Advancing cancer detection with portable salivary sialic acid testing

Mohamed Elgendi, Lynnette Lyzwinski, Eric Kübler, Alexander V. Shokurov, Newton Howard, Carlo Menon
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Abstract

This perspective emphasizes the robust evidence supporting salivary sialic acid (SA) as a valuable tool for cancer prescreening, particularly for oral and breast cancers. The potential benefits of salivary SA testing include early cancer detection and treatment response monitoring. The challenges and opportunities of developing a portable cancer detection device are discussed. Enabling accessible and timely prescreening through salivary SA testing has the potential to save lives and offer an alternative to mammograms for low-risk groups. Portable Raman spectrometers show promise for SA analysis, but cost and sensitivity challenges need attention. The potential for personalized medicine, multiplexing capabilities, and remote collaboration further enhances the value of portable Raman-based cancer detection devices. Implementing these recommendations may lead to the future use of portable devices in cancer detection through salivary SA analysis. Salivary SA’s promising potential as a prescreening or adjunct biomarker extends beyond the clinical setting, and its integration into routine practice could empower individuals for home-based cancer detection, enabling more convenient and effective health monitoring.

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利用便携式唾液唾液酸检测推进癌症检测工作
这一观点强调了唾液唾液酸(SA)作为癌症预检,尤其是口腔癌和乳腺癌预检的重要工具的有力证据。唾液唾液酸检测的潜在益处包括早期癌症检测和治疗反应监测。本文讨论了开发便携式癌症检测设备所面临的挑战和机遇。通过唾液SA检测实现方便、及时的预检有可能挽救生命,并为低风险人群提供乳房X光检查的替代方法。便携式拉曼光谱仪在唾液酸分析方面大有可为,但需要注意成本和灵敏度方面的挑战。个性化医疗、多路复用能力和远程协作的潜力进一步提升了便携式拉曼癌症检测设备的价值。落实这些建议可使便携式设备在未来通过唾液 SA 分析进行癌症检测。唾液SA作为预筛或辅助生物标志物的潜力远不止于临床环境,将其整合到日常实践中可增强个人在家中进行癌症检测的能力,从而实现更方便、更有效的健康监测。
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