Wu Jiandong, Dong Meili, Rigatto Claudio, Liu Yong, Lin Francis
1Department of Physics and Astronomy, University of Manitoba, Winnipeg, MB Canada.
2Institute of Applied Technology, Hefei Institutes of Physical Science, Chinese Academy of Sciences, Hefei, Anhui China.
NPJ Digit Med. 2018 Apr 11;1:7. doi: 10.1038/s41746-017-0014-0. eCollection 2018.
Various types of chronic diseases (CD) are the leading causes of disability and death worldwide. While those diseases are chronic in nature, accurate and timely clinical decision making is critically required. Current diagnosis procedures are often lengthy and costly, which present a major bottleneck for effective CD healthcare. Rapid, reliable and low-cost diagnostic tools at point-of-care (PoC) are therefore on high demand. Owing to miniaturization, lab-on-chip (LoC) technology has high potential to enable improved biomedical applications in terms of low-cost, high-throughput, ease-of-operation and analysis. In this direction, research toward developing new LoC-based PoC systems for CD diagnosis is fast growing into an emerging area. Some studies in this area began to incorporate digital and mobile technologies. Here we review the recent developments of this area with the focus on chronic respiratory diseases (CRD), diabetes, and chronic kidney diseases (CKD). We conclude by discussing the challenges, opportunities and future perspectives of this field.
各类慢性疾病是全球残疾和死亡的主要原因。虽然这些疾病具有慢性特征,但准确及时的临床决策至关重要。当前的诊断程序往往冗长且成本高昂,这成为有效慢性疾病医疗保健的主要瓶颈。因此,对即时护理(PoC)的快速、可靠且低成本诊断工具需求极高。由于小型化,芯片实验室(LoC)技术在低成本、高通量、操作简便和分析方面具有实现改进生物医学应用的巨大潜力。在此方向上,用于慢性疾病诊断的新型基于芯片实验室的即时护理系统的研究正迅速发展成为一个新兴领域。该领域的一些研究已开始纳入数字和移动技术。在此,我们重点围绕慢性呼吸道疾病(CRD)、糖尿病和慢性肾病(CKD)综述该领域的最新进展。我们通过讨论该领域的挑战、机遇和未来展望来得出结论。