RT Journal Article T1 Remote analysis of sputum smears for mycobacterium tuberculosis quantification using digital crowdsourcing A1 García Delgado, Lara A1 Postigo, María A1 Cuadrado, Daniel A1 Gil-Casanova, Sara A1 Martínez Martínez, Álvaro A1 Linares Gómez, María A1 Merino Amador, Paloma A1 Gimo, Manuel A1 Blanco, Silvia A1 Bassat, Quique A1 Santos, Andrés A1 García-Basteiro, Alberto L. A1 Ledesma-Carbayo, María J. A1 Luengo-Oroz, Miguel Á. A2 Frederick Quinn, AB Worldwide, TB is one of the top 10 causes of death and the leading cause from a single infectious agent. Although the development and roll out of Xpert MTB/RIF has recently become a major breakthrough in the field of TB diagnosis, smear microscopy remains the most widely used method for TB diagnosis, especially in low- and middle-income countries. This research tests the feasibility of a crowdsourced approach to tuberculosis image analysis. In particular, we investigated whether anonymous volunteers with no prior experience would be able to count acid-fast bacilli in digitized images of sputum smears by playing an online game. Following this approach 1790 people identified the acid-fast bacilli present in 60 digitized images, the best overall performance was obtained with a specific number of combined analysis from different players and the performance was evaluated with the F1 score, sensitivity and positive predictive value, reaching values of 0.933, 0.968 and 0.91, respectively. SN 1932-6203 YR 2022 FD 2022-05-19 LK https://hdl.handle.net/20.500.14352/101967 UL https://hdl.handle.net/20.500.14352/101967 LA eng NO Spanish Ministry of Science, Innovation and Universities NO Spotlab NO Comunidad de Madrid NO Government of Mozambique NO Spanish Agency for International Development DS Docta Complutense RD 14 dic 2025