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Augmenting Surgery via Multi-scale Modeling and Translational Systems Biology in the Era of Precision Medicine: A Multidisciplinary Perspective

机译:精准医学时代通过多尺度建模和转化系统生物学进行的增强外科手术:多学科的视角

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摘要

In this era of tremendous technological capabilities and increased focus on improving clinical outcomes, decreasing costs, and increasing precision, there is a need for a more quantitative approach to the field of surgery. Multiscale computational modeling has the potential to bridge the gap to the emerging paradigms of Precision Medicine and Translational Systems Biology, in which quantitative metrics and data guide patient care through improved stratification, diagnosis, and therapy. Achievements by multiple groups have demonstrated the potential for 1) multiscale computational modeling, at a biological level, of diseases treated with surgery and the surgical procedure process at the level of the individual and the population; along with 2) patient-specific, computationally-enabled surgical planning, delivery, and guidance and robotically-augmented manipulation. In this perspective article, we discuss these concepts, and cite emerging examples from the fields of trauma, wound healing, and cardiac surgery.
机译:在这个巨大的技术能力和对改善临床结果,降低成本和提高精确度的关注日益增长的时代,需要在手术领域中采用更定量的方法。多尺度计算建模有可能弥合与精准医学和转化系统生物学新兴范式之间的差距,在后者中,定量指标和数据可通过改进分层,诊断和治疗来指导患者护理。多个小组的成果表明了以下方面的潜力:1)在生物学水平上,对个体和人群的外科手术和外科手术过程所治疗疾病的多尺度计算建模;以及2)针对特定患者,可计算的外科手术计划,交付,指导和机器人增强的操作。在这篇观点文章中,我们讨论了这些概念,并列举了创伤,伤口愈合和心脏外科领域的新兴实例。

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