Smartphone and home-based liquid crystal sensor for rapid screening of acute myocardial infarction by naked-eye observation and image analysis

How Close Are We to Patient-Side Troponin Testing?

Laboratory-based high-sensitivity cardiac troponin testing has been the pillar for emergency stratification of suspected acute coronary syndrome for well over a decade. Point-of-care troponin assays achieving the requisite analytical sensitivity have recently been developed and could accelerate such assessment. This review summarises the latest assays and describes their potential diverse clinical utility in the emergency department, community healthcare, pre-hospital, and other hospital settings. It outlines the current clinical data but also highlights the evidence gap, particularly the need for clinical trials using whole blood, that must be addressed for safe and successful implementation of point-of-care troponin analysis into daily practice. Additionally, how point-of-care troponin testing can be coupled with advances in biosensor technology, cardiovascular screening, and triage algorithms is discussed.

Director Distortion and Phase Modulation in Deformable Nematic and Smectic Liquid Crystal Spheroids

The growing interest in integrating liquid crystals (LCs) into flexible and miniaturized technologies brings about the need to understand the interplay between spatially curved geometry, surface anchoring, and the order associated with these materials. Here, we integrate experimental methods and computational simulations to explore the competition between surface-induced orientation and the effects of deformable curved boundaries in uniaxially and biaxially stretched nematic and smectic microdroplets. We find that the director field of the nematic LCs upon uniaxial strain reorients and forms a larger twisted defect ring to adjust to the new deformed geometry of the stretched droplet. Upon biaxial extension, the director field initially twists in the now oblate geometry and subsequently transitions into a uniform vertical orientation at high strains. In smectic microdroplets, on the other hand, LC alignment transforms from a radial smectic layering to a quasi-flat layering in a compromise between interfacial and dilatation forces. Upon removing the mechanical strain, the smectic LC recovers its initial radial configuration; however, the oblate geometry traps the nematic LC in the metastable vertical state. These findings offer a basis for the rational design of LC-based flexible devices, including wearable sensors, flexible displays, and smart windows.

Flexible and High-Throughput Photothermal Biosensors for Rapid Screening of Acute Myocardial Infarction Using Thermochromic Paper-Based Image Analysis

Herein, we developed a flexible, low-cost thermosensitive fiber paper for the visual display in photothermal biosensing systems for early acute myocardial infarction. The thermal signal visualization device was encapsulated with rewritable thermal fibers, which exhibited excellent stability and reversibility. The mechanism of color change in thermal paper was based on a temperature-driven reversible transformation of the structure of the dye molecule (crystalline violet lactone, CVL). It exhibits a gradation from blue to colorless at higher temperatures and gradually returns to blue when the temperature drops. Immobilization and cascade enzymatic reactions of target molecules occurred in an integrated 3D-printed detection device, a photothermal conversion process occurred under near-infrared light excitation, and the colorimetric change values of the encapsulated thermal paper were recorded and evaluated for possible pathogenicity using a smartphone. It was worth noting that the effect of the thermogenic ring-opening behavior of CVL on the macroscopic phenomenon of color change was obtained by density functional theory calculations. Under optimized conditions, the naked-eye-recognizable range of the thermal paper-based photothermal immunoassay sensor was 0.2-20 ng mL^-1, This work creatively presents theoretical studies of promising thermal paper-based photothermal biosensors and provides new insights for the development of low-cost, instrument-free portable photothermal biosensors.