IEEE Trans Biomed Eng. 2013 Dec;60(12):3276-83. doi: 10.1109/TBME.2013.2272666.
The use of in vitro diagnostic devices is transitioning from the laboratory to the primary care setting to address early disease detection needs. Time critical viral diagnoses are often made without support due to the experimental time required in today's standard tests. Available rapid point of care (POC) viral tests are less reliable, requiring a follow-on confirmatory test before conclusions can be drawn. The development of a reliable POC viral test for the primary care setting would decrease the time for diagnosis leading to a lower chance of transmission and improve recovery. The single particle interferometric reflectance imaging sensor (SP-IRIS) has been shown to be a sensitive and specific-detection platform in serum and whole blood. This paper presents a step towards a POC viral assay through a SP-IRIS prototype with automated data acquisition and analysis and a simple, easy-to-use software interface. Decreasing operation complexity highlights the potential of SP-IRIS as a sensitive and specific POC diagnostic tool. With the integration of a microfluidic cartridge, this automated instrument will allow an untrained user to run a sample-to-answer viral assay in the POC setting.
体外诊断设备的使用正从实验室向初级保健环境转变,以满足早期疾病检测的需求。由于当今标准检测所需的实验时间,时间关键的病毒诊断往往无法得到支持。现有的快速即时检测(POC)病毒检测的可靠性较低,在得出结论之前需要进行后续的确认检测。在初级保健环境中开发一种可靠的 POC 病毒检测方法将减少诊断所需的时间,从而降低传播的机会并促进康复。单颗粒干涉反射成像传感器(SP-IRIS)已被证明是一种在血清和全血中具有高灵敏度和特异性的检测平台。本文通过具有自动数据采集和分析功能的 SP-IRIS 原型,以及简单易用的软件界面,展示了一种迈向 POC 病毒检测的方法。降低操作复杂性突出了 SP-IRIS 作为一种灵敏和特异的 POC 诊断工具的潜力。通过集成微流控芯片,这种自动化仪器将允许未经培训的用户在 POC 环境中进行样本到答案的病毒检测。