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Aptamers as innovative tools for malaria diagnosis and treatment: advances and future perspectives. 适体作为疟疾诊断和治疗的创新工具:进展和未来展望。
IF 2.5 Q3 BIOCHEMICAL RESEARCH METHODS Pub Date : 2025-03-27 eCollection Date: 2025-01-01 DOI: 10.1093/biomethods/bpaf025
Wendy Yulieth Royero-Bermeo, Miryan Margot Sánchez-Jiménez, Juan David Ospina-Villa

Malaria, caused by Plasmodium spp. parasites (P. vivax, P. falciparum, P. ovale, P. malariae, and P. knowlesi), remains a significant global health challenge, with 263 million cases and 567 000 deaths reported in 2023. Diagnosis in endemic regions relies on clinical symptoms, microscopy, and rapid diagnostic tests. Although widely used, microscopy suffers from variability in sensitivity due to operator expertise and low parasitemia. Rapid diagnostic tests, which are favored for their simplicity and speed, show high sensitivity for P. vivax but reduced accuracy (80%) for P. falciparum, which is attributed to deletions in histidine-rich protein 2/3 proteins caused by Pfhrp2/3 gene mutations. Innovative diagnostic and therapeutic technologies, such as aptamers, are gaining attention. Aptamers are single-stranded oligonucleotides that bind specifically to target molecules with high affinity. They have shown promise in disease diagnosis, therapeutics, and environmental monitoring. In malaria, aptamers are being explored as highly sensitive and specific diagnostic tools capable of detecting Plasmodium proteins across all infection stages. Additionally, they offer potential for novel therapeutic strategies, enhancing disease control and treatment options. These advancements highlight the use of aptamers as versatile and innovative approaches for addressing malaria and other infectious diseases. A comprehensive literature search was conducted in the PubMed, ScienceDirect, and SCOPUS databases via the keywords "Aptamers" AND "Malaria" AND "Aptamers" AND "Plasmodium." Additionally, patent searches were carried out in the LENS, WIPO, and LATIPAT databases via the same search terms. In total, 88 relevant articles were selected for this review, providing a comprehensive and evidence-based foundation to discuss emerging aptamer technologies for malaria diagnosis and treatment. The proteins commonly employed in rapid malaria diagnostic tests, such as histidine-rich protein 2, P. lactate dehydrogenase, and prostaglandin dehydrogenase, are highlighted. However, the identification of new targets, such as HMIGB1 and DRX1 (1-deoxy-d-xylulose-5-phosphate reductoisomerase), and the detection of whole cells have also been emphasized.

由疟原虫(间日疟原虫、恶性疟原虫、卵形疟原虫、疟疾疟原虫和诺氏疟原虫)引起的疟疾仍然是一项重大的全球卫生挑战,2023年报告的病例为2.63亿例,死亡人数为56.7万人。流行地区的诊断依赖于临床症状、显微镜和快速诊断测试。尽管显微镜被广泛使用,但由于操作人员的专业知识和低寄生虫率,显微镜在灵敏度上存在差异。快速诊断测试因其简单和快速而受到青睐,对间日疟原虫具有较高的敏感性,但对恶性疟原虫的准确性较低(80%),这是由于Pfhrp2/3基因突变导致富组氨酸蛋白2/3蛋白缺失。创新的诊断和治疗技术,如适体,正在获得关注。适配体是单链寡核苷酸,具有高亲和力特异性结合靶分子。它们在疾病诊断、治疗和环境监测方面显示出前景。在疟疾中,适体体正在被探索作为高度敏感和特异的诊断工具,能够在所有感染阶段检测疟原虫蛋白。此外,它们提供了新的治疗策略,加强疾病控制和治疗选择的潜力。这些进展突出表明,适体是对付疟疾和其他传染病的通用和创新方法。通过关键词“Aptamers”和“Malaria”以及“Aptamers”和“Plasmodium”在PubMed、ScienceDirect和SCOPUS数据库中进行了全面的文献检索。此外,通过相同的检索词在LENS、WIPO和LATIPAT数据库中进行了专利检索。本次综述共选择了88篇相关文章,为讨论疟疾诊断和治疗的新兴适体技术提供了全面的循证基础。重点介绍了疟疾快速诊断试验中常用的蛋白质,如富组氨酸蛋白2、乳酸P.脱氢酶和前列腺素脱氢酶。然而,新靶点的鉴定,如HMIGB1和DRX1(1-脱氧-d-木醛糖-5-磷酸还原异构酶),以及全细胞检测也得到了重视。
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引用次数: 0
Optimized immunofluorescence for liver structure analysis: Enhancing 3D resolution and minimizing tissue autofluorescence. 优化免疫荧光肝脏结构分析:提高三维分辨率和最大限度地减少组织自身荧光。
IF 2.5 Q3 BIOCHEMICAL RESEARCH METHODS Pub Date : 2025-03-26 eCollection Date: 2025-01-01 DOI: 10.1093/biomethods/bpaf023
Elena Zoppolato, Hasse Mol, Carlos Estrella-García, Nicole Vizcaino-Rodríguez, Diana Sanchez, Nicole Procel, Isabel Baroja, Leticia Sansores-Garcia, Iván M Moya

