BioengineeringPub Date : 2025-06-04DOI: 10.3390/bioengineering12060612
Victor Fanniel, Ihab Atawneh, Jonathan Savoie, Michelle Izaguirre-Ramirez, Joanna Marquez, Christopher Khorsandi, Shauna Hill
{"title":"Advancing Soft Tissue Reconstruction with a Ready-to-Use Human Adipose Allograft.","authors":"Victor Fanniel, Ihab Atawneh, Jonathan Savoie, Michelle Izaguirre-Ramirez, Joanna Marquez, Christopher Khorsandi, Shauna Hill","doi":"10.3390/bioengineering12060612","DOIUrl":"10.3390/bioengineering12060612","url":null,"abstract":"<p><p>Soft tissue reconstruction remains a challenge in clinical practice, particularly for restoring substantial volume loss due to surgical resections or contour deformities. Current methods, such as autologous fat transplantation, have limitations, including donor site morbidity and insufficient tissue availability, necessitating an innovative approach. This study characterizes alloClae, a minimally manipulated human-derived adipose allograft prepared using a detergent-based protocol to reduce DNA content while preserving adipose tissue structure. Proteomic analysis revealed that alloClae retains key native proteins critical for graft integration with the host and stability, with key extracellular matrix (ECM) components, collagens, elastins, and laminin, which are more concentrated as a result of the detergent-based protocol. Biocompatibility of alloClae was assessed in vitro using cytotoxicity and cell viability assays in fibroblast cultures, revealing no adverse effects on cell viability, membrane integrity, or oxidative stress. Additionally, in vitro studies with adipose-derived stem cells (ASCs) demonstrated attachment and differentiation, with lipid droplet accumulation observed by day 14, indicating support for adipogenesis. A 6-month longitudinal study in athymic mice showed stable graft retention, host cell infiltration, and formation of new adipocytes and vasculature within alloClae by 3 months. The findings highlight alloClae's ability to support host-driven adipogenesis and angiogenesis while maintaining graft stability throughout the study period. It presents a promising alternative to the existing graft materials, offering a clinically translatable solution for soft tissue reconstruction.</p>","PeriodicalId":8874,"journal":{"name":"Bioengineering","volume":"12 6","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12189649/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144493999","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
BioengineeringPub Date : 2025-06-04DOI: 10.3390/bioengineering12060611
Jingbin Wen, Sihua Yang, Weiqi Li, Shuqun Cheng
{"title":"GCSA-SegFormer: Transformer-Based Segmentation for Liver Tumor Pathological Images.","authors":"Jingbin Wen, Sihua Yang, Weiqi Li, Shuqun Cheng","doi":"10.3390/bioengineering12060611","DOIUrl":"10.3390/bioengineering12060611","url":null,"abstract":"<p><p>Pathological images are crucial for tumor diagnosis; however, due to their extremely high resolution, pathologists often spend considerable time and effort analyzing them. Moreover, diagnostic outcomes can be significantly influenced by subjective judgment. With the rapid advancement of artificial intelligence technologies, deep learning models offer new possibilities for pathological image diagnostics, enabling pathologists to diagnose more quickly, accurately, and reliably, thereby improving work efficiency. This paper proposes a novel Global Channel Spatial Attention (GCSA) module aimed at enhancing the representational capability of input feature maps. The module combines channel attention, channel shuffling, and spatial attention to capture global dependencies within feature maps. By integrating the GCSA module into the SegFormer architecture, the network, named GCSA-SegFormer, can more accurately capture global information and detailed features in complex scenarios. The proposed network was evaluated on a liver dataset and the publicly available ICIAR 2018 BACH dataset. On the liver dataset, the GCSA-SegFormer achieved a 1.12% increase in MIoU and a 1.15% increase in MPA compared to baseline models. On the BACH dataset, it improved MIoU by 1.26% and MPA by 0.39% compared to baseline models. Additionally, the performance metrics of this network were compared with seven different types of semantic segmentation, showing good results in all comparisons.