About this trial
SPOT-TB (Screening with Portable X-rays for rapid recOgniTion of TB) is a prospective study evaluating a community-based tuberculosis (TB) screening strategy for migrant populations in New York City. The screening intervention integrates mobile ultra-portable digital chest radiography with artificial intelligence-assisted image interpretation, tuberculosis symptom assessment, latent tuberculosis infection testing, and HIV testing. Participants with concerning screening findings are referred for appropriate clinical evaluation. The study will evaluate the feasibility, acceptability, and effectiveness of this integrated screening strategy for improving early identification of active pulmonary tuberculosis and linkage to care in community settings.
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Adult persons 18 years or older
Self-identifying as migrants to the US
Self-reporting migration within the 24 months
Disqualifiers
Lack capacity for informed consent
Unable to perform translation/study materials not available in appropriate language
Unwilling to participate
Prisoner
Trial design
Single group
Treatments tested in this trial
Mobile chest radiography for tuberculosis screening
Diagnostic testThe diagnostic screening includes a digital chest x-ray (includes AI software to interpret x-rays), optional lung ultrasound, oral swab for HIV testing, and a blood draw for TB testing.
Treatment groups
Trial outcomes
Primary outcomes
Completion of Appropriate Clinical Referrals
Proportion of participants who complete recommended diagnostic evaluations and clinical referrals, stratified by tuberculosis risk screening group.
Sponsors and contacts
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Columbia University
Lead sponsor
National Institute of Allergy and Infectious Diseases (NIAID)
Collaborator