The study of liver biology and pathology through marker expression analysis and tissue structure visualization is constrained by the high autofluorescence caused by the presence of lipofuscins, vitamin A, and lipid droplets, which traditional staining methods do not effectively quench. This leads to low signal-to-noise ratios, obscured expression levels, and reduced structural resolution. We mitigated liver tissue autofluorescence using Sudan Black B staining, which effectively quenches background signals from lipid and lipofuscin accumulation. Additionally, these protocols typically use thin paraffin sections (5-7 µm), which limit the analysis of larger and more complex liver structures. Liver tissue is highly organized in three dimensions, with large hepatocytes (20-30 µm in diameter) arranged around sinusoids and bile canaliculi, which form intricate branching networks. Thin sections cannot capture this 3D organization, providing only a "snapshot" of the tissue at one plane. Here, we present an optimized immunofluorescence protocol using 100-200 µm vibratome-cut liver sections to enable a more comprehensive 3D-like analysis of liver architecture. Finally, our protocol includes antigen retrieval steps tailored to each antibody, maximizing epitope accessibility and signal clarity. Together, these improvements provide a robust method for detailed liver studies with enhanced specificity and structural resolution in immunofluorescent staining. This protocol is particularly suited for researchers focused on liver regeneration, cancer, chronic disease pathology, and structural analysis. However, other researchers interested in exploring complex tissue structures in other autofluorescent tissues, such as the kidney, brain, pancreas, spleen, and adipose tissue, will also find this method beneficial.

通过标志物表达分析和组织结构可视化来研究肝脏生物学和病理学受到脂褐素、维生素A和脂滴的存在所引起的高自身荧光的限制,而传统的染色方法不能有效地消除这些荧光。这导致低信噪比、模糊的表达水平和降低的结构分辨率。我们使用苏丹黑B染色减轻肝组织自身荧光,这有效地抑制了脂质和脂褐素积累的背景信号。此外,这些方案通常使用薄石蜡切片(5-7µm),这限制了对更大和更复杂的肝脏结构的分析。肝组织在三维空间中高度组织,大的肝细胞(直径20-30µm)排列在窦和胆管周围,形成复杂的分支网络。薄片不能捕捉这种三维组织,只能提供一个平面上组织的“快照”。在这里,我们提出了一种优化的免疫荧光方案,使用100-200µm振动原子切割肝脏切片,以实现更全面的肝脏结构3d分析。最后,我们的方案包括针对每个抗体的抗原检索步骤,最大限度地提高表位可及性和信号清晰度。总之,这些改进为详细的肝脏研究提供了一种强大的方法,增强了免疫荧光染色的特异性和结构分辨率。该方案特别适合研究肝再生、癌症、慢性疾病病理学和结构分析的研究人员。然而,其他对探索其他自体荧光组织(如肾、脑、胰腺、脾脏和脂肪组织)的复杂组织结构感兴趣的研究人员也会发现这种方法有益。
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引用次数: 0
Genome language modeling (GLM): a beginner's cheat sheet. 基因组语言建模(GLM):初学者的备忘单。
IF 2.5 Q3 BIOCHEMICAL RESEARCH METHODS Pub Date : 2025-03-25 eCollection Date: 2025-01-01 DOI: 10.1093/biomethods/bpaf022
Navya Tyagi, Naima Vahab, Sonika Tyagi

