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[Application of the artificial intelligence-rapid whole-genome sequencing diagnostic system in the neonatal/pediatric intensive care unit].人工智能快速全基因组测序诊断系统在新生儿/儿科重症监护病房的应用
Zhongguo Dang Dai Er Ke Za Zhi. 2021 May;23(5):433-437. doi: 10.7499/j.issn.1008-8830.2012143.
2
Whole genome sequencing reveals that genetic conditions are frequent in intensively ill children.全基因组测序显示,重症患儿中常见遗传疾病。
Intensive Care Med. 2019 May;45(5):627-636. doi: 10.1007/s00134-019-05552-x. Epub 2019 Mar 7.
3
Rapid Whole Genome Sequencing Has Clinical Utility in Children in the PICU.快速全基因组测序在儿科重症监护病房(PICU)患儿中具有临床应用价值。
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5
Rapid Paediatric Sequencing (RaPS): comprehensive real-life workflow for rapid diagnosis of critically ill children.快速儿科测序(RaPS):危重症儿童快速诊断的综合实际工作流程。
J Med Genet. 2018 Nov;55(11):721-728. doi: 10.1136/jmedgenet-2018-105396. Epub 2018 Jul 26.
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Exome and Whole Genome Sequencing in the Neonatal Intensive Care Unit.新生儿重症监护病房中的外显子组和全基因组测序。
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本文引用的文献

1
A Prospective Study of Parental Perceptions of Rapid Whole-Genome and -Exome Sequencing among Seriously Ill Infants.一项针对重症婴儿家长对快速全基因组和外显子组测序认知的前瞻性研究。
Am J Hum Genet. 2020 Nov 5;107(5):953-962. doi: 10.1016/j.ajhg.2020.10.004.
2
An RCT of Rapid Genomic Sequencing among Seriously Ill Infants Results in High Clinical Utility, Changes in Management, and Low Perceived Harm.一项针对重病婴儿的快速基因组测序的 RCT 研究结果显示其具有高度临床实用性,可改变治疗方法,且被认为造成的伤害较低。
Am J Hum Genet. 2020 Nov 5;107(5):942-952. doi: 10.1016/j.ajhg.2020.10.003.
3
Rapid whole-genome sequencing identifies a homozygous novel variant, His540Arg, in resulting in D-bifunctional protein deficiency disorder diagnosis.快速全基因组测序鉴定出导致 D-双功能蛋白缺陷症的纯合新型变异体 His540Arg。
Cold Spring Harb Mol Case Stud. 2020 Dec 17;6(6). doi: 10.1101/mcs.a005496. Print 2020 Dec.
4
Rapid Whole Genome Sequencing and Fulfilling the Promise of Precision Pediatric Critical Care.快速全基因组测序与实现精准儿科重症监护的前景
Pediatr Crit Care Med. 2019 Nov;20(11):1085-1086. doi: 10.1097/PCC.0000000000002082.
5
A Randomized, Controlled Trial of the Analytic and Diagnostic Performance of Singleton and Trio, Rapid Genome and Exome Sequencing in Ill Infants.一项在重症婴儿中比较单体和 trio、快速基因组和外显子组测序的分析和诊断性能的随机、对照试验。
Am J Hum Genet. 2019 Oct 3;105(4):719-733. doi: 10.1016/j.ajhg.2019.08.009. Epub 2019 Sep 26.
6
Rapid Whole Genome Sequencing Has Clinical Utility in Children in the PICU.快速全基因组测序在儿科重症监护病房(PICU)患儿中具有临床应用价值。
Pediatr Crit Care Med. 2019 Nov;20(11):1007-1020. doi: 10.1097/PCC.0000000000002056.
7
Diagnosis of genetic diseases in seriously ill children by rapid whole-genome sequencing and automated phenotyping and interpretation.利用快速全基因组测序和自动化表型分析及解读对重病患儿进行遗传疾病诊断。
Sci Transl Med. 2019 Apr 24;11(489). doi: 10.1126/scitranslmed.aat6177.
8
Mortality in the United States, 2017.2017年美国的死亡率。
NCHS Data Brief. 2018 Nov(328):1-8.
9
Rapid Paediatric Sequencing (RaPS): comprehensive real-life workflow for rapid diagnosis of critically ill children.快速儿科测序(RaPS):危重症儿童快速诊断的综合实际工作流程。
J Med Genet. 2018 Nov;55(11):721-728. doi: 10.1136/jmedgenet-2018-105396. Epub 2018 Jul 26.
10
Deep Phenotyping on Electronic Health Records Facilitates Genetic Diagnosis by Clinical Exomes.电子健康记录的深度表型分析有助于通过临床外显子组进行遗传诊断。
Am J Hum Genet. 2018 Jul 5;103(1):58-73. doi: 10.1016/j.ajhg.2018.05.010. Epub 2018 Jun 28.

人工智能快速全基因组测序诊断系统在新生儿/儿科重症监护病房的应用

[Application of the artificial intelligence-rapid whole-genome sequencing diagnostic system in the neonatal/pediatric intensive care unit].

作者信息

Luo Fang, Li Hao-Min

机构信息

Department of Pediatrics, First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou 310003, China.

出版信息

Zhongguo Dang Dai Er Ke Za Zhi. 2021 May;23(5):433-437. doi: 10.7499/j.issn.1008-8830.2012143.

DOI:10.7499/j.issn.1008-8830.2012143
PMID:34020729
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8140348/
Abstract

Pediatric patients in the neonatal intensive care unit (NICU) and the pediatric intensive care unit (PICU) have a high incidence rate of genetic diseases, and early rapid etiological diagnosis and targeted interventions can help to reduce mortality or improve prognosis. Whole-genome sequencing covers more comprehensive information including point mutation, copy number, and structural and rearrangement variations in the intron region and has become one of the powerful diagnostic tools for genetic diseases. Sequencing data require highly professional judgment and interpretation and are returned for clinical application after several weeks, which cannot meet the need for the diagnosis and treatment of genetic diseases in children. This article introduces the clinical application of rapid whole-genome sequencing in the NICU/PICU and briefly describes related techniques of artificial intelligence-rapid whole-genome sequencing diagnostic system, a rapid high-throughput automated platform for the diagnosis of genetic diseases. The diagnostic system introduces artificial intelligence into the processing of data after whole-genome sequencing and can solve the problems of long time and professional interpretation required for routine genome sequencing and provide a rapid diagnostic regimen for critically ill children suspected of genetic diseases within 24 hours, and therefore, it holds promise for clinical application.

摘要

新生儿重症监护病房(NICU)和儿科重症监护病房(PICU)中的儿科患者遗传疾病发病率很高,早期快速病因诊断和针对性干预有助于降低死亡率或改善预后。全基因组测序涵盖更全面的信息,包括点突变、拷贝数以及内含子区域的结构和重排变异,已成为遗传疾病的强大诊断工具之一。测序数据需要高度专业的判断和解读,且在数周后才返回用于临床应用,这无法满足儿童遗传疾病诊断和治疗的需求。本文介绍了快速全基因组测序在NICU/PICU中的临床应用,并简要描述了人工智能-快速全基因组测序诊断系统的相关技术,这是一个用于遗传疾病诊断的快速高通量自动化平台。该诊断系统将人工智能引入全基因组测序后的数据处理中,能够解决常规基因组测序所需时间长和专业解读的问题,并在24小时内为疑似遗传疾病的危重症儿童提供快速诊断方案,因此具有临床应用前景。