</p>","PeriodicalId":8874,"journal":{"name":"Bioengineering","volume":"12 6","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12189456/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144494042","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"EEG-Driven Arm Movement Decoding: Combining Connectivity and Amplitude Features for Enhanced Brain-Computer Interface Performance.","authors":"Hamidreza Darvishi, Ahmadreza Mohammadi, Mohammad Hossein Maghami, Meysam Sadeghi, Mohamad Sawan","doi":"10.3390/bioengineering12060614","DOIUrl":"10.3390/bioengineering12060614","url":null,"abstract":"<p><p>Brain-computer interfaces (BCIs) translate electroencephalography (EEG) signals into control commands, offering potential solutions for motor-impaired individuals. While traditional BCI studies often focus solely on amplitude variations or inter-channel connectivity, movement-related brain activity is inherently dynamic, involving interactions across regions and frequency bands. We propose that combining amplitude-based (filter bank common spatial patterns, FBCSP) and phase-based connectivity features (phase-locking value, PLV) improves decoding accuracy. EEG signals from ten healthy subjects were recorded during arm movements, with electromyography (EMG) as ground truth. After preprocessing (resampling, normalization, bandpass filtering), FBCSP and multi-lag PLV features were fused, and the ReliefF algorithm selected the most informative subset. A feedforward neural network achieved average metrics of: Pearson correlation 0.829 ± 0.077, R-squared value 0.675 ± 0.126, and root mean square error (RMSE) 0.579 ± 0.098 in predicting EMG amplitudes indicative of arm movement angles. Analysis highlighted contributions from both FBCSP and PLV, particularly in the 4-8 Hz and 24-28 Hz bands. This fusion approach, augmented by data-driven feature selection, significantly enhances movement decoding accuracy, advancing robust neuroprosthetic control systems.</p>","PeriodicalId":8874,"journal":{"name":"Bioengineering","volume":"12 6","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12189900/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144494023","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
BioengineeringPub Date : 2025-06-04DOI: 10.3390/bioengineering12060615
Estevan M Nieto, Edaena Lujan, Crystal A Mendoza, Yazbel Arriaga, Cecilia Fierro, Tan Tran, Lin-Ching Chang, Alvaro N Gurovich, Peter S Lum, Shashwati Geed
{"title":"Accelerometry and the Capacity-Performance Gap: Case Series Report in Upper-Extremity Motor Impairment Assessment Post-Stroke.","authors":"Estevan M Nieto, Edaena Lujan, Crystal A Mendoza, Yazbel Arriaga, Cecilia Fierro, Tan Tran, Lin-Ching Chang, Alvaro N Gurovich, Peter S Lum, Shashwati Geed","doi":"10.3390/bioengineering12060615","DOIUrl":"10.3390/bioengineering12060615","url":null,"abstract":"<p><p>This case series investigates whether traditional machine learning (ML) and convolutional neural network (CNN) models trained on wrist-worn accelerometry data collected in a laboratory setting can accurately predict real-world functional hand use in individuals with chronic stroke. Participants (N = 4) with neuroimaging-confirmed chronic stroke completed matched activity scripts-comprising instrumental and basic activities of daily living-in-lab and at-home. Participants wore ActiGraph CenterPoint Insight watches on the impaired and unimpaired wrists; concurrent video recordings were collected in both environments. Frame-by-frame annotations of the video, guided by the FAABOS scale (functional, non-functional, unknown), served as the ground truth. The results revealed a consistent capacity-performance gap: participants used their impaired hand more in-lab than at-home, with the largest discrepancies in patients with moderate to severe impairment. Random forest ML models trained on in-lab accelerometry accurately classified at-home hand use, with the highest performance in mildly and severely impaired limbs (accuracy = 0.80-0.90) and relatively lower performance (accuracy = 0.62) in moderately impaired limbs. CNN models showed comparable accuracy to random forest classifiers. These pilot findings demonstrate the feasibility of using lab-trained ML models to monitor real-world hand use and identify emerging patterns of learned non-use-enabling timely, targeted interventions to promote recovery in outpatient stroke rehabilitation.</p>","PeriodicalId":8874,"journal":{"name":"Bioengineering","volume":"12 6","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12189469/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144493914","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
BioengineeringPub Date : 2025-06-04DOI: 10.3390/bioengineering12060613
Chang-Chao Su, Chu-Kuang Chou, Arvind Mukundan, Riya Karmakar, Binusha Fathima Sanbatcha, Chien-Wei Huang, Wei-Chun Weng, Hsiang-Chen Wang