Integrating genomics with diverse data modalities has the potential to revolutionize personalized medicine. However, this integration poses significant challenges due to the fundamental differences in data types and structures. The vast size of the genome necessitates transformation into a condensed representation containing key biomarkers and relevant features to ensure interoperability with other modalities. This commentary explores both conventional and state-of-the-art approaches to genome language modeling (GLM), with a focus on representing and extracting meaningful features from genomic sequences. We focus on the latest trends of applying language modeling techniques on genomics sequence data, treating it as a text modality. Effective feature extraction is essential in enabling machine learning models to effectively analyze large genomic datasets, particularly within multimodal frameworks. We first provide a step-by-step guide to various genomic sequence preprocessing and tokenization techniques. Then we explore feature extraction methods for the transformation of tokens using frequency, embedding, and neural network-based approaches. In the end, we discuss machine learning (ML) applications in genomics, focusing on classification, regression, language processing algorithms, and multimodal integration. Additionally, we explore the role of GLM in functional annotation, emphasizing how advanced ML models, such as Bidirectional encoder representations from transformers, enhance the interpretation of genomic data. To the best of our knowledge, we compile the first end-to-end analytic guide to convert complex genomic data into biologically interpretable information using GLM, thereby facilitating the development of novel data-driven hypotheses.

将基因组学与多种数据模式相结合,有可能彻底改变个性化医疗。然而,由于数据类型和结构的根本差异,这种集成带来了重大挑战。庞大的基因组需要转化为包含关键生物标志物和相关特征的浓缩表示,以确保与其他模式的互操作性。这篇评论探讨了基因组语言建模(GLM)的传统和最先进的方法,重点是从基因组序列中表示和提取有意义的特征。我们关注基因组学序列数据中语言建模技术应用的最新趋势,将其视为一种文本模态。有效的特征提取对于使机器学习模型能够有效地分析大型基因组数据集至关重要,特别是在多模态框架中。我们首先提供了一步一步的指导,各种基因组序列预处理和标记化技术。然后,我们探索了使用频率、嵌入和基于神经网络的方法进行令牌转换的特征提取方法。最后,我们讨论了机器学习(ML)在基因组学中的应用,重点是分类、回归、语言处理算法和多模态集成。此外,我们探讨了GLM在功能注释中的作用,强调了高级ML模型(如来自变压器的双向编码器表示)如何增强基因组数据的解释。据我们所知,我们编写了第一个端到端分析指南,使用GLM将复杂的基因组数据转换为生物学可解释的信息,从而促进了新的数据驱动假设的发展。
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引用次数: 0
Mass photometry as a fast, facile characterization tool for direct measurement of mRNA length. 质谱法是直接测量mRNA长度的一种快速、简便的表征工具。
IF 2.5 Q3 BIOCHEMICAL RESEARCH METHODS Pub Date : 2025-03-20 eCollection Date: 2025-01-01 DOI: 10.1093/biomethods/bpaf021
Andrew Schmudlach, Saralynn Spear, Yimin Hua, Stephanie Fertier-Prizzon, Jianmei Kochling

Oligonucleotide integrity is a critical quality attribute for many new therapeutic modalities. Current assays often measure attributes such as length using capillary electrophoresis or liquid chromatography. The length is then corroborated with sequencing data to ensure oligonucleotide quality. An orthogonal measure to these classical separations is to measure intact mass, which traditional mass spectrometry cannot. Herein, we report the use of mass photometry to directly measure RNA length using RNA ladders as a calibrant.

