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用于精准医学的数据管理系统

英文原题:A data management system for precision medicine.

查看英文原题

A data management system for precision medicine.

PubMed 2025/01/09(内容时间) PLOS Digit Health Q1 · IF 7.7(JCR 2025)

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中文摘要

精准医疗或个体化医疗对医疗数据管理系统(MedDMSs)提出了更高要求。用于精准医疗的MedDMS应能处理来自多个地点的数百个参数,具备适应性,同时在多个位置保持同步,实时同步至分析系统,并符合国际隐私法规。本文描述了LogiqSuite软件解决方案,旨在支持患者护理(LogiqCare)、研究(LogiqScience)和数据科学(LogiqAnalytics)层面的精准医疗解决方案。LogiqSuite已通过认证,符合国际医疗数据和隐私法规。本文评估了MedDMS在五种精准医疗用例中的表现,涵盖从数据收集到算法开发,从实施到与真实世界数据的整合。该MedDMS在七个精准医疗数据科学项目中得到评估,涉及院前分诊、心血管疾病、肺病学和肿瘤学。P4O2联盟使用该MedDMS作为电子病例报告表(eCRF),支持长新冠和肺部疾病的实时数据管理和分析。

在急性髓系白血病研究中,来自不同来源的数据被整合,以方便针对各种研究问题进行简单的描述性分析。在AIDPATH项目中,LogiqCare用于处理患者数据,而LogiqScience用于癌症治疗中的假名化CAR-T 细胞生产。在这两个肿瘤学项目中,LogiqAnalytics中的数据也用于促进机器学习,以开发新的临床决策支持(CDS)预测模型。MedDMS 还评估了从U-Prevent实时记录心血管风险管理CDS数据以及从Stroke Triage App记录院前分诊数据的能力。本文讨论了MedDMS在精准医学中与其他隐私设计、集成数据管理和实时数据分析解决方案的关系。LogiqSuite用于多中心研究数据注册与监测、跨学科联盟中的数据分析、新机器学习/人工智能(AI)算法的设计、新预测模型或更新预测模型的开发、护理与先进疗法生产的整合,以及使用CDS工具时的真实世界数据监测。集成的MedDMS应用支持精准医学中护理和研究的数据管理。

展开英文摘要原文

Precision, or personalised medicine has advanced requirements for medical data management systems (MedDMSs). MedDMS for precision medicine should be able to process hundreds of parameters from multiple sites, be adaptable while remaining in sync at multiple locations, real-time syncing to analytics and be compliant with international privacy legislation. This paper describes the LogiqSuite software solution, aimed to support a precision medicine solution at the patient care (LogiqCare), research (LogiqScience) and data science (LogiqAnalytics) level. LogiqSuite is certified and compliant with international medical data and privacy legislations. This paper evaluates a MedDMS in five types of use cases for precision medicine, ranging from data collection to algorithm development and from implementation to integration with real-world data. The MedDMS is evaluated in seven precision medicine data science projects in prehospital triage, cardiovascular disease, pulmonology, and oncology. The P4O2 consortium uses the MedDMS as an electronic case report form (eCRF) that allows real-time data management and analytics in long covid and pulmonary diseases.

In an acute myeloid leukaemia, study data from different sources were integrated to facilitate easy descriptive analytics for various research questions. In the AIDPATH project, LogiqCare is used to process patient data, while LogiqScience is used for pseudonymous CAR-T cell production for cancer treatment. In both these oncological projects the data in LogiqAnalytics is also used to facilitate machine learning to develop new prediction models for clinical-decision support (CDS). The MedDMS is also evaluated for real-time recording of CDS data from U-Prevent for cardiovascular risk management and from the Stroke Triage App for prehospital triage.

The MedDMS is discussed in relation to other solutions for privacy-by-design, integrated data stewardship and real-time data analytics in precision medicine.

LogiqSuite is used for multi-centre research study data registrations and monitoring, data analytics in interdisciplinary consortia, design of new machine learning / artificial intelligence (AI) algorithms, development of new or updated prediction models, integration of care with advanced therapy production, and real-world data monitoring in using CDS tools. The integrated MedDMS application supports data management for care and research in precision medicine.

论文信息

作者
Jacobs JJL、Beekers I、Verkouter I、Richards LB、Vegelien A、Bloemsma LD、Bongaerts VAMC、Cloos J
单位
Clinical Care & Research, ORTEC B.V., Zoetermeer, The Netherlands.Netherlands
期刊
PLOS digital health2025 Jan
原文标识
PubMed 39787064 · DOI 10.1371/journal.pdig.0000464