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Precision Diagnostics in Sports-Related Traumatic Brain Injury: Pathophysiology, Biomarker Development and Emerging Technologies 精确诊断在运动相关的创伤性脑损伤:病理生理学,生物标志物的发展和新兴技术
IF 3.5 Pub Date : 2025-10-13 DOI: 10.1002/adsr.202500074
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.

在体育活动中持续的创伤性脑损伤(tbi)是一种复杂和异质性的神经病理状况,特别是在业余运动人群中,诊断不足,管理不善。传统的诊断模式严重依赖于主观症状报告和临床观察,缺乏早期准确检测轻度和次震荡损伤所需的敏感性和特异性。这篇综述通过综合精确诊断工具的最新进展填补了一个关键空白,包括人工智能增强的神经成像、血液生物标志物和可穿戴生物传感器,这些工具正在重塑与运动相关的脑损伤的检测和监测。尽管有重要的研究,诊断的不一致仍然存在,特别是在青年和业余运动员中。通过整合这些融合技术,提出了一个更早、更准确的检测和纵向监测的统一框架。通过系统生物学框架,该研究评估了这些工具在损伤严重程度分层、监测恢复轨迹以及为重返比赛决策提供信息方面的转化相关性。此外,该综述还解决了固有的挑战,包括个体间的差异、对诊断阈值缺乏共识、青少年的道德考虑、大学体育以及对大规模、特定运动规范数据集的需求。展望未来,人工智能和数字诊断的协同应用为体育神经病学和公共卫生监测提供了革命性的转变。
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引用次数: 0
Qualitative Real-Time Disinfection Monitoring through Lipid Nanoparticle-Separated Fluorophore-Quencher Pairs 脂质纳米颗粒分离荧光团猝灭对定性实时消毒监测
IF 3.5 Pub Date : 2025-10-13 DOI: 10.1002/adsr.202500123
Lara Pfuderer, Robert N. Grass

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.

清洁、消毒的表面和医疗器械对于保持卫生环境至关重要,特别是在医疗保健机构。目前的消毒验证和培训方法要么需要很长的评估时间,要么不区分物理(稀释)和化学(分解)消毒程序。然而,为了实现有效的消毒,许多常用消毒剂(如酒精、次氯酸钠、季铵化合物)需要稀释和分解两种效果。本研究建立了一种利用荧光标记DNA和包裹DNA的脂质纳米颗粒(LNP)实时监测表面消毒的方法。结果表明,乙醇消毒剂可以破坏LNPs的猝灭剂修饰DNA和荧光团修饰互补DNA的空间分离,促进LNPs的分解。由此产生的荧光猝灭可以立即检测使用手动设置包括手持式激光器,彩色滤光片和智能手机相机。为了证明这种新型消毒检测技术的潜在应用,使用LNPs分解时荧光的质变验证了常用医疗器械(手术刀)的消毒,从而区分了物理稀释和化学分解。因此,LNPs空间分离猝灭剂和荧光团提供了实时、定性的表面消毒监测。
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引用次数: 0
Discovery of Surface-Induced Resonance Shift of 4-Nitrophenol Enabling Direct Monitoring of an Enzymatic Reaction (Adv. Sensor Res. 10/2025) 4-硝基苯酚表面诱导共振位移的发现使酶促反应能够直接监测(ad . Sensor Res. 10/2025)
IF 3.5 Pub Date : 2025-10-09 DOI: 10.1002/adsr.70069
Ayano Nakamura, Yusuke Kato, Toshiharu Gokan, Kentaro Arai, Yoshimi Kanie, Osamu Kanie

Raman Microscopy

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).

