Sachdeva Shivangi, Davis Ronald W, Saha Amit K
Genome Technology Center, School of Medicine, Stanford University, Palo Alto, CA, United States.
Front Bioeng Biotechnol. 2021 Jan 15;8:602659. doi: 10.3389/fbioe.2020.602659. eCollection 2020.
Point-of-care testing (POCT) allows physicians to detect and diagnose diseases at or near the patient site, faster than conventional lab-based testing. The importance of POCT is considerably amplified in the trying times of the COVID-19 pandemic. Numerous point-of-care tests and diagnostic devices are available in the market including, but not limited to, glucose monitoring, pregnancy and infertility testing, infectious disease testing, cholesterol testing and cardiac markers. Integrating microfluidics in POCT allows fluid manipulation and detection in a singular device with minimal sample requirements. This review presents an overview of two technologies - (a.) Lateral Flow Assay (LFA) and (b.) Nucleic Acid Amplification - upon which a large chunk of microfluidic POCT diagnostics is based, some of their applications, and commercially available products. Apart from this, we also delve into other microfluidic-based diagnostics that currently dominate the diagnostic (IVD) market, current testing landscape for COVID-19 and prospects of microfluidics in next generation diagnostics.
即时检验(POCT)使医生能够在患者现场或其附近检测和诊断疾病,比传统的基于实验室的检测速度更快。在新冠疫情的艰难时期,POCT的重要性大幅提升。市场上有许多即时检验测试和诊断设备,包括但不限于血糖监测、妊娠和不孕检测、传染病检测、胆固醇检测和心脏标志物检测。将微流控技术集成到即时检验中,可在单个设备中进行流体操作和检测,对样本的需求极小。本综述概述了两种技术——(a.)侧向流动分析(LFA)和(b.)核酸扩增——它们是大量微流控即时检验诊断的基础,介绍了它们的一些应用以及市售产品。除此之外,我们还深入探讨了目前主导诊断(IVD)市场的其他基于微流控的诊断方法、当前新冠病毒的检测情况以及微流控技术在下一代诊断中的前景。