寡核苷酸完整性是许多新的治疗方式的关键质量属性。目前的检测方法通常使用毛细管电泳或液相色谱法测量长度等属性。然后用测序数据证实长度,以确保寡核苷酸质量。对这些经典分离的正交测量是测量完整质量,这是传统质谱法无法做到的。在此,我们报告使用质谱法直接测量RNA长度,使用RNA阶梯作为校准剂。
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引用次数: 0
A generalized protocol for the induction of M2-like macrophages from mouse and rat bone marrow mononuclear cells. 从小鼠和大鼠骨髓单核细胞诱导m2样巨噬细胞的通用方案。
IF 2.5 Q3 BIOCHEMICAL RESEARCH METHODS Pub Date : 2025-03-19 eCollection Date: 2025-01-01 DOI: 10.1093/biomethods/bpaf020
Ulugbek R Yakhshimurodov, Kizuku Yamashita, Kenji Miki, Takuji Kawamura, Shunsuke Saito, Shigeru Miyagawa

Regardless of origin and localization, macrophages are the major immune cells that maintain homeostasis in both healthy and diseased states. However, there is no consensus on the phenotypes, functions and fates of macrophages. Existing studies clarify macrophage biology from different biomedical research perspectives, but the heterogeneity of induction methods hinders reproducibility and comparability. To address this problem, we validated a novel generalized in vitro protocol for the induction of M2-like macrophages from mice and rats bone marrow mononuclear cells. Our approach improves reliability and cross-species applicability, providing a valuable tool for macrophage research.

无论其来源和定位如何,巨噬细胞是在健康和患病状态下维持体内平衡的主要免疫细胞。然而,巨噬细胞的表型、功能和命运尚未达成共识。现有研究从不同的生物医学研究角度阐明巨噬细胞生物学,但诱导方法的异质性阻碍了可重复性和可比性。为了解决这个问题,我们验证了一种新的通用体外方案,用于从小鼠和大鼠骨髓单核细胞诱导m2样巨噬细胞。我们的方法提高了可靠性和跨物种适用性,为巨噬细胞研究提供了有价值的工具。
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引用次数: 0
Flow cytometric procedures for deep characterization of nanoparticles. 纳米颗粒深度表征的流式细胞术程序。
IF 2.5 Q3 BIOCHEMICAL RESEARCH METHODS Pub Date : 2025-03-11 eCollection Date: 2025-01-01 DOI: 10.1093/biomethods/bpaf019
Valentina Tirelli, Felicia Grasso, Valeria Barreca, Deborah Polignano, Alessandra Gallinaro, Andrea Cara, Massimo Sargiacomo, Maria Luisa Fiani, Massimo Sanchez

In recent years, there has been a notable increasing interest surrounding the identification and quantification of nano-sized particles, including extracellular vesicles (EVs) and viruses. The challenge posed by the nano-sized dimension of these particles makes precise examination a significant undertaking. Among the different techniques for the accurate study of EVs, flow cytometry stands out as the ideal method. It is characterized by high sensitivity, low time consumption, non-destructive sampling, and high throughput. In this article, we propose the optimization of flow cytometry procedures to identify, quantify, and purify EVs and virus-like particles. The protocol aims to reduce artefacts and errors in nano-sized particles counting, overall caused by the swarming effect. Different threshold strategies were compared to ensure result specificity. Additionally, the critical parameters to consider when using conventional flow cytometry outside of the common experimental context of use have also been identified. Finally, fluorescent-EVs sorting protocol was also developed with highly reliable results using a conventional cell sorter.

