Singh Sima, Raucci Ada, Glovi Alessandra, Iula Gabriella, Mutti Luciano, De Laurentiis Michelino, Giordano Antonio, Cinti Stefano
Department of Pharmacy, University of Naples 'Federico II', Via D. Montesano 49, 80131, Naples, Italy.
Scuola Superiore Meridionale, University of Naples "Federico II", Naples, Italy.
Cancer Metastasis Rev. 2025 Aug 6;44(3):64. doi: 10.1007/s10555-025-10281-3.
Cancer disparities in low- and middle-income countries (LMICs) persist because of socioeconomic inequalities and limited access to screening infrastructure, which requires equitable diagnostic solutions. As researchers, we need to develop interventions which mirror successful strategies from high-income countries (HICs) to address mortality inequalities. Routine cancer diagnosis functions as a fundamental element of effective management yet remains unavailable to numerous populations in LMICs. This review proposes the conceptual "OncoCheck" model, which combines the terms Oncology "Onco" and Screening "Check" as an integrated approach to early cancer detection. It provides a theoretically sound practical approach that combines liquid biopsy with point-of-care testing (POCT) and artificial intelligence (AI) to achieve high-sensitivity diagnostics in resource-limited settings without requiring advanced infrastructure. The review advocates OncoCheck as a promising and practical cancer screening solution which shows potential to increase accessibility and decrease costs while improving survival rates through early detection. Moving beyond technical specifications, the manuscript assesses its socioeconomic impact, showing reduced medical costs and improved treatment outcomes. The paper describes its implementation framework together with a validation strategy and performance benchmarks. The analysis further focuses on the implementation barriers like algorithmic bias mitigation, infrastructure limitations, and ethical AI deployment. The OncoCheck system delivers equitable cancer care by implementing a hospital-at-home model which functions with real-world health systems.
低收入和中等收入国家(LMICs)的癌症差异持续存在,原因是社会经济不平等以及筛查基础设施的可及性有限,这就需要公平的诊断解决方案。作为研究人员,我们需要制定干预措施,借鉴高收入国家(HICs)的成功策略来解决死亡率不平等问题。常规癌症诊断是有效管理的基本要素,但在LMICs的众多人群中仍然无法实现。本综述提出了概念性的“OncoCheck”模型,该模型将肿瘤学“Onco”和筛查“Check”这两个术语结合起来,作为早期癌症检测的综合方法。它提供了一种理论上合理的实用方法,将液体活检与即时检测(POCT)和人工智能(AI)相结合,在资源有限的环境中实现高灵敏度诊断,而无需先进的基础设施。该综述倡导将OncoCheck作为一种有前景且实用的癌症筛查解决方案,它有潜力通过早期检测提高可及性、降低成本并提高生存率。除了技术规格,本文还评估了其社会经济影响,显示出医疗成本的降低和治疗效果的改善。本文描述了其实施框架以及验证策略和性能基准。分析进一步聚焦于实施障碍,如算法偏差缓解、基础设施限制和人工智能的道德部署。OncoCheck系统通过实施与现实世界卫生系统协同运作的居家医院模式,提供公平的癌症护理。