Boppart Stephen A, Richards-Kortum Rebecca
Beckman Institute for Advanced Science and Technology, University of Illinois at Urbana-Champaign, Urbana, IL 61801, USA. Department of Electrical and Computer Engineering, University of Illinois at Urbana-Champaign, Urbana, IL 61801, USA. Department of Bioengineering, University of Illinois at Urbana-Champaign, Urbana, IL 61801, USA. Department of Internal Medicine, University of Illinois at Urbana-Champaign, Urbana, IL 61801, USA.
Department of Bioengineering, Rice University, Houston, TX 77030, USA. Department of Electrical and Computer Engineering, Rice University, Houston, TX 77030, USA.
Sci Transl Med. 2014 Sep 10;6(253):253rv2. doi: 10.1126/scitranslmed.3009725.
Leveraging advances in consumer electronics and wireless telecommunications, low-cost, portable optical imaging devices have the potential to improve screening and detection of disease at the point of care in primary health care settings in both low- and high-resource countries. Similarly, real-time optical imaging technologies can improve diagnosis and treatment at the point of procedure by circumventing the need for biopsy and analysis by expert pathologists, who are scarce in developing countries. Although many optical imaging technologies have been translated from bench to bedside, industry support is needed to commercialize and broadly disseminate these from the patient level to the population level to transform the standard of care. This review provides an overview of promising optical imaging technologies, the infrastructure needed to integrate them into widespread clinical use, and the challenges that must be addressed to harness the potential of these technologies to improve health care systems around the world.
利用消费电子产品和无线通信技术的进步,低成本、便携式光学成像设备有潜力在资源匮乏和资源丰富的国家的初级卫生保健机构中改善即时医疗点的疾病筛查和检测。同样,实时光学成像技术可以通过避免发展中国家稀缺的专家病理学家进行活检和分析的需求,改善手术过程中的诊断和治疗。尽管许多光学成像技术已从实验室转化到临床应用,但仍需要行业支持将这些技术从患者层面商业化并广泛推广到人群层面,以改变医疗护理标准。本综述概述了有前景的光学成像技术、将它们整合到广泛临床应用所需的基础设施,以及为发挥这些技术的潜力以改善全球医疗保健系统而必须应对的挑战。