5.2.1 Computer-aided detection

Further evidence is needed about the performance of CAD software stratified according to the characteristics of the individual being evaluated (e.g. by smear status, HIV status, age cohort, history of TB, smoking status, sex) to allow for better setting-specific and patient-specific calibration of CAD programmes.

More research on users’ perspectives is needed about CAD technologies in TB screening and triage, including their perceived acceptability to patients, providers and other stakeholders.

The development and evaluation of CAD programmes for automated detection of TB in children is urgently needed, as CXR is an important tool for detecting pulmonary TB in children and adolescents, given the difficulty of bacteriological testing and diagnosis.

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