Lee Geon-Hui, Moon Hanul, Kim Hyemin, Lee Gae Hwang, Kwon Woosung, Yoo Seunghyup, Myung David, Yun Seok Hyun, Bao Zhenan, Hahn Sei Kwang
Department of Materials Science and Engineering, Pohang University of Science and Technology (POSTECH), Pohang, South Korea.
Department of Chemical Engineering, Stanford University, Stanford, CA, USA.
Nat Rev Mater. 2020 Feb;5(2):149-165. doi: 10.1038/s41578-019-0167-3. Epub 2020 Jan 7.
Numerous light-based diagnostic and therapeutic devices are routinely used in the clinic. These devices have a familiar look as items plugged in the wall or placed at patients' bedsides, but recently, many new ideas have been proposed for the realization of implantable or wearable functional devices. Many advances are being fuelled by the development of multifunctional materials for photonic healthcare devices. However, the finite depth of light penetration in the body is still a serious constraint for their clinical applications. In this Review, we discuss the basic concepts and some examples of state-of-the-art implantable and wearable photonic healthcare devices for diagnostic and therapeutic applications. First, we describe emerging multifunctional materials critical to the advent of next-generation implantable and wearable photonic healthcare devices and discuss the path for their clinical translation. Then, we examine implantable photonic healthcare devices in terms of their properties and diagnostic and therapeutic functions. We next describe exemplary cases of noninvasive, wearable photonic healthcare devices across different anatomical applications. Finally, we discuss the future research directions for the field, in particular regarding mobile healthcare and personalized medicine.
临床上经常使用许多基于光的诊断和治疗设备。这些设备看起来很常见,要么是插在墙上的物品,要么是放在患者床边的设备,但最近,人们提出了许多新想法,以实现可植入或可穿戴的功能设备。用于光子医疗设备的多功能材料的发展推动了许多进展。然而,光在体内的穿透深度有限仍然是其临床应用的一个严重限制。在本综述中,我们讨论了用于诊断和治疗应用的先进可植入和可穿戴光子医疗设备的基本概念和一些示例。首先,我们描述了对下一代可植入和可穿戴光子医疗设备的出现至关重要的新兴多功能材料,并讨论了它们临床转化的途径。然后,我们从其特性以及诊断和治疗功能方面研究可植入光子医疗设备。接下来,我们描述跨不同解剖学应用的非侵入性、可穿戴光子医疗设备的示例。最后,我们讨论该领域未来的研究方向,特别是关于移动医疗和个性化医疗的方向。