PDF(Pubmed)
Abstract：
This viewpoint paper considers the authors\' perspectives on the potential role of smartphones, wearables, and other technologies in the diagnosis of cancer. We believe that these technologies could be valuable additions in the pursuit of early cancer diagnosis, as they offer solutions to the timely detection of signals or symptoms and monitoring of subtle changes in behavior that may otherwise be missed. In addition to signal detection, technologies could assist symptom interpretation and guide and facilitate access to health care. This paper aims to provide an overview of the scientific rationale as to why these technologies could be valuable for early cancer detection, as well as outline the next steps for research and development to drive investigation into the potential for smartphones and wearables in this context and optimize implementation. We draw attention to potential barriers to successful implementation, including the difficulty of the development of signals and sensors with sufficient utility and accuracy through robust research with the target group. There are regulatory challenges; the potential for innovations to exacerbate inequalities; and questions surrounding acceptability, uptake, and correct use by the intended target group and health care practitioners. Finally, there is potential for unintended consequences on individuals and health care services including unnecessary anxiety, increased symptom burden, overinvestigation, and inappropriate use of health care resources.
摘要：
这篇观点论文考虑了作者对智能手机潜在作用的看法，可穿戴设备,和其他癌症诊断技术。我们相信，这些技术可能是追求早期癌症诊断的有价值的补充，因为它们提供了及时检测信号或症状的解决方案，并监测行为的细微变化，否则可能会被遗漏。除了信号检测，技术可以帮助症状解释，指导和促进获得医疗保健。本文旨在概述为什么这些技术对早期癌症检测有价值的科学原理。以及概述研究和开发的下一步步骤，以推动调查智能手机和可穿戴设备在这方面的潜力，并优化实施。我们提请注意成功实施的潜在障碍，包括通过与目标群体的强大研究来开发具有足够实用性和准确性的信号和传感器的难度。存在监管挑战；创新加剧不平等的潜力；以及围绕可接受性的问题，摄取，以及预期目标群体和医疗保健从业人员的正确使用。最后,有可能对个人和医疗保健服务造成意想不到的后果，包括不必要的焦虑，增加症状负担，过度调查,以及医疗资源的不当使用。
