Wearable and Miniaturized Sensor Technologies for Personalized and Preventive Medicine

The unprecedented medical achievements of the last century have dramatically improved our quality of life. Today, the high cost of many healthcare approaches challenges their long‐term financial sustainability and translation to a global scale. The convergence of wearable electronics, miniaturized sensor technologies, and big data analysis provides novel opportunities to improve the quality of healthcare while decreasing costs by the very early stage detection and prevention of fatal and chronic diseases. Here, some exciting achievements, emerging technologies, and standing challenges for the development of non‐invasive personalized and preventive medicine devices are discussed. The engineering of wire‐ and power‐less ultra‐thin sensors on wearable biocompatible materials that can be placed on the skin, pupil, and teeth is reviewed, focusing on common solutions and current limitations. The integration and development of sophisticated sensing nanomaterials are presented with respect to their performance, showing exemplary implementations for the detection of ultra‐low concentrations of biomarkers in complex mixtures such as the human sweat and breath. This review is concluded by summarizing achievements and standing challenges with the aim to provide directions for future research in miniaturized medical sensor technologies.

[1]  Sergey Shleev,et al.  Direct electron transfer based enzymatic fuel cells , 2012 .

[2]  T. Takenawa,et al.  Diagnosis of gastroenterological diseases by metabolome analysis using gas chromatography–mass spectrometry , 2011, Journal of Gastroenterology.

[3]  Takahiko Nakagawa,et al.  A causal role for uric acid in fructose-induced metabolic syndrome. , 2006, American journal of physiology. Renal physiology.

[4]  T. Imasaka,et al.  Applications of Hadamard transform-gas chromatography/mass spectrometry to online detection of exhaled breath after drinking or smoking. , 2010, Journal of chromatography. A.

[5]  R. Webster,et al.  Swallowable medical devices for diagnosis and surgery: The state of the art , 2010 .

[6]  Woon Hyung Cheong,et al.  Wearable, wireless gas sensors using highly stretchable and transparent structures of nanowires and graphene. , 2016, Nanoscale.

[7]  R. Begum,et al.  A Review on Salivary Genomics and Proteomics Biomarkers in Oral Cancer , 2011, Indian Journal of Clinical Biochemistry.

[8]  Justin T. Baca,et al.  Mass spectral determination of fasting tear glucose concentrations in nondiabetic volunteers. , 2007, Clinical chemistry.

[9]  Julian King,et al.  Release and uptake of volatile organic compounds by human hepatocellular carcinoma cells (HepG2) in vitro , 2013, Cancer Cell International.

[10]  Michael C. McAlpine,et al.  Graphene-based wireless bacteria detection on tooth enamel , 2012, Nature Communications.

[11]  Derek G Rodeback,et al.  Salivary uric acid as a noninvasive biomarker of metabolic syndrome , 2012, Diabetology & Metabolic Syndrome.

[12]  F. V. van Schooten,et al.  The versatile use of exhaled volatile organic compounds in human health and disease , 2012, Journal of breath research.

[13]  Kurosawa State-of-the-art surface acoustic wave linear motor and its future applications , 2000, Ultrasonics.

[14]  R. Nagler,et al.  Relationship of flow rate, uric acid, peroxidase, and superoxide dismutase activity levels with complications in diabetic patients: can saliva be used to diagnose diabetes? , 2007, Antioxidants & redox signaling.

[15]  P. Dutta,et al.  Selective detection of part per billion concentrations of ammonia using a p–n semiconducting oxide heterostructure , 2016 .

[16]  H. Haick,et al.  Assessment of the exhalation kinetics of volatile cancer biomarkers based on their physicochemical properties , 2014, Journal of breath research.

[17]  Yu-Te Liao,et al.  A 3-$\mu\hbox{W}$ CMOS Glucose Sensor for Wireless Contact-Lens Tear Glucose Monitoring , 2012, IEEE Journal of Solid-State Circuits.

[18]  A. Turner,et al.  Surface-Engineered Contact Lens as an Advanced Theranostic Platform for Modulation and Detection of Viral Infection. , 2015, ACS applied materials & interfaces.

[19]  Sotiris E Pratsinis,et al.  Breath acetone monitoring by portable Si:WO3 gas sensors. , 2012, Analytica chimica acta.