近年来,人们对包括细胞外囊泡(EVs)和病毒在内的纳米颗粒的鉴定和定量越来越感兴趣。这些粒子的纳米尺寸带来的挑战使得精确的检查成为一项重要的任务。在准确研究ev的各种技术中,流式细胞术是最理想的方法。它具有灵敏度高、耗时低、无损采样和高通量等特点。在本文中,我们提出了流式细胞术程序的优化,以鉴定,量化和纯化ev和病毒样颗粒。该方案旨在减少由蜂群效应引起的纳米粒子计数中的伪影和错误。比较不同阈值策略以确保结果的特异性。此外,还确定了在常规实验环境之外使用常规流式细胞术时要考虑的关键参数。最后,还开发了荧光- ev分选方案,使用传统的细胞分选器获得了高度可靠的结果。
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引用次数: 0
A protocol for karyotyping and genetic editing of induced pluripotent stem cells with homology-directed repair mediated CRISPR/Cas9. 同源定向修复介导的CRISPR/Cas9诱导多能干细胞的核型和基因编辑方案
IF 2.5 Q3 BIOCHEMICAL RESEARCH METHODS Pub Date : 2025-02-28 eCollection Date: 2025-01-01 DOI: 10.1093/biomethods/bpaf018
Silvana Lobo, Rita Barbosa-Matos, Sofia Dória, Ana Maria Pedro, Ana Brito, Daniel Ferreira, Carla Oliveira

CRISPR/Cas9-mediated homology-directed repair (HDR) allows precise gene editing, but its efficiency remains low for certain cell types, such as human induced pluripotent stem cells (hiPSCs). In this study, we aimed to introduce the CTNNA1: c.2023C>T (p.Q675*) genetic alteration, which is associated with Hereditary Diffuse Gastric Cancer, into hiPSCs using CRISPR/Cas9. We designed a single-guide RNA targeting the alteration site and a single-stranded oligonucleotide donor DNA template for HDR-based repair. Herein, we report the successful introduction of the CTNNA1: c.2023C>T homozygous alteration in one hiPSC line, which resulted in severe phenotypic changes, including impaired colony formation and cell proliferation. Additionally, we established a straightforward protocol to assess hiPSCs karyotype integrity, ensuring the chromosomal stability required for the gene-editing process. This protocol involves routine G-banding analysis that is required for regular quality controls during handling of hiPSCs. This study demonstrates an efficient approach to precisely edit hiPSCs by CRISPR/Cas9 and highlights the essential role of CTNNA1 expression in maintaining hiPSC viability. Our methodology provides a valuable framework for modeling disease-associated alterations in human-derived cellular models that can be reproduced for other genes and other types of cell lines.

CRISPR/ cas9介导的同源定向修复(HDR)允许精确的基因编辑,但对于某些细胞类型,如人类诱导多能干细胞(hiPSCs),其效率仍然很低。在本研究中,我们旨在利用CRISPR/Cas9将与遗传性弥漫性胃癌相关的CTNNA1: c.2023C>T (p.Q675*)基因改变引入hiPSCs。我们设计了一个靶向改变位点的单导RNA和一个单链寡核苷酸供体DNA模板,用于基于hdr的修复。在此,我们报道了在一个hiPSC系中成功引入CTNNA1: c.2023C>T纯合改变,导致严重的表型改变,包括集落形成和细胞增殖受损。此外,我们建立了一个简单的方案来评估hipsc核型完整性,确保基因编辑过程所需的染色体稳定性。该方案涉及常规g带分析,这是在处理hipsc期间进行常规质量控制所必需的。本研究展示了一种利用CRISPR/Cas9精确编辑hiPSC的有效方法,并强调了CTNNA1表达在维持hiPSC活力中的重要作用。我们的方法为人类来源的细胞模型中疾病相关改变的建模提供了一个有价值的框架,该模型可以在其他基因和其他类型的细胞系中复制。
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引用次数: 0
The effectiveness of large language models with RAG for auto-annotating trait and phenotype descriptions. 基于RAG的大型语言模型对性状和表型描述的自动注释的有效性。
IF 2.5 Q3 BIOCHEMICAL RESEARCH METHODS Pub Date : 2025-02-26 eCollection Date: 2025-01-01 DOI: 10.1093/biomethods/bpaf016
David Kainer

