Mobile Health (mHealth) analytical technologies are potentially useful
for carrying out modern medical diagnostics in resource-poor settings. Effective
mHealth devices for underserved populations need to be simple, low cost, and
portable. Although cell phone cameras have been used for biodetection, their
sensitivity is a limiting factor because currently it is too low to be effective
for many mHealth applications, which depend on detection of weak fluorescent
signals.
To improve the sensitivity of portable phones, a capillary tube array was
developed to amplify fluorescence signals using their waveguide properties. An
array configured with 36 capillary tubes was demonstrated to have a ~100X
increase in sensitivity, lowering the limit of detection (LOD) of mobile phones
from 1000 nM to 10 nM for fluorescein. To confirm that the amplification was due
to waveguide behavior, we coated the external surfaces of the capillaries with
silver. The silver coating interfered with the waveguide behavior and diminished
the fluorescence signal, thereby proving that the waveguide behavior was the
main mechanism for enhancing optical sensitivity.
The optical configuration described here is novel in several ways. First,
the use of capillaries waveguide properties to improve detection of weak
florescence signal is new. Second we describe here a three dimensional
illumination system, while conventional angular laser waveguide illumination is
spot (or line), which is functionally one-dimensional illumination, can
illuminate only a single capillary or a single column (when a line generator is
used) of capillaries and thus inherently limits the multiplexing capability of
detection. The planar illumination demonstrated in this work enables
illumination of a two dimensional capillary array (e.g. x columns and y rows of
capillaries). In addition, the waveguide light propagation via
the capillary wall provides a third dimension for illumination along the axis of
the capillaries. Such an array can potentially be used for sensitive analysis of
multiple fluorescent detection assays simultaneously.
The simple phone based capillary array approach presented in this paper
is capable of amplifying weak fluorescent signals thereby improving the
sensitivity of optical detectors based on mobile phones. This may allow
sensitive biological assays to be measured with low sensitivity detectors and
may make mHealth practical for many diagnostics applications, especially in
resource-poor and global health settings.