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EXAM: Ex vivo allograft monitoring dashboard

EXAM (ex vivo allograft monitoring) is an analytics dashboard for the hypothermic machine perfusion data in deceased-donor kidney transplantation.

Background

Deceased-donor kidney allografts are exposed to injury during ex vivo transport due to the lack of blood oxygen supply. Hypothermic machine perfusion (HMP) effectively reduces the risk of delayed graft function in kidney transplant recipients compared to standard cold storage. However, no software implementation is available to read, process, and analyze HMP data for state-of-the-art visualization and quality control.

EXAM can read, process, and visualize raw data from the LifePort kidney transporter (Organ Recovery Systems, USA).

Project description

EXAM was written in the R programming language and is based on the following tools.

  • Quarto Dashboard, a interactive dashboard for R
  • plotly, a graphics library for interactive charts
  • shiny, R package for interactive web applications
  • swt, the Swisstransplant R package

A detailed project description is provided in the reference at the bottom.

Screenshot

Screenshot of the EXAM dashboard.

Live dashboard

The dashboard is available at https://swisstransplant.shinyapps.io/EXAM/.

Validation

We have compared the EXAM tool with numerous case reports created by the software ORS Data Station. We made one such case report available; it can be compared to data from ST-0001-Example in the live dashboard.

References

Schwab, S., Steck, H., Binet, I., Elmer, A., Ender, W., Franscini, N., Haidar, F., Kuhn, C., Sidler, D., Storni, F., Krügel, N., & Immer, F. (2023). EXAM: Ex vivo allograft monitoring dashboard for the analysis of hypothermic machine perfusion data in deceased-donor kidney transplantation. Research Square. doi:10.21203/rs.3.rs-2713168/v1

Terms of use

Copyright 2023, Swisstransplant

This program is free software: you can redistribute it and/or modify it under the terms of the GNU Affero General Public License as published by the Free Software Foundation, either version 3 of the License, or (at your option) any later version.

This program is distributed in the hope that it will be useful, but WITHOUT ANY WARRANTY; without even the implied warranty of MERCHANTABILITY or FITNESS FOR A PARTICULAR PURPOSE. See the GNU Affero General Public License for more details.

You should have received a copy of the GNU Affero General Public License along with this program. If not, see https://www.gnu.org/licenses/.

Please let Swisstransplant know if you want to contribute to the project. Also, let Swisstransplant know if you are a transplant organization or hospital and would like to use EXAM for quality control. The contact person is Simon Schwab simon.schwab@swisstransplant.org.