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CFTrack:用于囊性纤维化护理的高级诊断、监测和跟踪设备。

CFTrack: Advanced Diagnostic, Monitoring, and Tracking Device for Cystic Fibrosis Care.

机构信息

Department of Civil Engineering, New Mexico State University, Las Cruces, New Mexico 88003, United States.

Department of Civil and System Engineering, Johns Hopkins University, Baltimore, Maryland 21218, United States.

出版信息

ACS Sens. 2024 Nov 22;9(11):5915-5925. doi: 10.1021/acssensors.4c01669. Epub 2024 Oct 24.

Abstract

Cystic fibrosis (CF) is a genetic disorder that primarily affects the respiratory, digestive, and reproductive systems. In the United States, approximately 32,000 individuals, spanning both children and adults, suffer from CF, and roughly 1,000 new cases are diagnosed annually. The current gold standard for CF diagnosis is the sweat test, yet this method is plagued by issues such as being time-consuming, expensive, challenging to replicate, and lacking treatment monitoring capabilities. In contrast, the emerging field of wearable sweat biosensors has gained significant attention due to their potential for noninvasive health monitoring. Despite this, there remains a conspicuous absence of a wearable sweat biosensor tailored specifically for CF diagnosis and monitoring. Here, this study introduces a flexible wearable sweat biosensor, named CFTrack, designed to address the unique challenges associated with CF. This proposed CFTrack biosensor not only facilitates CF diagnosis but also enables the monitoring of medication treatment effectiveness and tracks therapy activities. In addition, it operates in a self-powered and customized manner, ensuring seamless integration into the daily lives of individuals with CF. Given that sweat tests and fitness routines are the predominant methods for diagnosing and treating cystic fibrosis patients, respectively, the proposed CFTrack biosensor leverages ion concentration in sweat for diagnostic purposes. Additionally, it incorporates a motion-tracking function to monitor physical activity, providing a comprehensive approach to CF management. To evaluate the feasibility of the proposed CFTrack biosensor, a comprehensive evaluation has been performed including numerical simulations, theoretical analyses, and experimental tests. The results demonstrate the efficacy of the proposed CFTrack biosensor in diagnosing and monitoring CF conditions while also showcasing its ability to effectively track the progress of patients undergoing physical therapy. The proposed CFTrack biosensor resolves key issues associated with existing sweat sensors including high energy consumption, intricate fabrication procedures, and the absence of continuous monitoring capabilities. By addressing these challenges, the proposed sweat biosensor aims to revolutionize CF diagnosis and monitoring, offering a more efficient and user-friendly alternative to current methods.

摘要

囊性纤维化(CF)是一种主要影响呼吸系统、消化系统和生殖系统的遗传疾病。在美国,大约有 32000 名儿童和成年人患有 CF,每年大约有 1000 例新病例被诊断出来。CF 的金标准诊断方法是汗液测试,但该方法存在耗时、昂贵、难以复制和缺乏治疗监测能力等问题。相比之下,新兴的可穿戴汗液生物传感器领域由于其在非侵入性健康监测方面的潜力而受到了广泛关注。尽管如此,针对 CF 诊断和监测的定制可穿戴汗液生物传感器仍然明显缺乏。在这里,本研究介绍了一种灵活的可穿戴汗液生物传感器,名为 CFTrack,旨在解决与 CF 相关的独特挑战。这种拟议的 CFTrack 生物传感器不仅有助于 CF 的诊断,还能够监测药物治疗效果并跟踪治疗活动。此外,它以自供电和定制的方式运行,确保无缝集成到 CF 患者的日常生活中。鉴于汗液测试和健身是诊断和治疗囊性纤维化患者的主要方法,拟议的 CFTrack 生物传感器利用汗液中的离子浓度进行诊断。此外,它还集成了运动跟踪功能,以监测身体活动,为 CF 管理提供了一种综合方法。为了评估拟议的 CFTrack 生物传感器的可行性,已经进行了包括数值模拟、理论分析和实验测试在内的全面评估。结果表明,拟议的 CFTrack 生物传感器在诊断和监测 CF 方面具有有效性,同时还展示了其有效跟踪接受物理治疗的患者进展的能力。拟议的 CFTrack 生物传感器解决了与现有汗液传感器相关的关键问题,包括高能耗、复杂的制造工艺以及缺乏连续监测能力。通过解决这些挑战,拟议的汗液生物传感器旨在彻底改变 CF 的诊断和监测,为当前方法提供更高效和用户友好的替代方案。

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