4.7 Article

Rapid, label-free CD4 testing using a smartphone compatible device

期刊

LAB ON A CHIP
卷 17, 期 17, 页码 2910-2919

出版社

ROYAL SOC CHEMISTRY
DOI: 10.1039/c7lc00273d

关键词

-

资金

  1. National Institutes of Health under award [R01AI118502, P30ES000002, R15AI127214]
  2. Brigham and Women's Hospital and Harvard Medical School through Bright Futures Prize and Innovation Evergreen Award
  3. National Sciences and Engineering Research Council of Canada (NSERC) through NSERC Postdoctoral fellowship
  4. Harvard T. H. Chan School of Public Health
  5. Harvard Center for Environmental Health through Harvard NIEHS Grant
  6. Harvard CFAR [P30 AI060354]
  7. American Board of Obstetrics and Gynecology
  8. American College of Obstetricians and Gynecologists
  9. American Society for Reproductive Medicine
  10. Society for Reproductive Endocrinology and Infertility through ASRM Award

向作者/读者索取更多资源

The most recent guidelines have called for a significant shift towards viral load testing for HIV/AIDS management in developing countries; however point-of-care (POC) CD4 testing still remains an important component of disease staging in multiple developing countries. Advancements in micro/nanotechnologies and consumer electronics have paved the way for mobile healthcare technologies and the development of POC smartphone-based diagnostic assays for disease detection and treatment monitoring. Here, we report a simple, rapid (30 minutes) smartphone-based microfluidic chip for automated CD4 testing using a small volume (30 mu L) of whole blood. The smartphone-based device includes an inexpensive (<$5) cell phone accessory and a functionalized disposable microfluidic device. We evaluated the performance of the device using spiked PBS samples and HIV-infected and uninfected whole blood, and compared the microfluidic chip results with the manual analysis and flow cytometry results. Through t-tests, Bland-Altman analyses, and regression tests, we have shown a good agreement between the smartphone-based test and the manual and FACS analysis for CD4 count. The presented technology could have a significant impact on HIV management in developing countries through providing a reliable and inexpensive POC CD4 testing.

作者

我是这篇论文的作者
点击您的名字以认领此论文并将其添加到您的个人资料中。

评论

主要评分

4.7
评分不足

次要评分

新颖性
-
重要性
-
科学严谨性
-
评价这篇论文

推荐

Article Engineering, Electrical & Electronic

An MEMS-Based Force Sensor: Packaging and Proprioceptive Force Recognition Through Vibro-Haptic Feedback for Catheters

V. S. N. V. Sitaramgupta, Tushar Sakorikar, Hardik J. Pandya

Summary: This paper presents a smart catheter technology that integrates MEMS sensors and vibrotactile force feedback for force measurement and feedback in minimally invasive surgical procedures. The electrical connections between the fabricated force sensor and measurement system are achieved through a 3D-integrated sensor packaging. The working model of the catheter is demonstrated on porcine heart tissues.

IEEE TRANSACTIONS ON INSTRUMENTATION AND MEASUREMENT (2022)

Article Biochemical Research Methods

Toward the development of portable light emitting diode-based polarization spectroscopy tools for breast cancer diagnosis

Arif Mohd Kamal, Uttam M. Pal, Adithya Kumar, Gunabhi Ram Das, Hardik J. Pandya

Summary: A robust, affordable, and portable light emitting diode-based diagnostic tool using a polarization-sensitive technique was developed to quantify linear and circular polarization in tissues. The study showed that malignant tissues had lower polarization values compared to adjacent normal tissues at operating wavelengths of 850 and 940 nm. The highest accuracy was achieved for linear polarization at 850 nm, indicating potential for differentiating malignant tissues from normal tissues.

JOURNAL OF BIOPHOTONICS (2022)

Article Computer Science, Information Systems

Electrical Phenotyping of Human Brain Tissues: An Automated System for Tumor Delineation

B. S. Arjun, Anil G. K. Vishnu, Shilpa Rao, Manish Beniwal, Hardik J. Pandya

Summary: The study presents the development of an automated system that can accurately differentiate brain tumors from healthy tissues by measuring the electrical resistivity. The results show that the resistivity of tumors is significantly lower than normal tissues, and this trend is preserved after tissue fixation. The study also reveals the effects of tissue heterogeneity and fixation on the electrical properties of brain tissues.

