通过人工智能辅助生物传感实现传统和数字生物标志物的融合:转化诊断的新时代?

The convergence of traditional and digital biomarkers through AI-assisted biosensing: A new era in translational diagnostics?

机构信息

Department of Biomedical Engineering, Khalifa University of Science and Technology, P.O. Box 127788, Abu Dhabi, United Arab Emirates.

Department of Biomedical Engineering, Khalifa University of Science and Technology, P.O. Box 127788, Abu Dhabi, United Arab Emirates; Interdisciplinary Center for Human Performance, Faculdade de Motricidade Humana, Universidade de Lisboa, Portugal.

出版信息

Biosens Bioelectron. 2023 Sep 1;235:115387. doi: 10.1016/j.bios.2023.115387. Epub 2023 May 11.

Abstract

Advances in consumer electronics, alongside the fields of microfluidics and nanotechnology have brought to the fore low-cost wearable/portable smart devices. Although numerous smart devices that track digital biomarkers have been successfully translated from bench-to-bedside, only a few follow the same fate when it comes to track traditional biomarkers. Current practices still involve laboratory-based tests, followed by blood collection, conducted in a clinical setting as they require trained personnel and specialized equipment. In fact, real-time, passive/active and robust sensing of physiological and behavioural data from patients that can feed artificial intelligence (AI)-based models can significantly improve decision-making, diagnosis and treatment at the point-of-procedure, by circumventing conventional methods of sampling, and in person investigation by expert pathologists, who are scarce in developing countries. This review brings together conventional and digital biomarker sensing through portable and autonomous miniaturized devices. We first summarise the technological advances in each field vs the current clinical practices and we conclude by merging the two worlds of traditional and digital biomarkers through AI/ML technologies to improve patient diagnosis and treatment. The fundamental role, limitations and prospects of AI in realizing this potential and enhancing the existing technologies to facilitate the development and clinical translation of "point-of-care" (POC) diagnostics is finally showcased.

摘要

消费类电子产品、微流控和纳米技术领域的进步推动了低成本可穿戴/便携式智能设备的发展。尽管许多跟踪数字生物标志物的智能设备已经成功地从实验室转化为临床应用,但只有少数设备能够跟踪传统生物标志物。目前的做法仍然涉及基于实验室的测试,随后在临床环境中进行血液采集,因为这些测试需要经过培训的人员和专用设备。事实上,从患者身上实时、被动/主动和稳健地感知生理和行为数据,并将其输入到基于人工智能(AI)的模型中,可以通过绕过传统的采样方法以及由稀缺的发展中国家专家病理学家进行的现场调查,显著改善在操作现场的决策、诊断和治疗。本综述通过便携式和自主微型化设备整合了传统和数字生物标志物的检测。我们首先总结了每个领域的技术进步与当前临床实践之间的对比,最后通过 AI/ML 技术将传统和数字生物标志物的两个世界融合在一起,以改善患者的诊断和治疗。最后,展示了 AI 在实现这一潜力以及增强现有技术以促进“即时护理”(POC)诊断的开发和临床转化方面的核心作用、局限性和前景。

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