Ontologies are highly prevalent in biology and medicine and are always evolving. Annotating biological text, such as observed phenotype descriptions, with ontology terms is a challenging and tedious task. The process of annotation requires a contextual understanding of the input text and of the ontological terms available. While text-mining tools are available to assist, they are largely based on directly matching words and phrases and so lack understanding of the meaning of the query item and of the ontology term labels. Large Language Models (LLMs), however, excel at tasks that require semantic understanding of input text and therefore may provide an improvement for the auto-annotation of text with ontological terms. Here we describe a series of workflows incorporating OpenAI GPT's capabilities to annotate Arabidopsis thaliana and forest tree phenotypic observations with ontology terms, aiming for results that resemble manually curated annotations. These workflows make use of an LLM to intelligently parse phenotypes into short concepts, followed by finding appropriate ontology terms via embedding vector similarity or via Retrieval-Augmented Generation (RAG). The RAG model is a state-of-the-art approach that augments conversational prompts to the LLM with context-specific data to empower it beyond its pre-trained parameter space. We show that the RAG produces the most accurate automated annotations that are often highly similar or identical to expert-curated annotations.

本体论在生物学和医学中非常普遍,并且总是在不断发展。用本体术语注释生物学文本(如观察到的表型描述)是一项具有挑战性和繁琐的任务。注释过程需要对输入文本和可用的本体论术语有上下文理解。虽然有文本挖掘工具可以提供帮助,但它们主要基于直接匹配的单词和短语,因此缺乏对查询项和本体术语标签含义的理解。然而,大型语言模型(Large Language Models, llm)擅长于需要对输入文本进行语义理解的任务,因此可以为使用本体论术语对文本进行自动注释提供改进。在这里,我们描述了一系列的工作流程,这些工作流程结合了OpenAI GPT的功能,可以用本体术语注释拟南芥和森林树木的表型观察,旨在获得类似于手动编辑注释的结果。这些工作流利用LLM智能地将表型解析为简短的概念,然后通过嵌入向量相似性或通过检索增强生成(RAG)找到适当的本体术语。RAG模型是一种最先进的方法,它通过特定于上下文的数据来增强对LLM的会话提示,从而使其超出预训练的参数空间。我们展示了RAG生成最准确的自动注释,这些注释通常与专家策划的注释高度相似或相同。
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引用次数: 0
Protocol for isolation and expansion of natural killer cells from human peripheral blood scalable for clinical applications. 从人外周血中分离和扩增自然杀伤细胞的规程,可扩展为临床应用。
IF 2.5 Q3 BIOCHEMICAL RESEARCH METHODS Pub Date : 2025-02-26 eCollection Date: 2025-01-01 DOI: 10.1093/biomethods/bpaf015
Soumyadipta Kundu, Leonie Durkan, Michael O'Dwyer, Eva Szegezdi

Natural killer (NK) cells have emerged as promising candidates for novel immunotherapy strategies against various malignancies. Their unique ability to recognize and eliminate tumour cells without prior sensitization, coupled with the secretion of pro-inflammatory cytokines such as interferon-gamma and tumour necrosis factor, position them as promising agents in cancer therapy. Adoptive NK cell transfer has shown particular promise in haematological malignancies, where NK cell infusions could achieve remission in a high proportion of patients. Moreover, the possibility to engineer NK cells to express chimeric antigen receptors can further enhance their efficacy, thereby broadening their applicability to include solid tumours. Ongoing research is crucial to optimize NK cell therapies and enhance their efficacy to expand their clinical applications. However, this research hinges on robust protocols and experimental methodology for the isolation, expansion, and genetic engineering of NK cells. In an attempt to set up a standardized protocol for NK cell isolation and expansion, we present a thoroughly tested and validated protocol that can produce highly pure, viable, and potent NK cells that can be used for research and development of NK cell therapies. The protocol is highly reproducible, closely aligned to comply with Good Manufacturing Practice regulations, and tested for scalability to produce NK cells at clinically relevant dosages to support the development of off-the-shelf NK products.