IEEE ACCESS (2022)

Article Nanoscience & Nanotechnology

RapidET: a MEMS-based platform for label-free and rapid demarcation of tumors from normal breast biopsy tissues

G. K. Anil Vishnu, Gayatri Gogoi, Bhagaban Behera, Saeed Rila, Annapoorni Rangarajan, Hardik J. Pandya

Summary: This study reports a MEMS-based platform integrated with microchips for phenotyping of breast biopsy tissues using electrothermal sensing. The results show that a combination of bulk resistivity, surface resistivity, and thermal conductivity can be used to accurately distinguish breast tumors from adjacent normal tissues.

MICROSYSTEMS & NANOENGINEERING (2022)

Article Engineering, Biomedical

Spatiotemporal analysis of interictal EEG for automated seizure detection and classification

Rathin K. Joshi, M. Varun Kumar, Megha Agrawal, Avinash Rao, Latika Mohan, M. Jayachandra, Hardik J. Pandya

Summary: This study developed a quick, robust, and accurate algorithm to classify epileptic seizures, reducing the workload of neurologists for epilepsy screening and identifying important features of epileptic activities.

BIOMEDICAL SIGNAL PROCESSING AND CONTROL (2023)

Article Genetics & Heredity

Quality assurance (QA) for monitoring the performance of assisted reproductive technology (ART) staff using artificial intelligence (AI)

Panagiotis Cherouveim, Victoria S. Jiang, Manoj Kumar Kanakasabapathy, Prudhvi Thirumalaraju, Irene Souter, Irene Dimitriadis, Charles L. Bormann, Hadi Shafiee

Summary: This study evaluated the utility of an AI-QA tool in monitoring the performance of ART staff. The results showed that AI could accurately predict the implantation rates of embryo transfers and embryo thawing procedures, and in some cases, the actual performance of certain providers was lower than the AI predictions. This indicates that AI-based QA tools can provide accurate, reproducible, and efficient staff performance monitoring.

JOURNAL OF ASSISTED REPRODUCTION AND GENETICS (2023)

Article Genetics & Heredity

Advancements in the future of automating micromanipulation techniques in the IVF laboratory using deep convolutional neural networks

Victoria S. Jiang, Deeksha Kartik, Prudhvi Thirumalaraju, Hemanth Kandula, Manoj Kumar Kanakasabapathy, Irene Souter, Irene Dimitriadis, Charles L. Bormann, Hadi Shafiee

Summary: This study investigates the use of deep learning artificial intelligence algorithms to accurately identify key morphologic landmarks on oocytes and cleavage stage embryo images for micromanipulation procedures. Two convolutional neural network models were trained and tested, demonstrating the potential of deep CNN models in accurately identifying these landmarks. These findings are important for the automation of micromanipulation procedures.

JOURNAL OF ASSISTED REPRODUCTION AND GENETICS (2023)

Article Engineering, Biomedical

Electrical field stimulated modulation of cell fate of pre-osteoblasts on PVDF/BT/MWCNT based electroactive biomaterials

Nitu Bhaskar, Midhun C. Kachappilly, Venkatesh Bhushan, Hardik J. Pandya, Bikramjit Basu

Summary: The study investigates the effect of electroactive properties and electrical stimulation (ES) on the cell proliferation, migration, and maturation of osteoprogenitors. Barium titanate (BaTiO3) and multiwalled carbon nanotubes (MWCNT) were incorporated into poly (vinylidene difluoride) (PVDF)-based composites, which enhanced the dielectric permittivity, electrical conductivity, and surface roughness. A customized 12-well plate-based device was used to provide different types of ES to cells in culture. Under ES, the PVDF composite facilitated the adhesion, proliferation, migration, and differentiation of preosteoblasts, supporting osteogenesis. The synergistic interactions of ES with the piezoelectric PVDF-based polymer composite show promise in bone tissue engineering.

JOURNAL OF BIOMEDICAL MATERIALS RESEARCH PART A (2023)

Review Biochemical Research Methods

Breath VOC analysis and machine learning approaches for disease screening: a review

P. Haripriya, Madhavan Rangarajan, Hardik J. Pandya

Summary: Early disease detection can lead to reduced mortality rate and improved prognosis. Current invasive techniques like biopsy and imaging are expensive and not accessible to a large population. Non-invasive disease screening methods are needed, with exhaled breath VOC analysis showing promise. This review focuses on using exhaled breath VOC biomarkers for screening liver diseases and head and neck cancer, and also describes sensor-based approaches and machine learning techniques used for detection.