拉曼显微镜显示,4-硝基苯酚与表面修饰的多孔二氧化硅相互作用后,其共振结构发生了明显的变化。二氧化硅表面通过连接剂、沉淀的n -酰基脲和尿素用含有共价连接的乙酰化甘露糖苷的复杂混合物功能化。醌型共振形式可以在不需要碱性处理的情况下就地监测。更多细节可以在Osamu Kanie及其同事的研究文章中找到(DOI: 10.1002/adsr.202500093)。
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引用次数: 0
Issue Information (Adv. Sensor Res. 10/2025) 发布信息(rev . Sensor Res. 10/2025)
IF 3.5 Pub Date : 2025-10-09 DOI: 10.1002/adsr.70074
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引用次数: 0
Ultrathin Graphene Strain Sensor Arrays for High-Sensitivity Multifunctional Sensing with Millimeter-Scale Resolution 用于毫米级分辨率的高灵敏度多功能传感的超薄石墨烯应变传感器阵列
IF 3.5 Pub Date : 2025-10-08 DOI: 10.1002/adsr.202500089
Wenchao Luo, Hu Guo, Xubing Li, Jun Yang, Yueran Ding, Xuejun Wang, Qiuming Song, Cheng Wang, Hao Sun, Wenjun Zhang, Yuan Jia

The deployment of graphene flexible sensor arrays is hindered by two major limitations—difficulty in achieving high spatial resolution with existing fabrication methods and the lack of system-level integration for practical applications. To address these challenges, a fully integrated platform based on an ultrathin graphene-based strain sensor array is presented. The array is fabricated on a 5 µm-thick polyimide substrate using CVD-grown graphene and top-down microfabrication techniques. With a 4 × 4 layout and 1 mm unit pitch, a device density of ≈64units cm−2 is achieved, enabling millimeter-scale spatial resolution. The platform integrates the full development pipeline, including sensor array fabrication, flexible circuit design, signal control, and data acquisition. The durability test reveals stable performance over 5000 bending cycles. Strain sensitivity measurements show a maximum gauge factor of 144 under 0.8% strain, while dynamic tests yield rapid response and relaxation times of 0.2 and 0.16 s, respectively. The platform reliably resolves localized pressure, monitors arterial pulse waveforms, and distinguishes surface curvatures, showcasing its multifunctional sensing capabilities. These results establish the practical viability of the proposed platform for applications in wearable health monitoring, soft robotics, and next-generation flexible electronics.

石墨烯柔性传感器阵列的部署受到两个主要限制:现有制造方法难以实现高空间分辨率和缺乏实际应用的系统级集成。为了解决这些挑战,提出了一种基于超薄石墨烯应变传感器阵列的完全集成平台。该阵列使用cvd生长的石墨烯和自上而下的微加工技术在5微米厚的聚酰亚胺衬底上制造。采用4 × 4布局和1mm单位间距,器件密度可达≈64units cm−2,实现毫米级空间分辨率。该平台集成了完整的开发管道,包括传感器阵列制造、柔性电路设计、信号控制和数据采集。耐久性测试表明,在5000次弯曲循环中性能稳定。应变敏感性测试表明,在0.8%应变下,最大应变因子为144,而动态测试的快速响应和松弛时间分别为0.2和0.16 s。该平台可靠地解决了局部压力,监测动脉脉冲波形,并区分表面曲率,展示了其多功能传感能力。这些结果确定了该平台在可穿戴健康监测、软机器人和下一代柔性电子产品应用中的实际可行性。
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引用次数: 0
High-Performance Graphene-Based Gas Sensors with Pulsed Heating and AI Processing 具有脉冲加热和人工智能处理的高性能石墨烯气体传感器
IF 3.5 Pub Date : 2025-10-07 DOI: 10.1002/adsr.202500083
Paniz Vafaei, Martin Lind, Valter Kiisk, Tauno Kahro, Ahmet Burak Baloglu, Margus Kodu, Riho Raabe, Aarne Kasikov, Arvo Kikas, Jekaterina Kozlova, Raivo Jaaniso

