计算机辅助检测软件用于结核病筛查：世界卫生组织政策声明

WHO policy statement Use of computer-aideddetection software fortuberculosis screening WHO policy statement Use of computer-aided detection software for tuberculosis screening: WHO policy statement ISBN 978-92-4-011037-3 (electronic version)ISBN 978-92-4-011038-0 (print version) © World Health Organization 2025 Some rights reserved. This work is available under the Creative Commons Attribution-NonCommercial-ShareAlike 3.0 IGO licence(CC BY-NC-SA 3.0 IGO;https://creativecommons.org/licenses/by-nc-sa/3.0/igo). Under the terms of this licence, you may copy, redistribute and adapt the work for non-commercial purposes, provided thework is appropriately cited, as indicated below. In any use of this work, there should be no suggestion that WHO endorses anyspecific organization, products or services. The use of the WHO logo is not permitted. If you adapt the work, then you must licenseyour work under the same or equivalent Creative Commons licence. If you create a translation of this work, you should addthe following disclaimer along with the suggested citation:“This translation was not created by the World Health Organization(WHO). WHO is not responsible for the content or accuracy of this translation. The original English edition shall be the bindingand authentic edition”. Any mediation relating to disputes arising under the licence shall be conducted in accordance with the mediation rules of theWorld Intellectual Property Organization (http://www.wipo.int/amc/en/mediation/rules/). Suggested citation. Use of computer-aided detection software for tuberculosis screening: WHO policy statement. Geneva: WorldHealth Organization; 2025. Licence:CC BY-NC-SA 3.0 IGO. Cataloguing-in-Publication (CIP) data.CIP data are available athttps://iris.who.int/. Sales, rights and licensing.To purchase WHO publications, seehttps://www.who.int/publications/book-orders. To submitrequests for commercial use and queries on rights and licensing, seehttps://www.who.int/copyright. Third-party materials.If you wish to reuse material from this work that is attributed to a third party, such as tables, figures orimages, it is your responsibility to determine whether permission is needed for that reuse and to obtain permission from thecopyright holder. The risk of claims resulting from infringement of any third-party-owned component in the work rests solelywith the user. General disclaimers.The designations employed and the presentation of the material in this publication do not imply theexpression of any opinion whatsoever on the part of WHO concerning the legal status of any country, territory, city or area orof its authorities, or concerning the delimitation of its frontiers or boundaries. Dotted and dashed lines on maps representapproximate border lines for which there may not yet be full agreement. The mention of specific companies or of certain manufacturers’ products does not imply that they are endorsed or recommendedby WHO in preference to others of a similar nature that are not mentioned. Errors and omissions excepted, the names ofproprietary products are distinguished by initial capital letters. All reasonable precautions have been taken by WHO to verify the information contained in this publication. However, thepublished material is being distributed without warranty of any kind, either expressed or implied. The responsibility for theinterpretation and use of the material lies with the reader. In no event shall WHO be liable for damages arising from its use. Design by Inis Communication Use of computer-aideddetection software fortuberculosis screeningWHO POLICY STATEMENTAcknowledgementsivAbbreviations and acronymsvi1. WHO policy statement on computer-aided detection software for tuberculosis11.1 Background21.2 Summary of methods41.3 Summary of results61.4 Remarks111.5 Implementation considerations121.6 Future perspectives121.7 References13Annex 1. List of participants14Annex 2. TAG meeting agenda21Annex 3. Report on CAD performance (FIND)22Acknowledgements26List of abbreviations for Annex 327Executive summary281. Introduction302. Methods343. Results: Community screening use case424. Results: Facility screening use case575. Results: Exploratory analyses726. Discussion757. Bibliography for Annex 376Appendix 1. Vendor onboarding process77 Acknowledgements The development of this policy statement on the use of computer-aided detection software for tuberculosis(TB) screening was led by Cecily Miller and Dennis Falzon, with support from Nazir Ismail, Alexei Korobitsynand Matteo Zignol, under the overall direction of Tereza Kasaeva, Director of the World Health Organization(WHO) Global Programme on Tuberculosis & Lung Health (GTB). The WHO/GTB gratefully acknowledgesthe support and contributions of the individuals listed below (see alsoAnnex 1). Technical Advisory Group Mark Nicol (Chair), University of Western Australia, Australia; Heidi Albert, Foundation for InnovativeNew Diagnostics (FIND), South Africa; Khalide Aza