Daniel Nicol, Mohamed T. Patel, Debarati Bhowmik, Pola Goldberg Oppenheimer
Traumatic brain injuries (TBIs) sustained during sports activity represent a complex and heterogeneous spectrum of neuropathological conditions that remain underdiagnosed and often poorly managed, particularly in the amateur athletic populations. Traditional diagnostic paradigms, heavily reliant on subjective symptom reporting and clinical observation, lack the sensitivity and specificity required for early and accurate detection of mild and sub-concussive injuries. This review fills a critical gap by synthesizing recent advances in precision diagnostic tools, including AI-enhanced neuroimaging, blood-based biomarkers, and wearable biosensors, which are reshaping the detection and monitoring of sports-related TBIs. Despite significant research, diagnostic inconsistency persists, particularly in youth and amateur athletes. By integrating these converging technologies, a unified framework for earlier and more accurate detection as well as longitudinal monitoring, is proposed. Through a systems biology framework, the study evaluates the translational relevance of these tools in stratifying injury severity, monitoring recovery trajectories, and informing return-to-play decisions. Furthermore, the review addresses inherent challenges, including inter-individual variability, lack of consensus on diagnostic thresholds, ethical considerations in youth, and collegiate sports and the need for large-scale, sport-specific normative datasets. Looking ahead, the synergistic application of AI and digital diagnostics offers a transformative shift in sports neurology and public health surveillance.
{"title":"Precision Diagnostics in Sports-Related Traumatic Brain Injury: Pathophysiology, Biomarker Development and Emerging Technologies","authors":"Daniel Nicol, Mohamed T. Patel, Debarati Bhowmik, Pola Goldberg Oppenheimer","doi":"10.1002/adsr.202500074","DOIUrl":"https://doi.org/10.1002/adsr.202500074","url":null,"abstract":"<p>Traumatic brain injuries (TBIs) sustained during sports activity represent a complex and heterogeneous spectrum of neuropathological conditions that remain underdiagnosed and often poorly managed, particularly in the amateur athletic populations. Traditional diagnostic paradigms, heavily reliant on subjective symptom reporting and clinical observation, lack the sensitivity and specificity required for early and accurate detection of mild and sub-concussive injuries. This review fills a critical gap by synthesizing recent advances in precision diagnostic tools, including AI-enhanced neuroimaging, blood-based biomarkers, and wearable biosensors, which are reshaping the detection and monitoring of sports-related TBIs. Despite significant research, diagnostic inconsistency persists, particularly in youth and amateur athletes. By integrating these converging technologies, a unified framework for earlier and more accurate detection as well as longitudinal monitoring, is proposed. Through a systems biology framework, the study evaluates the translational relevance of these tools in stratifying injury severity, monitoring recovery trajectories, and informing return-to-play decisions. Furthermore, the review addresses inherent challenges, including inter-individual variability, lack of consensus on diagnostic thresholds, ethical considerations in youth, and collegiate sports and the need for large-scale, sport-specific normative datasets. Looking ahead, the synergistic application of AI and digital diagnostics offers a transformative shift in sports neurology and public health surveillance.</p>","PeriodicalId":100037,"journal":{"name":"Advanced Sensor Research","volume":"4 12","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://advanced.onlinelibrary.wiley.com/doi/epdf/10.1002/adsr.202500074","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145719578","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Clean, disinfected surfaces and medical instruments are critical to maintaining a hygienic environment, especially in healthcare settings. Current methods for disinfection validation and training require either a long evaluation time or do not distinguish between physical (dilution) and chemical (disintegration) disinfection procedures. However, to achieve effective disinfection, both effects, dilution and disintegration, are required for many commonly used disinfectants (e.g., alcohol, sodium hypochlorite, quaternary ammonium compounds). In this study, a method is established for the real-time monitoring of surface disinfection using fluorescence-labeled DNA and lipid nanoparticles (LNP) encapsulating such DNA. It is shown that the spatial separation of quencher-modified DNA and fluorophore-modified complementary DNA by LNPs can be disrupted by ethanolic disinfectants, facilitating the disintegration of LNPs. The resulting quenching of fluorescence can immediately be detected using a manual setup comprising a hand-held laser, a color filter, and a smartphone camera. To demonstrate a potential application of this novel disinfection detection technology, disinfection of a commonly used medical instrument, a scalpel, is validated using the qualitative change in fluorescence upon disintegration of LNPs, enabling distinction between physical dilution and chemical disintegration. Therefore, LNPs spatially separating quencher and fluorophore offer real-time, qualitative monitoring of surface disinfection.
{"title":"Qualitative Real-Time Disinfection Monitoring through Lipid Nanoparticle-Separated Fluorophore-Quencher Pairs","authors":"Lara Pfuderer, Robert N. Grass","doi":"10.1002/adsr.202500123","DOIUrl":"https://doi.org/10.1002/adsr.202500123","url":null,"abstract":"<p>Clean, disinfected surfaces and medical instruments are critical to maintaining a hygienic environment, especially in healthcare settings. Current methods for disinfection validation and training require either a long evaluation time or do not distinguish between physical (dilution) and chemical (disintegration) disinfection procedures. However, to achieve effective disinfection, both effects, dilution and disintegration, are required for many commonly used disinfectants (e.g., alcohol, sodium hypochlorite, quaternary ammonium compounds). In this study, a method is established for the real-time monitoring of surface disinfection using fluorescence-labeled DNA and lipid nanoparticles (LNP) encapsulating such DNA. It is shown that the spatial separation of quencher-modified DNA and fluorophore-modified complementary DNA by LNPs can be disrupted by ethanolic disinfectants, facilitating the disintegration of LNPs. The resulting quenching of fluorescence can immediately be detected using a manual setup comprising a hand-held laser, a color filter, and a smartphone camera. To demonstrate a potential application of this novel disinfection detection technology, disinfection of a commonly used medical instrument, a scalpel, is validated using the qualitative change in fluorescence upon disintegration of LNPs, enabling distinction between physical dilution and chemical disintegration. Therefore, LNPs spatially separating quencher and fluorophore offer real-time, qualitative monitoring of surface disinfection.</p>","PeriodicalId":100037,"journal":{"name":"Advanced Sensor Research","volume":"4 12","pages":""},"PeriodicalIF":3.5,"publicationDate":"2025-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://advanced.onlinelibrary.wiley.com/doi/epdf/10.1002/adsr.202500123","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145730545","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The resonance structure of 4-nitrophenol undergoes a distinct change upon interaction with surface-modified porous silica, as revealed by Raman microscopy. The silica surface is functionalized with a complex mixture comprising covalently attached acetylated mannoside via a linker, precipitated N-acylurea, and urea. The quinone-type resonance form can be monitored in situ without the need for alkaline treatment. More details can be found in the Research Article by Osamu Kanie and co-workers (DOI: 10.1002/adsr.202500093).