Gas sensors play a critical role in safety assurance, environmental monitoring, and health diagnostics, requiring high sensitivity, fast response, and low power consumption—especially in portable applications. This study presents graphene-based chemiresistive gas sensors fabricated on MEMS microheaters and functionalized with atomically thin layers of vanadium pentoxide or copper-manganese oxide. In these heterostructures, the metal oxide serves as the gas receptor while graphene functions as the transducer. Operated in a pulsed heating mode (115–205 °C for 0.05–1 s every 10 s), the sensors demonstrated ultra-low power consumption ranging from 13 to 520 µW. Ammonia (NH3), a hazardous industrial gas and a biomarker in exhaled breath, is used as the target analyte. Transient conductance profiles at 4–32 ppm NH3 are analyzed using machine learning. Feature extraction via discrete Fourier transform and prediction using a compact neural network enables NH3 concentration estimation within 10–20 s, achieving a mean absolute error below 1% (or below 0.1 ppm at low concentrations). Despite the raw signal's sensitivity to relative humidity (RH), the model accurately predicts NH3 concentrations without RH data. The highest accuracy and humidity robustness are achieved using signals from two sensors with different oxide coatings.

气体传感器在安全保障、环境监测和健康诊断方面发挥着至关重要的作用,需要高灵敏度、快速响应和低功耗,特别是在便携式应用中。本研究提出了基于石墨烯的化学电阻式气体传感器,该传感器由MEMS微加热器制成,并由五氧化二钒或铜锰氧化物的原子薄层功能化。在这些异质结构中,金属氧化物充当气体受体,而石墨烯充当换能器。在脉冲加热模式(115-205°C,每10秒0.05-1秒)下工作,传感器的超低功耗范围为13至520 μ W。氨(NH3)是一种危险的工业气体,也是呼出气体中的生物标志物,被用作目标分析物。使用机器学习分析了4-32 ppm NH3的瞬态电导曲线。通过离散傅里叶变换进行特征提取,并使用紧凑的神经网络进行预测,可以在10-20秒内估计NH3浓度,实现平均绝对误差低于1%(或在低浓度下低于0.1 ppm)。尽管原始信号对相对湿度(RH)很敏感,但该模型在没有RH数据的情况下准确地预测了NH3浓度。使用来自两个具有不同氧化物涂层的传感器的信号,可以实现最高的精度和湿度稳健性。
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引用次数: 0
Single-Step Fabrication of Monolithic Flexible Capacitive Pressure Sensors With Enhanced Sensitivity via Femtosecond Laser Direct Writing and Microhole Structuring 飞秒激光直写和微孔结构单步制备高灵敏度单片柔性电容压力传感器
IF 3.5 Pub Date : 2025-10-06 DOI: 10.1002/adsr.202500068
Ajinkya Palwe, Saurabh Awasthi, Shobha Shukla, Sumit Saxena, SeungYeon Kang

Flexible capacitive pressure sensors (CPSs) have attracted a lot of interest due to their potential applications in wearable electronics. Manufacturing flexible CPSs involves multiple steps to fabricate sensitive layers, electrode layers, and various sensitivity-amplifying microstructures. Despite significant advancements, there remains a critical need to simplify the fabrication processes, enhance the sensitivity, and create more compact pressure sensors. In this study, a single-step fabrication of a flexible CPSs in a gelatin matrix mixed with silver nitrate is reported. A seamless monolithic design is achieved by using a femtosecond laser-based direct writing technique to pattern silver electrodes in gelatin. This approach offers high-precision 3D fabrication of metallic silver in a single step. To increase sensitivity, microholes are fabricated in the gelatin layer using an amplified laser beam with the same fabrication setup. The microholes filled with air instigate a large variation in dielectric permittivity of a medium between two electrodes under applied pressure, resulting in enhanced sensitivity ≈2.44 kPa−1 in the range of 0–0.5 kPa. This work highlights the potential of femtosecond laser-based direct writing of flexible sensors in next-generation wearable technologies, providing a pathway for high-performance solutions and a streamlined fabrication approach.

