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Microneedle Array-Based Dermal Interstitial Fluid Biopsy for Cancer Diagnosis: Advances and Challenges
Chaima Merzougui1,2,3, Xi Yang1,2,3, Dianhuai Meng4
1State Key Laboratory of Digital Medical Engineering, School of Biological Science & Medical Engineering, Southeast University, Nanjing, 211189, China.
Advanced Healthcare Materials
|January 31, 2025
Summary
Microneedle liquid biopsy offers a minimally invasive, low-cost cancer diagnostic solution for low-resource settings. This approach analyzes skin interstitial fluid (ISF) for early cancer detection, improving accessibility and healthcare quality.
Area of Science:
- Oncology
- Biotechnology
- Medical Devices
Background:
- Current cancer diagnostic tools are often inaccessible in low- and middle-income countries (LMICs) due to cost and complexity.
- Limited resources in LMICs hinder the adoption of advanced diagnostic technologies like imaging and biopsies.
- There is a critical need for accessible, minimally invasive cancer detection methods in resource-limited environments.
Purpose of the Study:
- To review microneedle-based liquid biopsy methods for analyzing skin interstitial fluid (ISF) for cancer diagnosis.
- To assess the potential of ISF liquid biopsy to meet diagnostic needs in low-resource settings.
- To explore the integration of artificial intelligence (AI) for enhanced diagnostic accuracy and point-of-care (POC) applications.
Main Methods:
- Systematic review of existing literature on microneedle technology and ISF analysis for cancer biomarkers.
- Evaluation of microneedle designs and ISF extraction techniques for effectiveness and practicality.
- Assessment of AI integration for data interpretation and real-time POC diagnostics.
Main Results:
- Microneedle-based ISF biopsy is a promising, minimally invasive alternative to traditional cancer diagnostics.
- Innovations in microneedle technology facilitate direct capture of cancer biomarkers from skin ISF.
- AI integration can significantly enhance diagnostic accuracy and enable real-time POC applications.
Conclusions:
- Microneedle ISF biopsy presents a scalable and flexible model for accessible cancer diagnostics in LMICs.
- This approach has the potential to significantly improve early cancer detection rates and healthcare quality in resource-limited environments.
- Further development and integration of AI can optimize this technology for widespread adoption.

