基于表面增强拉曼光谱的炎症性肠病无创诊断
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O 657.37

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国家自然科学基金资助项目(52376161)


Non-invasive diagnosis of inflammatory bowel disease based on surface-enhanced Raman spectroscopy
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    摘要:

    炎症性肠病(IBD)包括溃疡性结肠炎(UC)和克罗恩病(CD),大多数IBD患者需要结合侵入性内镜检查、临床和组织病理学检查才能确诊,目前缺乏便捷且无创的IBD诊断方法。针对这一现状,发展一种基于表面增强拉曼光谱(SERS)的IBD无创诊断方法。利用SERS技术对210名IBD患者(127名CD,83名UC)和48名健康对照者(HC)的尿液样本进行检测。通过分析IBD、CD患者和HC尿液样本的平均SERS,发现IBD、CD患者和HC之间的一些主要拉曼峰的拉曼强度存在明显差异。为验证这些发现并构建有效的诊断模型,基于主成分分析(PCA)-支持向量机(SVM)建立预测模型对IBD/HC、CD/HC进行分类研究。经过leave-one-patient-out交叉验证(LOPOCV),IBD/HC、CD/HC分类模型的准确率分别为83.33%和83.43%。基于SERS对患者尿液样本进行检测可以有效识别IBD患者和HC的代谢变化,有望为临床IBD患者开发一种无创、快速、准确的预检方法。

    Abstract:

    Inflammatory bowel disease (IBD) includes ulcerative colitis (UC) and Crohn's disease (CD). Most patients with IBD require a combination of invasive endoscopy, clinical and histopathological examination to confirm the diagnosis. There is a lack of convenient and non-invasive diagnostic methods for IBD. In response to this current situation, a non-invasive diagnostic method for IBD based on surface-enhanced Raman spectroscopy (SERS) was developed. The urine samples from 210 IBD patients (127 CD, 83 UC) and 48 healthy controls (HC) were measured based on SERS. By analyzing the average SERS spectra of urine samples from IBD, CD and HC, it was found that there were significant differences in the Raman intensities at several main Raman peaks between IBD, CD and HC. To validate these findings and construct effective diagnostic models, principal component analysis (PCA)-support vector machine (SVM) was used to establish two classification models to distinguish IBD/HC, CD/HC. After leave-one-patient-out cross-validation (LOPOCV), the accuracy of IBD/HC and CD/HC classification models can reach 83.33% and 83.43%, respectively. The metabolic changes of IBD patients and HC could be effectively identified by measuring urine with SERS, and it was expected to develop a non-invasive, rapid and accurate pre-screening method for clinical IBD patients.

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郑雨晴,杜鹏,王晓蕾,杨荟楠.基于表面增强拉曼光谱的炎症性肠病无创诊断[J].上海理工大学学报,2025,47(2):158-167.

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  • 收稿日期:2024-02-22
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  • 在线发布日期: 2025-05-21
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