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长新冠筛查综述:聚焦呼出气气体传感的挑战与展望

A Review on Long COVID Screening: Challenges and Perspectives Focusing on Exhaled Breath Gas Sensing.

作者信息

Díaz de León-Martínez Lorena, Flores-Rangel Gabriela, Alcántara-Quintana Luz E, Mizaikoff Boris

机构信息

Institute of Analytical and Bioanalytical Chemistry, Ulm University, Albert-Einstein-Allee 11, 89081 Ulm, Germany.

Breathlabs Inc., Spring, Texas 77386, United States.

出版信息

ACS Sens. 2025 Mar 28;10(3):1564-1578. doi: 10.1021/acssensors.4c02280. Epub 2024 Dec 16.

Abstract

Long COVID (LC) is a great global health concern, affecting individuals recovering from SARS-CoV-2 infection. The persistent and varied symptoms across multiple organs complicate diagnosis and management, and an incomplete understanding of the condition hinders advancements in therapeutics. Current diagnostic methods face challenges related to standardization and completeness. To overcome this, new technologies such as sensor-based electronic noses are being explored for LC assessment, offering a noninvasive screening approach via volatile organic compounds (VOC) sensing in exhaled breath. Although specific LC-associated VOCs have not been fully characterized, insights from COVID-19 research suggest their potential as biomarkers. Additionally, AI-driven chemometrics are promising in identifying and predicting outcomes; despite challenges, AI-driven technologies hold the potential to enhance LC evaluation, providing rapid and accurate diagnostics for improved patient care and outcomes. This review underscores the importance of emerging and sensing technologies and comprehensive diagnostic strategies to address screening and treatment challenges in the face of LC.

摘要

长期新冠(LC)是一个重大的全球健康问题,影响着从新冠病毒2型(SARS-CoV-2)感染中康复的个体。多个器官出现的持续且多样的症状使诊断和管理变得复杂,而对该病症的不完全了解阻碍了治疗学的进展。当前的诊断方法面临着与标准化和完整性相关的挑战。为了克服这一问题,诸如基于传感器的电子鼻等新技术正在被探索用于LC评估,通过检测呼出气体中的挥发性有机化合物(VOC)提供一种非侵入性的筛查方法。尽管与LC相关的特定VOC尚未完全明确其特征,但新冠病毒病(COVID-19)研究的见解表明它们有作为生物标志物的潜力。此外,人工智能驱动的化学计量学在识别和预测结果方面很有前景;尽管存在挑战,但人工智能驱动的技术有潜力加强LC评估,为改善患者护理和治疗结果提供快速准确的诊断。这篇综述强调了新兴传感技术和综合诊断策略对于应对LC筛查和治疗挑战的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d425/11959596/ae4f655575af/se4c02280_0001.jpg

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