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From Lab to Clinic: Artificial Intelligence with Spectroscopic Liquid Biopsies
Rose G McHardy1, James M Cameron1, David Andrew Eustace1
1Dxcover Ltd., Royal College Building, 204 George Street, Glasgow G1 1RX, UK.
Diagnostics (Basel, Switzerland)
|October 29, 2025
Summary
Machine learning aids cancer detection using spectroscopic liquid biopsies. Addressing AI explainability and validation is key for clinical use, improving patient outcomes.
Area of Science:
- Oncology
- Biomedical Engineering
- Artificial Intelligence
Background:
- Machine learning (ML) and artificial intelligence (AI) are integral to advanced cancer detection, especially in multi-omic analyses like spectroscopic liquid biopsies.
- The high dimensionality of spectral data necessitates ML for identifying subtle cancer signatures.
- Transitioning AI-driven medical devices from research to clinical practice faces significant regulatory hurdles.
Purpose of the Study:
- To review the challenges in clinically implementing AI-powered spectroscopic liquid biopsies.
- To highlight critical factors for regulatory approval and patient adoption.
- To emphasize the need for explainable AI and robust validation in this field.
Main Methods:
- Review of current literature on AI in spectroscopic liquid biopsies.
- Analysis of regulatory considerations for AI medical devices.
- Discussion of technical requirements for clinical translation.
Main Results:
- Spectroscopic liquid biopsies show promise for cancer detection via ML pattern recognition.
- Explainable AI and diverse, representative validation datasets are crucial for clinical trust and regulatory approval.
- Overcoming these challenges is vital for accelerating the adoption of these technologies.
Conclusions:
- AI, particularly ML, is essential for interpreting complex spectroscopic liquid biopsy data for cancer detection.
- Successful clinical integration requires addressing explainability and validation rigor.
- Accelerating clinical uptake of these advanced diagnostics can significantly improve patient survival and quality of life.

