在主流医疗保健中用于罕见疾病的基因组测序技术:目前的实施情况
Michael P Mackley1, Pankaj B Agrawal2, Sara S Ali2
1Division of Clinical & Metabolic Genetics, Department of Paediatrics, The Hospital for Sick Children, Toronto, ON, Canada. michael.mackley@mail.utoronto.ca.
European journal of human genetics : EJHG
|August 22, 2025
概括
基因组测试在医疗保健中越来越多地用于所有年龄段的罕见疾病检测. 它的整合到主流医学是复杂的,
科学领域:
- 基因组学和生物信息学
- 医疗实施科学
- 医学遗传学
背景情况:
- 基因组测序技术 (外基因组,基因组,向面板) 正在进入主流医疗保健.
- 根据应用和全球司法管辖区的实施情况有很大差异.
- 基因组测试历来仅限于专门的临床遗传学服务.
研究的目的:
- 总结目前在主流医疗保健中对基因组测试的实施, 以终身检测罕见疾病.
- 审查关键应用,包括常规诊断,重症监护,新生儿查和携带者查.
- 讨论对非遗传学临床医生,遗传咨询师和劳动力发展的影响.
主要方法:
- 对基因组测试实施的现有证据和实例研究的审查.
- 讨论各种应用及其融入医疗保健系统.
- 探索主流基因组学的劳动力和教育问题.
主要成果:
- 基因组测试正在各种临床环境中应用,从常规诊断到重症监护和新生儿查.
- 成功整合需要将服务扩展到遗传学诊所之外,并涉及非遗传学临床医生.
- 在传统服务之外, 遗传咨询师的发展和作用至关重要.
结论:
- 将基因组技术纳入主流医疗保健是复杂的,需要对医疗系统进行重大转型.
- 不同的方法凸显了对标准化评估和跨司法管辖区的共享学习的需求.
- 实施科学对于确保患者和系统从基因组测试中获益至关重要.
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