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Body Biofluids for Minimally-Invasive Diagnostics: Insights, Challenges, Emerging Technologies, and Clinical

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Wearable diagnostics are shifting healthcare towards continuous monitoring using body fluids. Interstitial fluid (ISF) shows promise for clinical applications, unlike sweat, enabling real-time personalized diagnostics.

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Area of Science:

  • Biomedical Engineering
  • Analytical Chemistry
  • Clinical Diagnostics

Background:

  • Miniaturized wearable technologies are advancing continuous disease monitoring.
  • Healthcare is transitioning from invasive blood tests to decentralized monitoring using alternative biofluids like sweat, saliva, urine, and interstitial fluid (ISF).
  • Accessibility and the potential to reflect physiological states make these biofluids promising for diagnostics.

Purpose of the Study:

  • To review recent progress in non- and minimally-invasive diagnostics.
  • To focus on sweat and ISF as potentially suitable biofluids for continuous monitoring.
  • To evaluate the clinical utility requirements for biofluids, including quantifiable biomarkers and standardized protocols.

Main Methods:

  • Review of recent scientific literature on wearable diagnostics and biofluid analysis.
  • Comparative analysis of sweat and ISF for diagnostic applications.
  • Examination of microneedle-based platforms for ISF sampling.

Main Results:

  • Sweat has limitations for clinical diagnostics due to variability and fluctuating biomarker levels, making it suitable only for non-clinical uses.
  • Interstitial fluid (ISF) is a robust, plasma-like biofluid that meets clinical requirements for diagnostics.
  • Minimally-invasive microneedle platforms can readily access ISF, potentially eliminating the need for biofluid extraction and enabling continuous sensing.

Conclusions:

  • ISF, accessed via microneedle platforms, shows significant potential for clinical diagnostics.
  • Integration with AI/ML algorithms can lead to real-time, predictive personalized diagnostics.
  • These innovations pave the way for next-generation diagnostics and transformative healthcare solutions.