Alba Leis-Sestayo, Álvaro Piedra-Aguilera, Laura Jiménez-Añón, Jennifer Rodríguez-Domínguez, Carme García-Martín, Alicia Martínez-Iribarren, Cristian Morales-Indiano
{"title":"Beyond mean corpuscular volume: the role of neutrophil and monocyte volume cell population data in the diagnosis of vitamin B12 deficiency in anemic patients.","authors":"Alba Leis-Sestayo, Álvaro Piedra-Aguilera, Laura Jiménez-Añón, Jennifer Rodríguez-Domínguez, Carme García-Martín, Alicia Martínez-Iribarren, Cristian Morales-Indiano","doi":"10.1515/almed-2025-0097","DOIUrl":"10.1515/almed-2025-0097","url":null,"abstract":"","PeriodicalId":72097,"journal":{"name":"Advances in laboratory medicine","volume":"6 4","pages":"508-510"},"PeriodicalIF":1.1,"publicationDate":"2025-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12744371/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145859480","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Biopsia líquida: Un paso adelante en la medicina de laboratorio.","authors":"Angel Díaz-Lagares, Wladimiro Jiménez","doi":"10.1515/almed-2025-0117","DOIUrl":"10.1515/almed-2025-0117","url":null,"abstract":"","PeriodicalId":72097,"journal":{"name":"Advances in laboratory medicine","volume":"6 3","pages":"230-232"},"PeriodicalIF":1.1,"publicationDate":"2025-08-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12446914/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145115318","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Francisco J Illana, Esther Fernández-Galán, José Luis Muñoz-Bravo, Laura Valiña Amado, Carme García Martín, Carolina González-Fernández, Sílvia Miró-Cañís, Jaume Trapé, Antonio Martínez-Peinado, Xavier Filella, Alvaro González, Antonio Barco Sánchez, Angel Díaz-Lagares
{"title":"ADN tumoral circulante en pacientes con cáncer: perspectivas desde el laboratorio clínico.","authors":"Francisco J Illana, Esther Fernández-Galán, José Luis Muñoz-Bravo, Laura Valiña Amado, Carme García Martín, Carolina González-Fernández, Sílvia Miró-Cañís, Jaume Trapé, Antonio Martínez-Peinado, Xavier Filella, Alvaro González, Antonio Barco Sánchez, Angel Díaz-Lagares","doi":"10.1515/almed-2025-0093","DOIUrl":"10.1515/almed-2025-0093","url":null,"abstract":"","PeriodicalId":72097,"journal":{"name":"Advances in laboratory medicine","volume":"6 3","pages":"277-297"},"PeriodicalIF":1.1,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12446924/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145115328","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Paula Liébanas García, Silvia Montolio Breva, Teresa Sans Mateu
{"title":"Evaluación del análisis de la relación albúmina-creatinina mediante tira reactiva como método de cribado para la determinación de albúmina en orina en atención primaria.","authors":"Paula Liébanas García, Silvia Montolio Breva, Teresa Sans Mateu","doi":"10.1515/almed-2025-0102","DOIUrl":"10.1515/almed-2025-0102","url":null,"abstract":"","PeriodicalId":72097,"journal":{"name":"Advances in laboratory medicine","volume":"6 3","pages":"351-357"},"PeriodicalIF":1.1,"publicationDate":"2025-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12446917/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145114524","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"<i>BRAF V600E</i> liquid biopsy-based detection in precision oncology.","authors":"Gabriela R Mendeluk, Verónica A Alonso","doi":"10.1515/almed-2025-0110","DOIUrl":"10.1515/almed-2025-0110","url":null,"abstract":"<p><strong>Introduction: </strong>The <i>BRAF V600E</i> mutation is one of the most relevant genetic mutations in precision oncology. This variation is commonly found in several types of tumors, including melanoma, colorectal cancer, and thyroid cancer, to name a few. Liquid biopsy has emerged as a minimally-invasive screening option for this mutation.</p><p><strong>Content: </strong>This review examines the molecular biology of the <i>BRAF V600E</i> mutation, its role in tumor progression, and its utility in the diagnosis, prognosis and treatment of specific types of tumors. In addition, the focus is also placed on liquid biopsy-based screening options and their advantages over solid biopsy.