中国国家罕见病注册系统数智化升级与临床应用

Digital-Intellectualized Upgrade and Clinical Application of National Rare Diseases Registry System of China

  • 摘要: 自2016年至今,中国国家罕见病注册系统(NRDRS)的建设为中国罕见病的基础和临床研究积累了大量宝贵的病例数据和生物样本资源。然而,面临罕见病临床诊疗过程中不断出现的新挑战,单纯的数据和资源平台已难以满足临床工作的全部需求。在此背景下,本团队围绕NRDRS平台的核心功能点设计系统优化和升级方案,目标是使用数智化技术将NRDRS建设成为具有罕见病多模态数据集成融合与辅助诊疗功能的新平台,具体可概括为“1个平台和4类工具”的研发与建设。NRDRS平台、罕见病基因型-表型智能分析工具、罕见病人工智能辅助诊断工具、罕见病远程多学科诊疗与教学工具、罕见病药物筛选与验证工具已经完成升级和研发,如何推动这些工具在临床场景中进行应用,改变罕见病诊疗资源配置严重不均衡的现状是下一阶段工作的重点方向。本文将详细介绍NRDRS的数智化升级和在临床场景中的应用探索,以及未来的发展方向。

     

    Abstract: Since its establishment in 2016, the National Rare Diseases Registry System of China (NRDRS) has accumulated valuable case data and bio-specimen for basic and clinical research on rare diseases in China. However, the emerging challenges in clinical diagnosis and treatment of rare diseases make it unable for data and resource platform to fully meet the diversified needs. Under this backdrop, we have developed a protocol to optimize and upgrade the system based on the core functions of the NRDRS platform. The goal is to leverage intelligent digital technologies to transform NRDRS into a new platform integrating multimodal data and auxiliary diagnostic and treatment functions. It is specified as the development and construction of "one platform and four intelligent tools." Currently, we have upgraded and developed NRDRS platform, intelligent tool for genotype-phenotype analysis of rare diseases, AI-assisted diagnostic tool for rare diseases, remote multidisciplinary diagnosis and teaching tool for rare diseases, drug screening and validation tool for rare diseases. The next step will focus on the promotion of the application of these tools in clinical settings in order to address the issue of severe imbalance in the allocation of resources for the diagnosis and treatment of rare diseases. This article provides an overview of the digital and intelligent upgrades of the NRDRS, the trials in applications in clinical settings, and direction in the future.

     

/

返回文章
返回