Urinalysis Interference Flagging for Morphology-Based False Results

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Solution Overview

Problem

Current urinalysis methods face interference issues due to morphologically similar analytes, leading to false-positive or false-negative results, which are difficult to detect without manual inspection and additional analyses, especially in automated systems.

Innovation Solution

A system and method that generates interfering flags based on detection results from automated urinalysis analyzers, comparing measurements of morphologically similar analytes to user-configurable validation conditions, alerting users of potential interference and allowing for accurate urinalysis reporting without manual inspection.

Engineering Contradictions & Design Principles

VSEngineering Contradiction Analysis

1Productivity

If automated sediment analyzers are used for urinalysis, then productivity and ease of operation are improved, but reliability deteriorates due to undetected interference from morphologically similar analytes

Engineering Contradiction:
Improveurinalysis throughputVSAvoiddetection accuracy
Core Design Contradiction:
ProductivityVSReliability

Solution Approach 1:

The system performs preliminary detection of morphologically similar analytes (yeast, calcium oxalate crystals, white blood cells) before final reporting. By proactively identifying potential interferents and generating interfering flags, the system prevents false results from occurring in the first place, maintaining both high throughput and reliability

Inventive Principle:
Principle #10Preliminary action

Solution Approach 2:

The system implements a feedback mechanism where detection results are continuously monitored for patterns indicating interference. When morphologically similar analytes are detected at levels suggesting potential interference, the system automatically generates interfering flags and alerts users, creating a closed-loop quality control system that maintains reliability without reducing productivity

Inventive Principle:
Principle #23Feedback

2Reliability

If manual inspection and supporting analyses are performed to detect interference, then reliability is improved, but productivity and ease of operation deteriorate

Engineering Contradiction:
Improveinterference detection accuracyVSAvoidurinalysis throughput
Core Design Contradiction:
ReliabilityVSProductivity

Solution Approach 1:

The automated sediment analyzer performs self-quality-control by automatically detecting morphologically similar analytes and generating interfering flags without requiring manual inspection. The system serves itself by monitoring its own detection results for interference patterns, eliminating the need for time-consuming manual review while maintaining high reliability

Inventive Principle:
Principle #25Self-service

Solution Approach 2:

The system replaces manual mechanical inspection with automated digital image analysis and algorithmic interference detection. By using computer vision and pattern recognition algorithms to identify morphologically similar analytes, the system achieves reliable interference detection at automated speeds, eliminating the productivity loss associated with manual quality control

Inventive Principle:
Principle #28Mechanics substitution (Replace mechanical system)

Data Source

PatentUS20240036029A1Interfering flag to reduce falses diagnosis due to interfering conditions in microscopic morphology based sediment urinalysis
Publication Date: 2024.02.01 SIEMENS HEALTHCARE DIAGNOSTICS INC

AI summary

Non-limiting embodiments of a system(s) of generating interfering flags to reduce false diagnosis due to interfering conditions present in urinalysis results, and method(s) related thereto.