[20]  Mingji Li,et al.  Amperometric biosensor based on nanoporous nickel/boron-doped diamond film for electroanalysis of L-alanine , 2014 .

[21]  D. Woolley,et al.  The white paper , 1943, Public Health.

[22]  Yuehe Lin,et al.  Noninvasive Biomonitoring Approaches to Determine Dosimetry and Risk Following Acute Chemical Exposure: Analysis of Lead or Organophosphate Insecticide in Saliva , 2004, Journal of toxicology and environmental health. Part A.

[23]  Chengcheng Liu,et al.  A glucose oxidase-coupled DNAzyme sensor for glucose detection in tears and saliva. , 2015, Biosensors & bioelectronics.

[24]  Michael Hochberg,et al.  Multiplexed inkjet functionalization of silicon photonic biosensors. , 2011, Lab on a chip.

[25]  A. Amann,et al.  Detection of potential chronic kidney disease markers in breath using gas chromatography with mass-spectral detection coupled with thermal desorption method. , 2013, Journal of chromatography. A.

[26]  R. Burini,et al.  Ten-week lifestyle changing program reduces several indicators for metabolic syndrome in overweight adults , 2012, Diabetology & Metabolic Syndrome.

[27]  Joseph Wang,et al.  Wearable Electrochemical Sensors and Biosensors: A Review , 2013 .

[28]  Max H. Weil,et al.  Excess Lactate: An Index of Reversibility of Shock in Human Patients , 1964, Science.

[29]  Gerald F Falasca,et al.  Metabolic diseases: gout. , 2006, Clinics in dermatology.

[30]  Anthony P F Turner,et al.  Biosensors: sense and sensibility. , 2013, Chemical Society reviews.

[31]  Jiangang Du,et al.  Wiring nanoscale biosensors with piezoelectric nanomechanical resonators. , 2010, Nano letters.

[32]  Dermot Diamond,et al.  A wearable electrochemical sensor for the real-time measurement of sweat sodium concentration , 2010 .

[33]  Sebastian Funke,et al.  Tears as a source of biomarkers for ocular and systemic diseases. , 2013, Experimental eye research.

[34]  J. Covington,et al.  Rapid, Accurate, and On-Site Detection of C. difficile in Stool Samples , 2015, The American Journal of Gastroenterology.

[35]  Silvia Ghimenti,et al.  Simultaneous determination of lactate and pyruvate in human sweat using reversed-phase high-performance liquid chromatography: a noninvasive approach. , 2012, Biomedical chromatography : BMC.

[36]  Royston Goodacre,et al.  Non-invasive Metabolomic Analysis of Breath Using Differential Mobility Spectrometry in Patients with Chronic Obstructive Pulmonary Disease and Healthy Smokers , 2022 .

[37]  C. Koopman,et al.  Social Support and Salivary Cortisol in Women With Metastatic Breast Cancer , 2000, Psychosomatic medicine.

[38]  D Mahle,et al.  Lactational transfer of volatile chemicals in breast milk. , 1997, American Industrial Hygiene Association journal.

[39]  Chunhui Deng,et al.  Investigation of volatile biomarkers in liver cancer blood using solid-phase microextraction and gas chromatography/mass spectrometry. , 2008, Rapid communications in mass spectrometry : RCM.

[40]  J Bangsbo,et al.  Oxidation of urate in human skeletal muscle during exercise. , 1997, Free radical biology & medicine.

[41]  Sotiris E Pratsinis,et al.  Si:WO(3) Sensors for highly selective detection of acetone for easy diagnosis of diabetes by breath analysis. , 2010, Analytical chemistry.

[42]  Liyan Yu,et al.  A disposable biosensor for noninvasive diabetic diagnosis rest on the Au/TiO2 nano-composite intensified electrochemiluminescence , 2016 .

[43]  H. Haick,et al.  Artificially Intelligent Nanoarray for the Detection of Preeclampsia under Real‐World Clinical Conditions , 2016 .

[44]  Dermot Diamond,et al.  Advances in wearable chemical sensor design for monitoring biological fluids , 2015 .

[45]  T. Golub,et al.  MicroRNA expression signatures accurately discriminate acute lymphoblastic leukemia from acute myeloid leukemia , 2007, Proceedings of the National Academy of Sciences.

