| 查看: 797 | 回复: 4 | |||
leiking木虫 (正式写手)
中医药
|
[交流]
【Share】GENOME-ANNIVERSARY ~~GENOMICS AND CLINICAL RELEVANCE
|
|
When I interact with physicians, I realize that the clinical questions they think are most relevant are more sophisticated than those posed by the first wave of whole-genome studies. When I ask questions that are clinically relevant, they are not what I asked myself in 2001, when the landmark human genome-sequencing papers were published. At that time, my thinking process was DNA-driven: What is functional? What is normal genome variation? What amazes me in retrospect is that I did not appreciate the fact genomic information and technologies would grow more than a millionfold in the following decade and, in a way, leap-frog other critical initiatives in health research. Now, clinicians are more and more concerned by overdetection, overdiagnosis, and overtreatment of diseases, as a result of sensitive tests ( e.g.,prostate-specific antigen for prostate cancer). Whether the disease involves cancer, metabolism, inflammation, or neurodegeneration, it becomes apparent that we have a limited knowledge of disease processes over time and, consequently, limited knowledge of when to intervene and to what degree. In some patients, this lead to unnecessary complications, whereas in others, the failure to act early is irreparable. If I could move the clock back to 2001 and change course, I would invest significantly more in developing large clinical resources with detailed clinical histories, deep phenotyping, and longitudinal follow-up in order to better understand outcomes and treatment responses. If genomics was now being integrated with such resources, we would be closer to achieving a form of personalized medicine that clinicians would be eager to adopt. |
回复此楼» 猜你喜欢
建议基金发布提前给出明确的时间点
已经有14人回复
-
范进中举一文的中心思想
已经有5人回复
-
2026国自然函评费到账
已经有17人回复
-
让我中一个面上吧！
已经有15人回复
-
2026年的国家社科基金项目通讯评审的新规则与新动向、新挑战
已经有5人回复
-
跳槽后在研项目怎么办？
已经有10人回复
-
什么时候开奖？
已经有10人回复
-
今天放榜吗？
已经有16人回复
-
93BebMhtakh前后11位开头都是大写
已经有8人回复
-
只有每年这种时候来逛逛小木虫
已经有26人回复
★
小木虫(沙发+1，金币+0.5):恭喜抢个沙发，再给个红包
小木虫(沙发+1，金币+0.5):恭喜抢个沙发，再给个红包
 |
2楼2011-02-18 09:45:16
★
小木虫(金币+0.2):抢了个小板凳，给个红包
小木虫(金币+0.2):抢了个小板凳，给个红包
 |
3楼2011-02-18 09:46:12
 |
4楼2011-02-18 10:40:38
 |
5楼2011-02-18 13:16:23