</p><p><strong>Summary: </strong>Detection of this mutation through liquid biopsy offers a less invasive alternative to conventional tissue biopsies, with potential utility in guiding treatment adjustments and monitoring therapeutic response.</p><p><strong>Outlook: </strong>The use of liquid biopsy for the detection of <i>BRAF V600E</i> is expected to widespread in clinical practice, leading to the optimization of disease monitoring and personalized treatments for cancer patients.</p>","PeriodicalId":72097,"journal":{"name":"Advances in laboratory medicine","volume":"6 3","pages":"298-305"},"PeriodicalIF":1.1,"publicationDate":"2025-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12446921/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145115321","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Alba Muñoz Santa, Xavier Gómez-Arbonés, Ricardo Pifarré Teixidó, Mercè García-González, Alba Bellés Bellés
{"title":"Genomic characterization of <i>Pseudomonas aeruginosa</i> adaptation mechanisms in bronchiectasis patients.","authors":"Alba Muñoz Santa, Xavier Gómez-Arbonés, Ricardo Pifarré Teixidó, Mercè García-González, Alba Bellés Bellés","doi":"10.1515/almed-2025-0044","DOIUrl":"10.1515/almed-2025-0044","url":null,"abstract":"<p><strong>Objectives: </strong><i>Pseudomonas aeruginosa</i> is one of the main causes of chronic bronchial infection (CBI), especially in patients with chronic underlying diseases such as cystic fibrosis (CF), chronic obstructive pulmonary disease (COPD), asthma and bronchiectasis (BQ). Compared to <i>P. aeruginosa</i> CBI in CF, BQ infection has historically received less attention. The aim of this study was to determine the antibiotic susceptibility profile of 100 isolates recovered from 100 patients with <i>P. aeruginosa</i> CBI BQ and to characterize some of the adaptation mechanisms in 55 isolates by whole genome sequencing (WGS).</p><p><strong>Methods: </strong>Susceptibility testing to 10 antipseudomonal agents was done by MicroScan WalkAway broth microdilution system. WGS was performed using the Illumina DNA Prep library preparation kit. Indexed libraries were sequenced on an Illumina MiSeq benchtop sequencer (300 base pairs paired-end reads).</p><p><strong>Results: </strong>The most common loss-of-function mutations occurred in genes encoding the MexAB-OprM efflux-pump system, the pvd cluster and the fpvA receptor, and genes involved in twitching motility such as <i>chpA</i> and <i>fimV</i>.</p><p><strong>Conclusions: </strong>Our data indicates that <i>P. aeruginosa</i> adapts by accumulating loss-of-function mutations in several genes, resulting in changes to different phenotypes that may guide the development of new alternative treatment therapies.</p>","PeriodicalId":72097,"journal":{"name":"Advances in laboratory medicine","volume":"6 4","pages":"477-483"},"PeriodicalIF":1.1,"publicationDate":"2025-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12744365/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145859493","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The application and challenges of ChatGPT in laboratory medicine.","authors":"Zhili Niu, Xiandong Kuang, Juanjuan Chen, Xin Cai, Pingan Zhang","doi":"10.1515/almed-2025-0080","DOIUrl":"10.1515/almed-2025-0080","url":null,"abstract":"<p><p>In recent years, with the rapid development of artificial intelligence technology, chatbots have demonstrated significant potential in the medical field, particularly in medical laboratories. This study systematically analyzes the advantages and challenges of chatbots in this field and delves into their potential applications in disease diagnosis. However, the reliability and scientific nature of chatbots are influenced by various factors, including data quality, model bias, privacy protection, and user feedback requirements. To ensure the accuracy and reliability of output content, it is essential to not only rely on legal frameworks such as the EU AI Act for necessary protection but also to employ two assessment tools, METRICS and CLEAR. These tools are designed to comprehensively evaluate the quality of AI-generated health information, thereby providing a solid theoretical foundation and support for clinical practice.