From: Malaria and the ‘last’ parasite: how can technology help?
Application | Concept/detection principle | Biomarker/target | Limit of detection | Performance | Time (min) | Refs | |
---|---|---|---|---|---|---|---|
Sensitivity (%) | Specificity (%) | ||||||
Molecular analysis | Paper-based LAMP | P. falciparum | 5 p/µL | 61% | 98% | 45 min | [81] |
P. vivax | 81% | 98% | |||||
P. pan | > 80% | > 98% | |||||
Continuous flow PCR | P. falciparum | 2 p/µL | 97.40% | 93.80% | n/a | [86] | |
< 1 p/µL | n/a | n/a | 2.5 h | [87] | |||
Cell deformation mechanism | Inertial focusing | P. falciparum | 2–10 p/µL | n/a | n/a | 400 µL/min | [88] |
Inertial microfluidics | P. falciparum iRBCs | 2 cells/min | n/a | [89] | |||
Non-inertial lift effect | P. falciparum ring stage iRBCs | Enrichment factor of 4.3 | n/a | [90] | |||
Throughput 12,000 cells/h | |||||||
Electrical detection | Electrical conductivity of iRBCs is significantly higher than healthy RBCs | P. falciparum ring stage | n/a | n/a | [91] | ||
Optofluidic-flow analyser that can measure the optical absorption of RBCs in P. falciparum infected blood sample | P. falciparum | 1712 RBCs/s | n/a | 3 min | [92] | ||
2.96% parasite density | |||||||
Naked-eye screening of in-meso detection of hemozoin crystallites based on birefringence | Hemozoin crystals produced by P. falciparum | n/a | ~ 12 min | [58] | |||
Optical detection | Visual detection of colored assay spot on a disposable microfluidic card based on a flow-through membrane immunoassay | Malaria PfHRP2 | 10–20 ng/mL | n/a | 1–5 min | [79] | |
Paper-based catridge containing detection areas for both thin and thick smears | P. falciparum | 100 p/µL | n/a | 30 min | [93] | ||
Magnetic detection | Cell enrichment microfluidics combined with magnetic relaxometry detection | P. falciparum ring stage parasites | 5% parasite density | n/a | 15 min | [54] | |
Detection of hemozoin in iRBCs by magnetic resonance relaxometry | Hemozoin in iRBCs in P. falciparum infections | < 10 p/µL | n/a | Few mins | [94] |