{"title":"Capsule Endoscopy: Current Trends, Technological Advancements, and Future Perspectives in Gastrointestinal Diagnostics.","authors":"Chang-Chao Su, Chu-Kuang Chou, Arvind Mukundan, Riya Karmakar, Binusha Fathima Sanbatcha, Chien-Wei Huang, Wei-Chun Weng, Hsiang-Chen Wang","doi":"10.3390/bioengineering12060613","DOIUrl":"10.3390/bioengineering12060613","url":null,"abstract":"<p><p>Capsule endoscopy (CE) has revolutionized gastrointestinal (GI) diagnostics by providing a non-invasive, patient-centered approach to observing the digestive tract. Conceived in 2000 by Gavriel Iddan, CE employs a diminutive, ingestible capsule containing a high-resolution camera, LED lighting, and a power supply. It specializes in visualizing the small intestine, a region frequently unreachable by conventional endoscopy. CE helps detect and monitor disorders, such as unexplained gastrointestinal bleeding, Crohn's disease, and cancer, while presenting a lower procedural risk than conventional endoscopy. Contrary to conventional techniques that necessitate anesthesia, CE reduces patient discomfort and complications. Nonetheless, its constraints, specifically the incapacity to conduct biopsies or therapeutic procedures, have spurred technical advancements. Five primary types of capsule endoscopes have emerged: steerable, magnetic, robotic, tethered, and hybrid. Their performance varies substantially. For example, the image sizes vary from 256 × 256 to 640 × 480 pixels, the fields of view (FOV) range from 140° to 360°, the battery life is between 8 and 15 h, and the frame rates fluctuate from 2 to 35 frames per second, contingent upon motion-adaptive capture. This study addresses a significant gap by methodically evaluating CE platforms, outlining their clinical preparedness, and examining the underexploited potential of artificial intelligence in improving diagnostic precision. Through the examination of technical requirements and clinical integration, we highlight the progress made in overcoming existing CE constraints and outline prospective developments for next-generation GI diagnostics.</p>","PeriodicalId":8874,"journal":{"name":"Bioengineering","volume":"12 6","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-06-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12189750/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144493993","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
BioengineeringPub Date : 2025-06-03DOI: 10.3390/bioengineering12060610
Anne Geßner, Anikó Vágó, Heidi Stölzer-Hutsch, Dirk Schriefer, Maximilian Hartmann, Katrin Trentzsch, Tjalf Ziemssen
{"title":"Experiences of People with Multiple Sclerosis in Sensor-Based Jump Assessment.","authors":"Anne Geßner, Anikó Vágó, Heidi Stölzer-Hutsch, Dirk Schriefer, Maximilian Hartmann, Katrin Trentzsch, Tjalf Ziemssen","doi":"10.3390/bioengineering12060610","DOIUrl":"10.3390/bioengineering12060610","url":null,"abstract":"<p><p>(1) Background: When implementing new biomechanical and technology-based assessments, such as the jump assessment in Multiple Sclerosis (MS), into clinical routine, it is important to ensure that they are based on the real needs of patients and to identify and adapt to potential barriers early on. (2) Methods: In the present cross-sectional study, 157 pwMS performed a sensor-based jump assessment on a force plate consisting of three jump tests: 10 s jump test (10SHT), countermovement jumps (CMJ), and single-leg countermovement jumps (SLCMJ). After the jump assessment, the patient experience measures (PREM) were recorded using a paper-based questionnaire on an 11-point scale from 0 (positive) to 10 (negative). (3) Results: PwMS showed an overall positive experience with the sensor-based jump assessment. \"Staff support performance\", \"acceptance required time\", \"usefulness\" of the results, and \"integration of results in therapy\" were the best rated items with a median of 0 (positive). The CMJ was perceived as the easy (<i>p</i> < 0.05) and less exhausting (<i>p</i> < 0.05). PwMS who experienced CMJ as easy, not exhausting, and safe were associated with higher CMJ performance, especially in peak power, flight time, and jump height (r > -0.4). Significant associations were found between PREMs and age, sex, BMI, physical activity, and disability degree. (4) Conclusions: The study findings support the feasibility of jump assessment in clinical practice and highlight the need for patient-centered integration of innovative technologies to optimize precision neuromuscular function evaluation in MS.</p>","PeriodicalId":8874,"journal":{"name":"Bioengineering","volume":"12 6","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12189418/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144494033","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
