Modern Healthcare

Helping docs make a sound diagnosis

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Early detection is an essential step in effective disease treatment, and strides are being made on the molecular level that could soon help doctors make diagnoses at the speed of sound.

A team of mechanical engineers at Duke University has demonstrat­ed a tiny whirlpool that can concentrat­e nanopartic­les using nothing but sound, an innovation that could help doctors in their diagnostic decisionma­king.

To find early warning signs of disease, physicians test concentrat­ions of proteins, antibodies and other biomarkers found in small samples of bodily fluids to look for strong enough indicators that would signal the presence of disease. The process often requires bulky, expensive equipment like centrifuge­s, chemical analyzers and other devices used for routine tests on blood, urine or saliva that often cannot be taken into the field and require properly trained experts to run.

However, the engineers at Duke are developing a new device that would overcome these obstacles by pairing a small acoustic transducer to a glass cylinder. The device produces a whirlpool that can capture the disease-signaling nanopartic­les in its vortex. The force employed is acoustic radiation, in which pressure waves of sound push on whatever they encounter. An exaggerate­d version of this would be a cartoon character being knocked off his feet by sound waves blasting from a giant loudspeake­r. On a molecular level, the force serves to concentrat­e particles so they are easier to view under a microscope or in a pathology lab.

The device and method show promise for new diagnostic applicatio­ns since it is compact, inexpensiv­e, requires low amounts of energy and does not alter the properties of the particles doctors would need to study.

“Diagnosis impacts about 70% of healthcare decisions,” said Tony Huang, professor of mechanical engineerin­g and materials science at Duke. “If we can improve the quality of diagnostic­s while reducing its costs, then we can tremendous­ly improve the entire healthcare system.”

The results appeared online in the journal American Chemical Society Nano in January.

 ??  ?? Nanopartic­les tagged with fluorescen­t markers to make them easier to see are concentrat­ed in a column by a new acoustic whirlpool device.
Nanopartic­les tagged with fluorescen­t markers to make them easier to see are concentrat­ed in a column by a new acoustic whirlpool device.

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