Integration of cell phone imaging with microchip ELISA to detect ovarian cancer HE4 biomarker in urine at the point-of-care.

Integration of cell phone imaging with microchip ELISA to detect ovarian cancer HE4 biomarker in urine at the point-of-care.
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将手机成像与微芯片ELISA整合在一起,以检测护理点尿液中的卵巢癌HE4生物标志物。

DOI:
10.1039/c1lc20479c
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发表时间:
2011-10-21
期刊:
影响因子:
6.1
通讯作者:
Demirci U
Demirci U
中科院分区:
工程技术1区
文献类型:
--
作者:
Wang S;Zhao X;Khimji I;Akbas R;Qiu W;Edwards D;Cramer DW;Ye B;Demirci U

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卵巢癌在早期阶段是无症状的,大多数患者表现为晚期疾病。缺乏成本效益高的方法,可以实现频繁,简单和非侵入性的测试阻碍了早期发现,并导致卵巢癌患者的高死亡率。在这里,我们报告了一种简单而廉价的基于微芯片ELISA的检测模块,其采用便携式检测系统,即,一个手机/电荷耦合器件(CCD)来量化尿液中的卵巢癌生物标志物HE 4。将移动的应用程序与手机集成,可以立即处理微芯片ELISA结果,从而消除了对笨重、昂贵的分光光度计的需求。通过手机或无透镜CCD系统检测的HE 4水平在来自癌症患者(n = 19)的尿样中比正常健康对照(n = 20)显著升高(p < 0.001)。受试者工作特征(ROC)分析表明,与运行自动分析应用程序的手机耦合的微芯片ELISA具有89.5%的灵敏度和90%的特异性。在相同特异性条件下,微芯片酶联免疫吸附试验的灵敏度为84.2%。总之,微芯片ELISA与基于手机/CCD的比色测量技术的集成可用于在护理点(POC)检测HE 4生物标志物,为创建用于诊断和治疗监测的床边技术铺平了道路。
Ovarian cancer is asymptomatic at early stages and most patients present with advanced levels of disease. Lack of cost-effective methods that can achieve frequent, simple and non-invasive testing hinders early detection and causes high mortality in ovarian cancer patients. Here, we report a simple and inexpensive microchip ELISA-based detection module that employs a portable detection system, i.e., a cell phone/charge-coupled device (CCD) to quantify an ovarian cancer biomarker, HE4, in urine. Integration of a mobile application with a cell phone enabled immediate processing of microchip ELISA results, which eliminated the need for a bulky, expensive spectrophotometer. The HE4 level detected by a cell phone or a lensless CCD system was significantly elevated in urine samples from cancer patients (n = 19) than normal healthy controls (n = 20) (p < 0.001). Receiver operating characteristic (ROC) analyses showed that the microchip ELISA coupled with a cell phone running an automated analysis application had a sensitivity of 89.5% at a specificity of 90%. Under the same specificity, the microchip ELISA coupled with a CCD had a sensitivity of 84.2%. In conclusion, integration of microchip ELISA with cell phone/CCD-based colorimetric measurement technology can be used to detect HE4 biomarker at the point-of-care (POC), paving the way to create bedside technologies for diagnostics and treatment monitoring.
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发表时间: 2009-06
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影响因子: --
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