BioengineeringPub Date : 2025-06-03DOI: 10.3390/bioengineering12060606
Cornelia Kasper, Dominik Egger
{"title":"Advanced 3D Cell Culture Technologies and Formats.","authors":"Cornelia Kasper, Dominik Egger","doi":"10.3390/bioengineering12060606","DOIUrl":"10.3390/bioengineering12060606","url":null,"abstract":"<p><p>The Special Issue \"Advanced 3D Cell Culture Technologies and Formats\" presents a collection of original research and review articles that explore recent innovations in three-dimensional (3D) cell culture systems aimed at enhancing the physiological relevance and therapeutic utility of cells and cell-derived products and assays [...].</p>","PeriodicalId":8874,"journal":{"name":"Bioengineering","volume":"12 6","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12189072/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144493997","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
BioengineeringPub Date : 2025-06-03DOI: 10.3390/bioengineering12060607
Yutong Wu, Shen Sun, Chen Zhang, Xiangge Ma, Xinyu Zhu, Yanxue Li, Lan Lin, Zhenrong Fu
{"title":"Regional Brain Aging Disparity Index: Region-Specific Brain Aging State Index for Neurodegenerative Diseases and Chronic Disease Specificity.","authors":"Yutong Wu, Shen Sun, Chen Zhang, Xiangge Ma, Xinyu Zhu, Yanxue Li, Lan Lin, Zhenrong Fu","doi":"10.3390/bioengineering12060607","DOIUrl":"10.3390/bioengineering12060607","url":null,"abstract":"<p><p>This study proposes a novel brain-region-level aging assessment paradigm based on Shapley value interpretation, aiming to overcome the interpretability limitations of traditional brain age prediction models. Although deep-learning-based brain age prediction models using neuroimaging data have become crucial tools for evaluating abnormal brain aging, their unidimensional brain age-chronological age discrepancy metric fails to characterize the regional heterogeneity of brain aging. Meanwhile, despite Shapley additive explanations having demonstrated potential for revealing regional heterogeneity, their application in complex deep learning algorithms has been hindered by prohibitive computational complexity. To address this, we innovatively developed a computational framework featuring efficient Shapley value approximation through a novel multi-stage computational strategy that significantly reduces complexity, thereby enabling an interpretable analysis of deep learning models. By establishing a reference system based on standard Shapley values from healthy populations, we constructed an anatomically specific Regional Brain Aging Deviation Index (RBADI) that maintains age-related validity. Experimental validation using UK Biobank data demonstrated that our framework successfully identified the thalamus (THA) and hippocampus (HIP) as core contributors to brain age prediction model decisions, highlighting their close associations with physiological aging. Notably, it revealed significant correlations between the insula (INS) and alcohol consumption, as well as between the inferior frontal gyrus opercular part (IFGoperc) and smoking history. Crucially, the RBADI exhibited superior performance in the tri-class classification of prodromal neurodegenerative diseases (HCs vs. MCI vs. AD: AUC = 0.92; HCs vs. pPD vs. PD: AUC = 0.86). This framework not only enables the practical implementation of Shapley additive explanations in brain age prediction deep learning models but also establishes anatomically interpretable biomarkers. These advancements provide a novel spatial analytical dimension for investigating brain aging mechanisms and demonstrate significant clinical translational value for early neurodegenerative disease screening, ultimately offering a new methodological tool for deciphering the neural mechanisms of aging.</p>","PeriodicalId":8874,"journal":{"name":"Bioengineering","volume":"12 6","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12189761/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144494066","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
BioengineeringPub Date : 2025-06-03DOI: 10.3390/bioengineering12060608
Kangxu Fan, Liang Liang, Hao Li, Weijun Situ, Wei Zhao, Ge Li