JOURNAL OF BREATH RESEARCH (2023)

Review Engineering, Biomedical

Engineering Approaches for Breast Cancer Diagnosis: A Review

Arif Mohd. Kamal, Tushar Sakorikar, Uttam M. Pal, Hardik J. Pandya

Summary: Breast cancer is a major cause of death among women, and the accuracy of diagnosis and monitoring during treatment is limited, making the patient's survival rate uncertain. Early and effective diagnosis, distinguishing diseased tissue from normal breast tissue, is key to controlling breast cancer. A multimodal diagnostic tool that assesses optical, electrical, and mechanical tissue properties can enhance clinical findings and aid accurate and rapid cancer diagnosis.

IEEE REVIEWS IN BIOMEDICAL ENGINEERING (2023)

Article Engineering, Electrical & Electronic

Lab-on-PCB-Based Electrical Immunosensing Platform for Point-of-Care Detection of SARS-CoV-2

Anju Joshi, G. K. Anil Vishnu, P. K. Smitha, Ashlesh Kadandale, R. S. Hari, Bidipta Roy, Manjula Das, Hardik J. Pandya

Summary: This study presents a multiplexed lab-on-printed circuit board (PCB) platform for label-free immunosensing of SARS-CoV-2 antigens using electrical impedance measurements. The sensor consists of an interdigitated electrode integrated on a PCB with microwells for sample loading. A biofunctionalization strategy is employed to immobilize dual antibodies on the device surface for sensitive and rapid antigen testing. Electrical impedance measurements using the PalmSens Sensit Smart system showed a detection limit of 40 and 20 pg for nucleocapsid and spike proteins, respectively. Experiments with nasopharyngeal swab samples from healthy and SARS-CoV-2 positive subjects showed distinct electrical responses for high viral load subjects compared to healthy subjects and controls.

IEEE SENSORS LETTERS (2023)

Article Biochemistry & Molecular Biology

Exosomal miRNA Biomarker Panel for Pancreatic Ductal Adenocarcinoma Detection in Patient Plasma: A Pilot Study

Amy Makler, Waseem Asghar

Summary: Pancreatic ductal adenocarcinoma (PDAC) is a leading cause of cancer-related deaths in the United States, creating a need for sensitive detection methods. Exosomal biomarker panels offer promise for PDAC screening. In this study, a four-marker panel of miRNAs (miR-93-5p, miR-339-3p, miR-425-5p, and miR-425-3p) showed high diagnostic accuracy for PDAC.

INTERNATIONAL JOURNAL OF MOLECULAR SCIENCES (2023)

Review Chemistry, Analytical

Biosensors for the Isolation and Detection of Circulating Tumor Cells (CTCs) in Point-of-Care Settings

Isaac Goldstein, Sobia Alyas, Waseem Asghar, Azhar Ilyas

Summary: Circulating tumor cells (CTCs), shed from tumors and circulating in the bloodstream, play a crucial role in cancer metastasis. Analyzing CTCs through liquid biopsy can significantly enhance researchers' understanding of cancer biology. However, the sparsity of CTCs poses a challenge in their detection and capture. This paper discusses and compares various biosensing techniques for isolating, detecting, and releasing/detaching CTCs, aiming to evaluate their efficacy, specificity, and cost in point-of-care (POC) settings.

MICROMACHINES (2023)

Review Oncology

The Molecular Basis and Clinical Consequences of Chronic Inflammation in Prostatic Diseases: Prostatitis, Benign Prostatic Hyperplasia, and Prostate Cancer

Saheed Oluwasina Oseni, Corey Naar, Mirjana Pavlovic, Waseem Asghar, James X. X. Hartmann, Gregg B. B. Fields, Nwadiuto Esiobu, James Kumi-Diaka

Summary: This review explores the role of chronic inflammation in prostatic diseases and suggests a paradigm shift in the investigation of less-explored molecules as therapeutic targets. The article comprehensively discusses aberrant signaling in relation to prostate cancer stemness, neuroendocrine differentiation, castration resistance, metabolic reprogramming, and immunosuppression. The interleukin-1 receptor-associated kinases (IRAKs) signaling pathway is proposed as a potential therapeutic strategy to manage chronic inflammation-driven prostatic diseases.

CANCERS (2023)

Review Chemistry, Analytical

Recent advancements in Micro-engineered devices for surface and deep brain animal studies: A review

Sreenivas Bhaskara, Tushar Sakorikar, Suman Chatterjee, K. V. Shabari Girishan, Hardik J. Pandya

Summary: Research on technologies for understanding brain functions and treating neurological disorders is a crucial area in neuroscience. The development of microelectrode devices, driven by technological advancements, has led to the creation of a new class of engineered devices that provide seamless neural interfaces in animal models. These devices show potential for treating neurological disorders such as epilepsy and Parkinson's disease.

SENSING AND BIO-SENSING RESEARCH (2022)

暂无数据