ORAHS2024
Abstract Submission

97. A Medical Samples Dispatching Problem

Contributed abstract in session TA-3: Healthcare Logistics /1, stream Regular talks.

Tuesday, 9:00-10:30
Room: Room S2

Authors (first author is the speaker)

1. Jean-Charles Billaut
University of Tours
2. Hélène Blasco
Université de Tours, INSERM
3. Marina Vinot
Université de Tours

Abstract

For many rare diseases (e.g. amyotrophic lateral sclerosis), no diagnostic and prognostic biomarkers have been identified to help ensure good patient care and medical research in these areas is generally very active. For each disease, several centers treat cohorts of patients, with regular visits for clinical and biological explorations. In the field of health research, many research projects are based on the exploration of biological fluid samples and involve different hospital centers. The need to centralize samples in specialized laboratories responsible for specific biological analyzes is crucial. The Medical Samples Dispatching Problem is how to organize the flows to optimize the use of these precious samples.
We consider that several biological fluids (blood, cerebrospinal fluid, etc.) are collected from each patient of each cohort in several tubes of varying quantities. Each product must reach the other centers, which express needs for each product. Three constraints complicate this (sort of flow) problem: (1) dividing a sample into several portions is a tedious aliquoting operation, (2) a shipment requires a freeze/thaw operation, and (3) a patient sample cannot arrive in two different tubes on the same site. We minimize the maximum number of aliquoting operations and limit the number of freezing operations. We show that this problem is NP-complete, propose an MILP model, a lower bound and heuristic algorithms.

Keywords

Status: accepted


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