通过动态建模方法建立下一代对益胃素释放的参考间隔
Dong Zhu1, Haibin Zhao2, Weicheng Zhang3
1Department of Laboratory Medicine, Beijing Tsinghua Changgung Hospital, School of Clinical Medicine, Tsinghua Medicine, Tsinghua University, No. 168 Litang Road, Changping District, Beijing, 102218, China. zhudongcherish@163.com.
Journal of translational medicine
|September 2, 2025
概括
血清前胃素释放 (ProGRP) 的下一代参考间隔提高了成人的准确性. 这些新RI更好地反映了与年龄相关的变化,而不是传统的分区间.
科学领域:
- 临床化学
- 生物标志物研究
- 老年医学
背景情况:
- 血清前胃素释放 (ProGRP) 的水平随着年龄的增长而变化.
- 传统的参考间隔 (RIs) 无法捕捉这些与年龄相关的生理变化.
- 在老年人群中需要新的RI来准确解释ProGRP.
研究的目的:
- 调查中国北方成年人的年龄和性别特异性ProGRP动态.
- 为ProGRP开发和验证下一代RI.
- 将下一代RI与传统分区RI的准确性进行比较.
主要方法:
- 在4136名年龄在20至80岁的人群中分析了ProGRP水平.
- 使用统计测试来评估对ProGRP的年龄和性别影响.
- 开发了下一代RI,使用了通用添加模型和可视化年龄相关的动态.
- 通过比较上限标记率来评估RI的临床适用性.
主要成果:
- 在40岁以后,ProGRP水平的性别影响很小,但与年龄相关的显著增加.
- 下一代RI与分区RI相比显示出更高的准确性和稳定性.
- 在各个年龄组中,下一代RI的标记率接近理论的2.5%.
结论:
- 下一代RI提高了ProGRP实验室结果解释的准确性.
- 这些先进的RIs更能解释与年龄相关的生理变化.
- 随着实验室信息学的改进,下一代RI的临床采用率预计会更高.
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