Opmizaon Transformaon Filtering
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image history. The intensity value of the neighborhood and the redundant data are present, the feature extraction
pixel has been used by most preprocessing techniques to is the primary step to speed up classification. This paper
derive the input images’ brightness intensity value. Domi- presents geometry and texture characteristics. The extracted
nant explanations exist for the image preprocessing step elements are the basis for the grading process. These features
requirement processes [41]. are used for medical image processing to establish diagnostic
rules for the identification of pulmonary nodules.
Segmentation
Geometry Features
Forero-Vargas et al. [42] To obtain high-quality features for
Classification, image segmentation is very critical for the Features, such as geometric, photometric, textural, can be
preprocessing processes. Clustering pixels with the same selected depending on the X-ray of the abnormalities. The
intensity value from the entire image region, distinguishing writers recommended a detection system known as a gross to
regions or artifacts from the desired portion of the original the acceptable method of Classification. Geometric function
image, covering the unwanted part or surfaces are the main learning incorporates two approaches to addressing visual
functions of image segmentation. Image segmentation is tasks, which are machine learning and computer viewing.
implemented in several embodiments preprocessing areas, The geometrical feature-learning course’s principal aim is
such as object recognition, object occlusion, boundary esti- to find a collection of representative features of geometric
mation, image database editing or query, image protection, form that reflect an entity by extracting geometrical features
and image compression. In general, image segmentation from images. In addition to solving recognition problems,
algorithms are based on two superficial characteristics of geometrical function learning methods can also be predicted
intensity values, which are discontinuity and similarity. The in the following steps that evaluate the sequential input sen-
Discontinuity property renders an image partition dependent sory images [14].
on changes in the substantial intensity value. The Similarity
property divides the picture into regions that are identical Texture Features
to the parameters defined. For the medical image analysis
mission in chest radiographs, which is primarily for com- To mimic a radiologist who does a visual analysis of the
puter-aided diagnosis, the segmentation process must be texture function of a thoracic image of X-ray to make a diag-
performed correctly. For example, according to the various nosis, using the estimation by a computer of texture features
nodular scale measures, the determination of lung nodules that are to be used as a descriptor for classification of images
is challenging. In the lung segmentation step, multiple kinds as TB or NonTB [41]. Many methods are present, such as
of approaches have been addressed. Different lung segmen- Grey-level co-occurrence matrix, principal component
tation approaches are provided, including pixel grouping, analysis [39, 40] of the elements, minimum sound fraction
methods based on rules, active forms, and other variations. transformation, discriminatory analysis, boundary judgment
For lung segmentation, three separate masks are used, such feature extraction, non-parametric weighted feature extrac-
as the intensity mask, the Log Gabor mask, and the lung tion, transform wavelet and spectral studies of the mixture
model mask [43]. [27, 30, 31, 33, 35, 48]. Graphical analyses and mathemati-
The computer-aided identification schemes have been cal techniques (e.g., average divergence, transformed diver-
argued much in the research paper. One essential feature of gence, Bhattacharyya distance, Jeffreys–Matusita distance)
these is lung segmentation. For example, deformable model- have been used to define the optimum subset of bands for a
based systems, pixel-based methods [44], rule-based [45], wide range of data analyses (e.g., graphical bar spectra, co-
and hybrid methods [46] have been proposed for the seg- spectral medium vector plots). Selection of features is how
mentation of the lung image CXRs since standard segmenta- we pick the features that most add to your forecast attribute
tion techniques are unable to segment and adjust variations or performance, either manually or automatically. Our data
to lung borders precisely. include irrelevant characteristics that will reduce model pre-
cision and help our model learn from unrelated traits.
Feature extraction and selection
Zunair et al. [47] Feature extraction reduces the characteris- Conclusion and Future Implications
tic image values, and results are obtained easier. The extrac-
tion function is a particular format for reducing pattern rec- Advances in medical image analysis over the past 20 years
ognition dimensionality and other fields of imaging science. have contributed to a range of algorithms and ideas that
Characteristics are the various shapes or strength values, or allow for the management of commercial solutions in preci-
vectors. When the input image is comprehensive to process, sion, efficiency, and speed to solve medical image analysis
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tasks. New problems emerged concurrently. First, more Table 2 Comparative analysis
standard image recognition technologies are required, which Study Type of images Method used Accuracy (%)
can be tailored effectively for a particular clinical mission.