自然杀伤细胞(NK细胞)已成为新的免疫治疗策略对抗各种恶性肿瘤的有希望的候选人。它们在没有事先致敏的情况下识别和消除肿瘤细胞的独特能力,加上促炎细胞因子(如干扰素- γ和肿瘤坏死因子)的分泌,使它们成为癌症治疗中有前途的药物。过继NK细胞转移在血液系统恶性肿瘤中显示出特别的希望,其中NK细胞输注可以在高比例的患者中实现缓解。此外,改造NK细胞表达嵌合抗原受体的可能性可以进一步增强其功效,从而扩大其适用范围,包括实体肿瘤。正在进行的研究对于优化NK细胞疗法和提高其疗效以扩大其临床应用至关重要。然而,这项研究取决于稳健的协议和实验方法的分离,扩增,和NK细胞的基因工程。为了建立NK细胞分离和扩增的标准化方案,我们提出了一个经过彻底测试和验证的方案,该方案可以产生高纯度、有活力和有效的NK细胞,可用于NK细胞疗法的研究和开发。该方案具有高度可重复性,符合良好生产规范规定,并测试了以临床相关剂量生产NK细胞的可扩展性,以支持现成NK产品的开发。
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引用次数: 0
Retrieval Augmented Medical Diagnosis System. 检索增强医疗诊断系统。
IF 2.5 Q3 BIOCHEMICAL RESEARCH METHODS Pub Date : 2025-02-25 eCollection Date: 2025-01-01 DOI: 10.1093/biomethods/bpaf017
Ethan Thomas Johnson, Jathin Koushal Bande, Johnson Thomas

Subjective variability in human interpretation of diagnostic imaging presents significant clinical limitations, potentially resulting in diagnostic errors and increased healthcare costs. While artificial intelligence (AI) algorithms offer promising solutions to reduce interpreter subjectivity, they frequently demonstrate poor generalizability across different healthcare settings. To address these issues, we introduce Retrieval Augmented Medical Diagnosis System (RAMDS), which integrates an AI classification model with a similar image model. This approach retrieves historical cases and their diagnoses to provide context for the AI predictions. By weighing similar image diagnoses alongside AI predictions, RAMDS produces a final weighted prediction, aiding physicians in understanding the diagnosis process. Moreover, RAMDS does not require complete retraining when applied to new datasets; rather, it simply necessitates re-calibration of the weighing system. When RAMDS fine-tuned for negative predictive value was evaluated on breast ultrasounds for cancer classification, RAMDS improved sensitivity by 21% and negative predictive value by 9% compared to ResNet-34. Offering enhanced metrics, explainability, and adaptability, RAMDS represents a notable advancement in medical AI. RAMDS is a new approach in medical AI that has the potential for pan-pathological uses, though further research is needed to optimize its performance and integrate multimodal data.

人类对诊断成像的主观解读存在显著的临床局限性,可能导致诊断错误并增加医疗成本。虽然人工智能(AI)算法为减少口译员的主观性提供了有希望的解决方案,但它们在不同的医疗保健环境中往往表现出较差的通用性。为了解决这些问题,我们引入了检索增强医疗诊断系统(RAMDS),它将人工智能分类模型与类似的图像模型集成在一起。这种方法检索历史病例及其诊断,为人工智能预测提供背景。通过将类似的图像诊断与人工智能预测进行权衡,RAMDS产生最终的加权预测,帮助医生理解诊断过程。此外,RAMDS在应用于新数据集时不需要完全的再训练;相反,它只是需要重新校准称重系统。与ResNet-34相比,RAMDS对乳腺超声诊断的阴性预测值进行微调后,灵敏度提高了21%,阴性预测值提高了9%。RAMDS提供了增强的指标、可解释性和适应性,代表了医疗人工智能的显著进步。RAMDS是医学人工智能中的一种新方法,具有泛病理应用的潜力,但需要进一步研究以优化其性能并整合多模态数据。
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引用次数: 0
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