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即时检验:诊断领域创新与可及性的融合

Point-of-Care Testing: The Convergence of Innovation and Accessibility in Diagnostics.

作者信息

Augustine Shine, Venkadesh Anandharaman, Kaushal Sandeep, Lee Eunghyuk, Ajaj Malak, Lee Nae-Eung

机构信息

Department of Advanced Materials Science & Engineering, Sungkyunkwan University, Suwon, Gyeonggi-do 16419, Republic of Korea.

Research Centre for Advanced Materials Technology, Sungkyunkwan University, Suwon, Gyeonggi-do 16419, Republic of Korea.

出版信息

Anal Chem. 2025 May 13;97(18):9569-9599. doi: 10.1021/acs.analchem.4c07075. Epub 2025 May 2.

Abstract

Over the years, the evolution of point-of-care testing (POCT) has been driven by technological advancements in materials, design, and artificial intelligence, as well as breakthrough developments in wearable technologies. These innovations are shifting diagnostics from centralized medical facilities to individual homes, meeting the growing demand for personalized healthcare. This Review explores recent advancements in binding-based assay technologies over the past two years, focusing on platforms such as traditional flow assays (lateral and vertical flow), fully integrated microfluidic devices, and wearable biosensor-integrated systems for POCT applications. It emphasizes the role of optical and electrochemical detection methods, which are essential for ensuring the sensitivity, specificity, and reliability required in a POCT. POCT technologies offer advantages including ease of use, high diagnostic accuracy, rapid clinical assessment, and cost-effectiveness in manufacturing and consumables. Additionally, the Review highlights current challenges and future perspectives for delivering personalized healthcare through portable and wearable POCT systems that operate on a sample-in, result-out basis.

摘要

多年来,即时检测(POCT)的发展一直受到材料、设计和人工智能等技术进步以及可穿戴技术突破性发展的推动。这些创新正在将诊断从集中式医疗设施转移到个人家庭,满足对个性化医疗日益增长的需求。本综述探讨了过去两年基于结合的检测技术的最新进展,重点关注传统流动检测(横向和纵向流动)、完全集成的微流控设备以及用于POCT应用的可穿戴生物传感器集成系统等平台。它强调了光学和电化学检测方法的作用,这些方法对于确保POCT所需的灵敏度、特异性和可靠性至关重要。POCT技术具有使用方便、诊断准确性高、临床评估快速以及制造和耗材成本效益高等优点。此外,本综述还强调了通过基于样本输入、结果输出的便携式和可穿戴POCT系统提供个性化医疗的当前挑战和未来前景。

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