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纳米医学的临床转化与数字医学和机器学习干预的整合。

Clinical translation of nanomedicine with integrated digital medicine and machine learning interventions.

机构信息

State Key Laboratory of Chemistry and Utilization of Carbon Based Energy Resources, College of Chemistry, Xinjiang University, Urumqi 830017, China.

International Iberian Nanotechnology Laboratory (INL), Avenida Mestre José Veiga, Braga 4715-330, Portugal.

出版信息

Colloids Surf B Biointerfaces. 2024 Sep;241:114041. doi: 10.1016/j.colsurfb.2024.114041. Epub 2024 Jun 14.

DOI:10.1016/j.colsurfb.2024.114041
PMID:38897022
Abstract

Nanomaterials based therapeutics transform the ways of disease prevention, diagnosis and treatment with increasing sophistications in nanotechnology at a breakneck pace, but very few could reach to the clinic due to inconsistencies in preclinical studies followed by regulatory hinderances. To tackle this, integrating the nanomedicine discovery with digital medicine provide technologies as tools of specific biological activity measurement. Hence, overcome the redundancies in nanomedicine discovery by the on-site data acquisition and analytics through integrating intelligent sensors and artificial intelligence (AI) or machine learning (ML). Integrated AI/ML wearable sensors directly gather clinically relevant biochemical information from the subject's body and process data for physicians to make right clinical decision(s) in a time and cost-effective way. This review summarizes insights and recommend the infusion of actionable big data computation enabled sensors in burgeoning field of nanomedicine at academia, research institutes, and pharmaceutical industries, with a potential of clinical translation. Furthermore, many blind spots are present in modern clinically relevant computation, one of which could prevent ML-guided low-cost new nanomedicine development from being successfully translated into the clinic was also discussed.

摘要

基于纳米材料的治疗方法在纳米技术方面取得了突破性进展,改变了疾病预防、诊断和治疗的方式,但由于临床前研究的不一致性以及监管障碍,很少有能够进入临床阶段。为了解决这个问题,将纳米医学发现与数字医学相结合,提供了作为特定生物活性测量工具的技术。因此,通过整合智能传感器和人工智能(AI)或机器学习(ML),通过现场数据采集和分析来克服纳米医学发现中的冗余。集成 AI/ML 可穿戴传感器直接从受试者体内采集临床相关的生化信息,并对数据进行处理,以便医生能够以更及时和更具成本效益的方式做出正确的临床决策。本文综述了见解,并建议在学术界、研究机构和制药行业中,将具有可操作的大数据计算功能的传感器注入到新兴的纳米医学领域,具有临床转化的潜力。此外,现代临床相关计算中存在许多盲点,其中之一可能会阻止基于 ML 的低成本新型纳米医学的开发成功转化为临床。

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