</p>","PeriodicalId":72097,"journal":{"name":"Advances in laboratory medicine","volume":"6 4","pages":"385-396"},"PeriodicalIF":1.1,"publicationDate":"2025-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12744383/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145859544","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Variante no descrita previamente en el gen <i>COL3A1</i>: causalidad del Síndrome de Ehlers-Danlos tipo Vascular.","authors":"Estrella Gutiérrez Romero, Nuria Padilla Apuntate, Silvia Izquierdo Álvarez","doi":"10.1515/almed-2025-0096","DOIUrl":"10.1515/almed-2025-0096","url":null,"abstract":"","PeriodicalId":72097,"journal":{"name":"Advances in laboratory medicine","volume":"6 4","pages":"504-507"},"PeriodicalIF":1.1,"publicationDate":"2025-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12744372/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145859550","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ana Isabel Balbuena, Noelia Poveda, Araceli López, María José Ferri
{"title":"Papel del laboratorio clínico en el estudio de nefrolitiasis y cristaluria por mesalazina.","authors":"Ana Isabel Balbuena, Noelia Poveda, Araceli López, María José Ferri","doi":"10.1515/almed-2025-0094","DOIUrl":"10.1515/almed-2025-0094","url":null,"abstract":"","PeriodicalId":72097,"journal":{"name":"Advances in laboratory medicine","volume":"6 4","pages":"496-499"},"PeriodicalIF":1.1,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12744374/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145859609","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Marta Jimenez-Barragan, Antonio Leon-Justel, Catalina Sanchez-Mora
{"title":"Design and cost-effectiveness assessment of a model based on point-of-care testing for the improvement of the resolution of hospital emergencies.","authors":"Marta Jimenez-Barragan, Antonio Leon-Justel, Catalina Sanchez-Mora","doi":"10.1515/almed-2024-0210","DOIUrl":"10.1515/almed-2024-0210","url":null,"abstract":"<p><strong>Objectives: </strong>Emergency department (ED) crowding is a quality of care and financial problem. Among its causes are long length of stay in the ED (ED LoS). One of identified causes is prolonged Turnaround Time (TAT) for complementary tests, including laboratory tests. The main aim of this study is to design and validate a cost-effective model for improving resolution of hospital emergencies at the Virgen Macarena University Hospital (VMUH) based on application of point-of-care testing (POCT) on patients classified as priority 3 (P3), according to VMUH's triage system.</p><p><strong>Methods: </strong>P3 patients who met inclusion criteria were randomly assigned into: POCT group (laboratory tests in ED using POCT) or LAB group (laboratory tests in central laboratory). Previously, a correlation study of analytical parameters was done between both groups. Gender, age, reason for consultation, pre-intervention TAT, disposition-decision time (DDT) and ED LoS with or without imaging tests were analysed. A cost study and an extrapolation of strategy at national level were performed.</p><p><strong>Results: </strong>The correlation study proved favorable. POCT achieved a median reduction of DDT and ED LoS of 107.00 and 118.50 min respectively. This trend was maintained for non-pain related consultations and irrespective of imaging tests. Use of POCT resulted in a saving of €119.85/episode and a favorable incremental cost-effectiveness ratio (ICER) of €60.68 saved/ED LoS hour. Applying POCT to 50 % of national P3 EDs, potential savings of €284,206,701.19 were estimated.</p><p><strong>Conclusions: </strong>In conclusion, our strategy was shown to reduce DDT and, consequently, ED LoS in a cost-effective way.</p>","PeriodicalId":72097,"journal":{"name":"Advances in laboratory medicine","volume":"6 4","pages":"458-466"},"PeriodicalIF":1.1,"publicationDate":"2025-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12744367/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145859458","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}