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从小到大:品种多样的家养宠物犬可以经过训练来检测帕金森病。

From small to tall: breed-varied household pet dogs can be trained to detect Parkinson's Disease.

机构信息

PADs for Parkinson's, 689 Airport Center Road #425, Friday Harbor, WA, 98250, USA.

出版信息

Anim Cogn. 2024 Oct 1;27(1):62. doi: 10.1007/s10071-024-01902-5.

DOI:10.1007/s10071-024-01902-5
PMID:39352420
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11445332/
Abstract

Parkinson's Disease (PD) is a clinically diagnosed disease that carries a reported misdiagnosis rate of 10-20%. Recent scientific discoveries have provided evidence of volatile organic compounds in sebum that are unique to patients with PD. The primary objective of this study was to determine if companion dogs could be trained to distinguish between sebum samples provided by PD-positive patients and PD-negative human controls. This was a randomized, handler-blind, controlled study. Twenty-three canines of varying breeds, ages, and environmental backgrounds were included. The study period encompassed 200 total working days from 2021 to 2022. Factors investigated included donor gender and levodopa drug affectivity, as well as canine breed, age, and duration of training time. The findings in this study were compiled from data collected during the final two years of a seven-year research program. For this two-year reporting period, when averaged as a group, the 23 dogs were 89% sensitive and 87% specific to olfactory distinction between PD-positive and PD-negative human donor samples. Ten of the twenty-three dogs averaged 90% or higher in both sensitivity and specificity. In 161 separate trials, a dog was presented with both novel PD-positive and PD-negative samples. For these novel exposures, the dogs collectively averaged 86% sensitivity and 89% specificity. PD medication was also investigated and was found to have no discernible impact on canine sensitivity or specificity results. Study findings support the application of companion dogs, trained with force-free, reward-based methodologies, for the detection of PD-positive and PD-negative samples under controlled conditions.

摘要

帕金森病(PD)是一种临床诊断疾病,据报道其误诊率为 10-20%。最近的科学发现为皮脂中存在独特的帕金森病患者挥发性有机化合物提供了证据。本研究的主要目的是确定是否可以训练伴侣犬来区分帕金森病阳性患者和帕金森病阴性的人类对照的皮脂样本。这是一项随机、处理者盲、对照研究。纳入了 23 只不同品种、年龄和环境背景的犬。研究期包括 2021 年至 2022 年共 200 个总工作日。研究的因素包括供体的性别和左旋多巴药物的疗效,以及犬的品种、年龄和训练时间。本研究的结果是从 7 年研究计划的最后两年收集的数据中汇编而来。在这两年的报告期内,当作为一个整体平均时,23 只狗对 PD 阳性和 PD 阴性人类供体样本的嗅觉区分的敏感性为 89%,特异性为 87%。23 只狗中有 10 只的敏感性和特异性平均达到 90%或更高。在 161 次单独试验中,狗被呈现了新的 PD 阳性和 PD 阴性样本。对于这些新的暴露,狗的总体平均敏感性为 86%,特异性为 89%。还研究了 PD 药物,发现它对犬的敏感性或特异性结果没有明显影响。研究结果支持应用经过无强制、基于奖励的方法训练的伴侣犬在受控条件下检测 PD 阳性和 PD 阴性样本。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e206/11445332/c25921e58682/10071_2024_1902_Fig8_HTML.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e206/11445332/c25921e58682/10071_2024_1902_Fig8_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e206/11445332/37288fecad91/10071_2024_1902_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e206/11445332/8466fb344653/10071_2024_1902_Fig2_HTML.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e206/11445332/30e0ed6ee1eb/10071_2024_1902_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e206/11445332/192662c1b828/10071_2024_1902_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e206/11445332/7226edb27011/10071_2024_1902_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e206/11445332/289ce994a0e1/10071_2024_1902_Fig7_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e206/11445332/c25921e58682/10071_2024_1902_Fig8_HTML.jpg

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本文引用的文献

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Disaster Med Public Health Prep. 2023 May 11;17:e392. doi: 10.1017/dmp.2023.54.
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Expert considerations and consensus for using dogs to detect human SARS-CoV-2-infections.使用犬类检测人类SARS-CoV-2感染的专家考量与共识
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Paper Spray Ionization Ion Mobility Mass Spectrometry of Sebum Classifies Biomarker Classes for the Diagnosis of Parkinson's Disease.皮脂的纸喷雾电离离子迁移质谱分析对帕金森病诊断的生物标志物类别进行分类
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Sensitivity of Sniffer Dogs for a Diagnosis of Parkinson's Disease: A Diagnostic Accuracy Study.嗅探犬诊断帕金森病的敏感性:一项诊断准确性研究。
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