Second, to satisfy growing demands for validation and Ozturk et al. [53] Chest X-ray DarkcovidNet 98.08
machinery learning, efficient approaches for ground truth Sudirman et al. Chest X-ray SVM 79.50
[26]
development are required. Third, heterogeneous picture data
Al-Timemy et al. Chest X-ray ResNET-50 93.6
analysis algorithms are needed. Finally, in many applica-
[2]
tions, anatomical and organ modeling plays a decisive role,
Kukker and Chest X-ray Modified fuzzy 91.6
and algorithms are necessary for constructing patient-spe- Sharma. [3] Q learning
cific models from medical images with minimal user inter- (MFQL)
vention. These problems are in addition to the continuing algorithm
need for more precise and efficient algorithms and faster Farouk Hassan [8] Chest X-ray CNN 94.1
algorithms for specific applications. For this review, the Li Y et al. [44] Chest X-ray Chechaid 95
methods proposed in the last two decades for traditional and Zunair et al. [24] CT 2DCNN 67.5
X-ray images have been considered. As mentioned earlier, Abideen [54] Chest X-ray BCNN 96.42
aerosol analysis, including TB diagnosis, is the most com- Gao [55] CT 3D block-based 85.29
residual deep
monly used approach for active airborne disease. Sputum
learning
or aerosol analyses from the early morning are favored for network
improved perfornce. One downside in the traditional method
was, however, is its failure to detect multi-drug resistant TB
(MDR-TB). This is since, under a bright field/fluorescence ionizing radiation from a CT scanner, minimize costs and
microscope, both regular TB bacilli and MDR-TB bacilli increase patient safety. This is a big move forward. Nie has
morphology appears identical. However, if medical reports also taken advantage of the GANs’ ability to produce higher
and digital photographs of sputum or aerosol are preserved photographs of natives [50] and reduced CT images’ blurri-
for future reference, annual tests will also classify multi- ness. They can be used to create better-quality MRI images
drug resistant TB. Nevertheless, for manual research where through a useful expansion of resolution enhancements tech-
images are not processed, this is not feasible. To reduce its niques. MRI images require high-quality (and thus expen-
transmission to other persons, early identification and treat- sive) MRI scanners. High-quality MRI image. This will
ment of TB (especially MDR-TB) are crucial. Developing a reduce healthcare expenses by algorithmically generating
fully automatic method for detecting TB based on a Micro- high-quality MRI images in a less field-resistance scanner
scopic sputum smear or chest X-ray scans is daunting. Still, [49] showed a recent application to predict the fundamen-
they are helpful for the prompt and reliable diagnosis of TB. tal molecular origin of tissue in the emerging field of radio
This paper is reviewed using the CAD and manual method genomics. For the first time, he used an autoencoder to learn
for detecting airborne diseases. The automatic chest X-ray latent characteristics from MRI images from data collected
examination was conducted for pulmonary TB detection. from The Atlas Glioblastoma Multiform Cancer Genome
This paper focuses on TB classification steps from X-ray (TCGA-GBM).
images, including preprocessing, feature extraction, and The studied aspects have then been fed into an ultimately
classification of features. Many experiments in this sector linked layer of classification to classify an MRI scan into one
have taken place over many years. The analysis description of GBM’s four molecular subtypes. Although early in life,
occurs in Table 2. This article is based upon all these obser- Chang’s work could theoretically diagnose a GBM subtype
vations and inquiries to detect the ability of TB in acoustic and escape the need for surgical biopsy and molecular test-
radiography. The effort of medical officers and radiologists ing. This approach is also promising in terms of the generali-
is greatly diminished. zation of other tumors in the organism. To identify lung can-
The previous sections addressed conventional applica- cer subtypes and forecast common genetic mutations, [51]
tions for the processing of medical photographs. Forecast- have done a related job. It aids in predicting the period of
ing image recovery, image report and subtitling generation survival and in directing chemotherapy the option of genetic
and modulation of physical structures using LSTMs, and mutations. Its approach leads to a pathologist with AUC
strengthening education are new areas of study, including rates from 0.73 to 0.86 in estimating genetic mutation. Tso-
surgical ribbons. Below are listed some groundbreaking chatzidis [52] identified the initial work integrating CBIR
solutions spanning specific categories of medical image and CBIR image recovery (CADx). Essentially, their model
processing. Matsui et al. [49] have published a fascinating separated a lesion on a query image into 400 regions from
application in which GANs created CT brain images from the Automated Screening Mammography database, contrast-
MRI images. This is impressive since patients can avoid ing it to segmented lesions in the databank (DDSM). The
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basis for a distinction was the distances between the Euclid- 16. Hashmi MF, Katiyar S, Keskar AG, Bokde ND, Geem ZWJD
ian’s and the database lesions representing the query lesion Efficient pneumonia detection in chest xray images using deep
transfer learning. 2020;10(6):417.
vectors. The model provides reference pictures and the pos- 17. Purkayastha S, Bhimireddy A, Sinha P, Gichoya JW Using
sibility that a lesion is benign or malignant. They reported ImageBERT to improve performance of multi-class Chest Xray
that their CBIR and CADx combination treatment resulted classification. 2020.
in an up-to-date 81 percent predictability. These examples 18. Sahlol AT, Abd Elaziz M, Tariq Jamal A, Damaševičius R,
Farouk Hassan OJS A novel method for detection of tuberculo-
illustrate the quickly evolving field of machine learning in sis in chest radiographs using artificial ecosystem-based opti-
studying medical images and the various applications yet to misation of deep neural network features. 2020;12(7):1146.
be developed. 19. Považan A, Vukelić A, Savković T. Kurucin T Use of immu-
nochromatographic assay for rapid identification of Mycobac-
terium Tuberculosis complex from liquid culture. Bosn J Basic
Med Sci. 2012;12(1):33–6. https://d oi.o rg/1 0.1 7305/b jbms.
Declarations 2012.2531 (PMCID: PMC4362415).
20. Frontera C, Amoah B, Giorgi E, Stanton MC, Diggle PJJTJOID
Conflict of interest On behalf of all authors, the corresponding author Design and analysis of elimination surveys for neglected tropi-
states that there is no conflict of interest. cal diseases 221. 2020;(Supplement_5):S554–S560.
21. Jayaraman M, Das SJIJOAIM Detection and comparison of
malaria by conventional, rapid immuno chromatographic and
molecular technique. 2020;7(9):1400.
22. Wei Y et al. A rapid and quantitative fluorescent microsphere
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