柔性电容压力传感器(cps)由于其在可穿戴电子产品中的潜在应用而引起了人们的广泛关注。制造柔性cps涉及多个步骤来制造敏感层、电极层和各种灵敏度放大微结构。尽管取得了重大进展,但仍然迫切需要简化制造工艺,提高灵敏度,并创造更紧凑的压力传感器。在这项研究中,单步制备柔性cps的明胶基质与硝酸银混合报道。通过使用飞秒激光直接书写技术在明胶中绘制银电极图案,实现了无缝的单片设计。这种方法在一个步骤中提供了高精度的金属银3D制造。为了提高灵敏度,在明胶层中使用具有相同制造装置的放大激光束制造微孔。在施加压力的情况下,充满空气的微孔会引起介质介电常数在两个电极之间的较大变化,从而在0-0.5 kPa范围内提高灵敏度≈2.44 kPa−1。这项工作强调了下一代可穿戴技术中基于飞秒激光的柔性传感器直接写入的潜力,为高性能解决方案和简化的制造方法提供了途径。
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引用次数: 0
A Holographic Sensor-Integrated Deep Learning Framework for Noninvasive Assessment of Stored Red Blood Cell Quality 一种集成全息传感器的深度学习框架,用于无创评估储存红细胞的质量
IF 3.5 Pub Date : 2025-10-02 DOI: 10.1002/adsr.202500073
Seonghwan Park, Hyunbin An, Abdur Rehman, Inkyu Moon

Prolonged storage of red blood cells (RBCs) induces morphological degradation that can compromise transfusion efficacy. Traditional quality assessment methods are often labor-intensive and time-consuming, limiting their utility in real-time settings. Although deep learning has been applied to RBC imaging, most approaches require large datasets and complex architectures, making them impractical for efficient deployment. This study introduces a holographic sensor-integrated deep learning framework for noninvasive RBC quality assessment using small datasets. A diffusion model is employed to synthetically generate phase images and segmentation masks, augmenting limited data. Self-supervised learning with pre-trained models further enhances classification performance while maintaining a streamlined model architecture. Compared to conventional segmentation methods, the proposed framework achieves higher accuracy and significantly faster inference. It also enables reliable detection of storage-induced morphological changes, providing proportional indicators of transfusion viability. Experimental results validate its effectiveness as a practical tool for real-time, sensor-driven monitoring of RBC quality.

红细胞(红细胞)的长时间储存诱导形态退化,可损害输血效果。传统的质量评估方法往往是劳动密集型和耗时的,限制了它们在实时设置中的效用。尽管深度学习已经应用于RBC成像,但大多数方法都需要大型数据集和复杂的架构,这使得它们无法有效部署。本研究介绍了一个全息传感器集成的深度学习框架,用于使用小数据集进行无创红细胞质量评估。采用扩散模型综合生成相位图像和分割掩模,增强了有限的数据。使用预训练模型的自监督学习进一步提高了分类性能,同时保持了简化的模型架构。与传统的分割方法相比,该框架具有更高的分割精度和更快的推理速度。它还能够可靠地检测储存引起的形态变化,提供输血活力的比例指标。实验结果验证了其作为实时、传感器驱动的红细胞质量监测实用工具的有效性。
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引用次数: 0
Seamlessly Machine-Knitted Multi-Sensor Garment to Monitor and Quantify Dynamic Upper Body Movement 无缝机织多传感器服装监测和量化动态上半身运动
IF 3.5 Pub Date : 2025-09-30 DOI: 10.1002/adsr.202500067
Ying Yi Tan, Ujjaval Gupta, Pei Zhi Chia, Christyasto Priyonggo Pambudi, Benjamin En How Lim, Gim Song Soh, Hong Yee Low

Smart garments offer good potential to monitor and assess dynamic upper body movements, particularly from the shoulder joint with its 3 Degrees of Freedom (DOF). In this paper, a customizable lightweight smart shirt is proposed, which is designed and manufactured using Computer Numerical Control (CNC) knitting technology. This automated textile manufacturing method enables the seamless fabrication of multiple piezoresistive sensors at designated positions and at a high resolution within the garment. The paper presents a proof-of-concept system that can record both shoulder and elbow joint motions in a non-obtrusive and non-invasive manner. This system consists of: i) a fully CNC knitted smart crop top with multi-material stretchable strain sensors and interconnects; ii) a regression model, trained on several full Range of Motion (ROM) upper body actions, to convert these sensor signals into shoulder and elbow joint angles; iii) an assessment using an ergonomics software to translate these converted joint angles into muscle fatigue markers. To validate the workflow, the subject performed a pick-and-hold activity outside of the regression model's training dataset. Subsequently, the joint angles of the subject performing this pick-and-hold activity, converted from the smart garment, are compared with joint angle data from the Vicon motion capture system. Comparing the ergonomics software outputs from both datasets shows good agreement with overall low root mean square errors, the highest being 0.787% for maximum voluntary contraction (%MVC) and 1.896% for duty cycle limit (%DC).

