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Accepted for/Published in: JMIR Formative Research

Date Submitted: Jun 10, 2024
Open Peer Review Period: Jul 9, 2024 - Sep 3, 2024
Date Accepted: Nov 13, 2024
(closed for review but you can still tweet)

The final, peer-reviewed published version of this preprint can be found here:

Verification of the Reliability of an Automated Urine Test Strip Colorimetric Program Using Colorimetric Analysis: Survey Study

Inagaki K, Tsuriya D, Hashimoto T, Nakamura K

Verification of the Reliability of an Automated Urine Test Strip Colorimetric Program Using Colorimetric Analysis: Survey Study

JMIR Form Res 2025;9:e62772

DOI: 10.2196/62772

PMID: 39810396

PMCID: 11750113

Verification of the Reliability of an Automated Urine Test Strip Colorimetric Program Using Colorimetric Analysis: A Quasi-Experimental Study

  • Keigo Inagaki; 
  • Daisuke Tsuriya; 
  • Takuya Hashimoto; 
  • Katsumasa Nakamura

ABSTRACT

Background:

Background:

Visual judgment is susceptible to human errors, such as evaluation item errors and judgment time variations. Automated Urine Test Strip Colorimetric testing may be used by practitioners and small-scale medical check-up facilities to test urine samples.

Objective:

Objective:

We develop an automated urine test strip colorimetric program using images taken with a smartphone camera to judge the color of the urinalysis test strips objectively.

Methods:

Methods:

To verify the program's reliability, we compare urine samples from real patients with the results of an automated urine analyzer.

Results:

Results:

The concordance rate with the automated urine analyzer is 78.6% on average for 12 items. The concordance rate for the ±1 rank test is 95.4%. In addition, determining urinary albumin level results in a sensitivity of 100% and specificity of 58.6%. The area under the curve derived from the ROC curve is 0.907.

Conclusions:

Conclusions:

The results clarified that colorimetric analysis in a fixed imaging environment could be used to determine urine test strips without calibration. This method may be used to screen for microalbuminuria, helping prevent exacerbation of diabetic nephropathy.


 Citation

Please cite as:

Inagaki K, Tsuriya D, Hashimoto T, Nakamura K

Verification of the Reliability of an Automated Urine Test Strip Colorimetric Program Using Colorimetric Analysis: Survey Study

JMIR Form Res 2025;9:e62772

DOI: 10.2196/62772

PMID: 39810396

PMCID: 11750113

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