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大数据在分子诊断学中的应用。

The applications of big data in molecular diagnostics.

机构信息

Department of Health Technology and Informatics, Hong Kong Polytechnic University , Hong Kong Special Administrative Region.

Codex Genetics Limited , Hong Kong Special Administrative Region.

出版信息

Expert Rev Mol Diagn. 2019 Oct;19(10):905-917. doi: 10.1080/14737159.2019.1657834. Epub 2019 Aug 29.

Abstract

: Big Data technologies instilled an informational perspective to our understanding of the world. However, fundamental issues such as the management and storage of data can create privacy concerns. Heterogeneous types of data pose challenges in reproducibility and standardization. It is now an opportunity for us to help the health-care professionals, educators, and policy-makers understand the impact of Big Data, and steer the development roadmap to positively impact the molecular diagnostic industry. : In this review, we discuss the latest trends in applying Big Data to several key areas of molecular diagnostics: metagenomics, Mendelian disease screening, personalized medicine, and metabolomics. The limitations of utilizing bioinformatics and Big Data analytic tools are also summarized. We further propose an action plan on how to prepare a new generation of health-care professionals to step into the age of Big Data through a tailor-made bioinformatics training program. : In order to cope with the development of these powerful technologies, issues of ethics, regulations, and data format standardization are urgently needed. Besides, a long-term planning to train medical scientists, pathologists, and specialists on bioinformatics is necessary. It is an appropriate time to review all these issues before implementing these tests for patients' diagnosis, prognosis and treatment efficacy.

摘要

大数据技术为我们理解世界带来了信息视角。然而,数据的管理和存储等基本问题可能引发隐私问题。不同类型的数据给可重复性和标准化带来了挑战。现在,我们有机会帮助医疗保健专业人员、教育工作者和政策制定者了解大数据的影响,并制定发展路线图,积极影响分子诊断行业。

在这篇综述中,我们讨论了将大数据应用于分子诊断的几个关键领域的最新趋势:宏基因组学、孟德尔疾病筛查、个性化医学和代谢组学。还总结了利用生物信息学和大数据分析工具的局限性。我们进一步提出了一个行动计划,通过定制的生物信息学培训计划,如何为新一代医疗保健专业人员做好准备,迎接大数据时代的到来。

为了应对这些强大技术的发展,迫切需要解决伦理、法规和数据格式标准化等问题。此外,有必要对医学科学家、病理学家和生物信息学专家进行长期培训。在为患者的诊断、预后和治疗效果实施这些检测之前,审查所有这些问题是恰当的时机。

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