智能服装提供了监测和评估上半身动态运动的良好潜力,特别是从具有3个自由度(DOF)的肩关节开始。本文提出了一种可定制的轻型智能衬衫,采用数控(CNC)针织技术进行设计和制造。这种自动化纺织制造方法能够在服装内的指定位置以高分辨率无缝制造多个压阻传感器。本文提出了一个概念验证系统,可以记录肩关节和肘关节运动在一个非侵入性和非侵入性的方式。该系统包括:i)全数控针织智能露脐上衣,带有多材料可拉伸应变传感器和互连;ii)一个回归模型,训练几个全范围运动(ROM)上肢动作,将这些传感器信号转换成肩关节和肘关节的角度;Iii)使用人体工程学软件将这些转换的关节角度转换为肌肉疲劳标记进行评估。为了验证工作流,受试者在回归模型的训练数据集之外执行了拾取和保持活动。随后,将从智能服装转换而来的受试者的关节角度与Vicon运动捕捉系统的关节角度数据进行比较。比较两个数据集的人机工程学软件输出结果显示,总体均方根误差较低,最高的是最大自愿收缩(%MVC)为0.787%,占空比极限(%DC)为1.896%。
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引用次数: 0
A Skin-Adherent Magneto-Inertial Wearable for Real-Time Joint Motion Analysis 用于实时关节运动分析的皮肤贴附磁惯性可穿戴设备
IF 3.5 Pub Date : 2025-09-29 DOI: 10.1002/adsr.202500087
Montserrat Ramirez-De Angel, Eckaard le Roux, Khaled N. Salama

Musculoskeletal physiotherapy is evolving with the integration of wearable technologies that enable continuous monitoring and personalized rehabilitation. This study presents a multimodal, wireless, and cost-effective wearable system designed to assess and classify joint motion using magneto-inertial sensing. The system incorporates a flexible PDMS-NdFeB magnetic skin patch and a compact sensor module with a 9-degree-of-freedom IMU. Real-time joint kinematics are wirelessly transmitted to a custom mobile application, enabling interactive visualization and feedback. Biomechanical modeling is employed to evaluate muscle contributions and joint dynamics across the wrist, elbow, and knee. Processed magnetic signals are used to classify range of motion (ROM) into three categories—Limited, Normal, and Hypermobility—through traditional machine learning and deep learning models. A 1D convolutional neural network (1D-CNN) achieves the highest classification accuracy (95.3%). The proposed system demonstrates strong potential for enhancing musculoskeletal rehabilitation by providing accurate, real-time assessments and individualized treatment feedback.

肌肉骨骼物理治疗随着可穿戴技术的整合而不断发展,这些技术可以实现持续监测和个性化康复。本研究提出了一种多模态、无线且具有成本效益的可穿戴系统,旨在利用磁惯性传感对关节运动进行评估和分类。该系统包含一个灵活的PDMS-NdFeB磁性皮肤贴片和一个具有9自由度IMU的紧凑型传感器模块。实时关节运动学数据通过无线传输到定制的移动应用程序,实现交互式可视化和反馈。生物力学建模用于评估肌肉的贡献和关节动态横跨手腕,肘部和膝关节。经过处理的磁信号通过传统的机器学习和深度学习模型,将运动范围(ROM)分为三类——有限、正常和超运动。1D卷积神经网络(1D- cnn)的分类准确率最高(95.3%)。该系统通过提供准确、实时的评估和个性化的治疗反馈,显示了增强肌肉骨骼康复的强大潜力。
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引用次数: 0
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Advanced Sensor Research
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