{"title":"Research on Medical Image Segmentation Based on SAM and Its Future Prospects.","authors":"Kangxu Fan, Liang Liang, Hao Li, Weijun Situ, Wei Zhao, Ge Li","doi":"10.3390/bioengineering12060608","DOIUrl":"10.3390/bioengineering12060608","url":null,"abstract":"<p><p>The rapid advancement of prompt-based models in natural language processing and image generation has revolutionized the field of image segmentation. The introduction of the Segment Anything Model (SAM) has further invigorated this domain with its unprecedented versatility. However, its applicability to medical image segmentation remains uncertain due to significant disparities between natural and medical images, which demand careful consideration. This study comprehensively analyzes recent efforts to adapt SAM for medical image segmentation, including empirical benchmarking and methodological refinements aimed at bridging the gap between SAM's capabilities and the unique challenges of medical imaging. Furthermore, we explore future directions for SAM in this field. While direct application of SAM to complex, multimodal, and multi-target medical datasets may not yet yield optimal results, insights from these efforts provide crucial guidance for developing foundational models tailored to the intricacies of medical image analysis. Despite existing challenges, SAM holds considerable potential to demonstrate its unique advantages and robust capabilities in medical image segmentation in the near future.</p>","PeriodicalId":8874,"journal":{"name":"Bioengineering","volume":"12 6","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12189367/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144494067","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
BioengineeringPub Date : 2025-06-03DOI: 10.3390/bioengineering12060609
Mira H Ghneim, Gregory M Schrank, William Teeter, Brooke Andersen, Anna Brown, Quincy K Tran
{"title":"Limited Diagnostic Value of Blood Cultures in Patients with Soft Tissue Infections Transferred to a Quaternary Care Center.","authors":"Mira H Ghneim, Gregory M Schrank, William Teeter, Brooke Andersen, Anna Brown, Quincy K Tran","doi":"10.3390/bioengineering12060609","DOIUrl":"10.3390/bioengineering12060609","url":null,"abstract":"<p><p><b>Introduction:</b> Patients with soft tissue infection are often encountered in clinical practice. The mainstay of treatment typically includes antimicrobial therapy, followed by surgical debridement when indicated. Blood cultures are often performed prior to starting the first dose of antibiotics. However, when patients require transfer to tertiary/quaternary-level care for more advanced surgical interventions, blood cultures are often repeated despite patients being on broad-spectrum antibiotics. Our study aims to investigate the utility of blood cultures following transfer to a higher level of care. <b>Methods:</b> This is a retrospective study involving adult patients (≥18 years of age) who were transferred to a quaternary academic center with soft tissue infections between 15 June 2018 and 15 February 2022. Patients with incomplete medical records and/or without blood culture data after arrival were excluded. The primary outcome was the rate of positive blood cultures post-transfer. Descriptive analyses were performed, and comparisons between groups were expressed as absolute differences and 95% CI. <b>Results:</b> We analyzed 303 patients with a mean (+/-SD) age of 54 (14) years, and 199 (66%) were male. Necrotizing soft tissue infections (NSTIs) predominated, 198 patients (65%), with a majority of the NSTIs involving the perineum (112, 37%). The prevalence of positive blood cultures was 20 (7%) for pre-transfer and 14 (5%) for post-transfer. Among post-transfer positive blood cultures, 3 (21%) were coagulase-negative <i>Staphylococcus aureus,</i> with 2 (14%) cases each for the blood culture categories of polymicrobial, methicillin-sensitive <i>Staphylococcus aureus</i>, and <i>Enterococcus faecalis</i>, and 2 (14%) with <i>Candida species</i>. Among 112 patients with NSTIs of the perineum, 2 (14%) patients had positive blood cultures post-transfer, compared with 110 (38%) patients with negative blood cultures (difference 24%, 95% CI -0.40, -0.12, <i>p</i> < 0.001). <b>Conclusions:</b> For patients with soft tissue infection, the prevalence of positive blood culture after arrival at our quaternary care center was low at 5%. Pathogenic cases of positive blood cultures after transfer were polymicrobial, methicillin-sensitive <i>Staphylococcus aureus</i> and <i>Candida</i> species. However, the low number of post-transfer positive blood cultures limits the strength of the inference and should be interpreted cautiously. Further studies are necessary to confirm our observation. Clinicians at tertiary/quaternary care centers should consider the utility of obtaining blood cultures from patients with soft tissue infections transferred from other facilities.</p>","PeriodicalId":8874,"journal":{"name":"Bioengineering","volume":"12 6","pages":""},"PeriodicalIF":3.8,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12189385/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144494053","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}