[46]  K H Kang,et al.  Rapid 3D printing of anatomically accurate and mechanically heterogeneous aortic valve hydrogel scaffolds , 2012, Biofabrication.

[47]  Tolga Kaya,et al.  A wearable conductivity sensor for wireless real-time sweat monitoring , 2016 .

[48]  R. Gurny,et al.  Chemical and physical parameters of tears relevant for the design of ocular drug delivery formulations. , 1997, Pharmaceutica acta Helvetiae.

[49]  Antonio Tricoli,et al.  Toward portable breath acetone analysis for diabetes detection , 2011, Journal of breath research.

[50]  Yuzhuo Zhong,et al.  Fast approach of sprite coding for video content , 2000, SPIE Optics East.

[51]  J. Cohn,et al.  The excretion of trace metals in human sweat. , 1978, Annals of clinical and laboratory science.

[52]  Gretchen A. Stevens,et al.  Causes of international increases in older age life expectancy , 2015, The Lancet.

[53]  H. Haick,et al.  Dynamic Nanoparticle-Based Flexible Sensors: Diagnosis of Ovarian Carcinoma from Exhaled Breath. , 2015, Nano letters.

[54]  Huanfen Yao,et al.  A contact lens with embedded sensor for monitoring tear glucose level. , 2011, Biosensors & bioelectronics.

[55]  D. Kearney,et al.  Breath Ammonia Measurement in Helicobacter pylori Infection , 2002, Digestive Diseases and Sciences.

[56]  Kelly Karns,et al.  Human tear protein analysis enabled by an alkaline microfluidic homogeneous immunoassay. , 2011, Analytical chemistry.

[57]  Yunqing Du,et al.  Sensing of Salivary Glucose Using Nano-Structured Biosensors , 2016, Biosensors.

[58]  Peter Beyerlein,et al.  Diagnostic potential of saliva: current state and future applications. , 2011, Clinical chemistry.

[59]  Sergey Shleev,et al.  Miniature biofuel cell as a potential power source for glucose-sensing contact lenses. , 2013, Analytical chemistry.

[60]  Sephra N. Rampersad,et al.  Multiple Applications of Alamar Blue as an Indicator of Metabolic Function and Cellular Health in Cell Viability Bioassays , 2012, Sensors.

[61]  Mark J. Schulz,et al.  Tiny Medicine: Nanomaterial-Based Biosensors , 2009, Sensors.

[62]  Anil Vachani,et al.  Urinary Volatile Compounds as Biomarkers for Lung Cancer , 2012, Bioscience, biotechnology, and biochemistry.

[63]  Yu-Te Liao,et al.  A contact lens with integrated telecommunication circuit and sensors for wireless and continuous tear glucose monitoring , 2012 .

[64]  Yong Liu,et al.  Biocompatible graphene oxide-based glucose biosensors. , 2010, Langmuir : the ACS journal of surfaces and colloids.

[65]  J. Schwartz,et al.  Abstract MP11: Fitbit: An Accurate and Reliable Device for Wireless Physical Activity Tracking , 2015 .

[66]  Nadja Tajouri,et al.  Exploring the human tear fluid: Discovery of new biomarkers in multiple sclerosis , 2014, Proteomics. Clinical applications.

[67]  A. Manolis,et al.  The diagnostic potential of breath analysis. , 1983, Clinical chemistry.

[68]  Ana-Maria Gurban,et al.  Enhanced Sensitive Love Wave Surface Acoustic Wave Sensor Designed for Immunoassay Formats , 2015, Sensors.

[69]  Ross J. Harris,et al.  Life expectancy of individuals on combination antiretroviral therapy in high-income countries: a collaborative analysis of 14 cohort studies , 2008, The Lancet.

[70]  M. Stanacevic,et al.  Nanosensor and Breath Analyzer for Ammonia Detection in Exhaled Human Breath , 2010, IEEE Sensors Journal.

[71]  Nicola Donato,et al.  Flexible ethanol sensors on glossy paper substrates operating at room temperature , 2010 .

[72]  Sergey Shleev,et al.  Biofuel cell as a power source for electronic contact lenses. , 2012, Biosensors & bioelectronics.

[73]  Joseph Wang,et al.  Epidermal tattoo potentiometric sodium sensors with wireless signal transduction for continuous non-invasive sweat monitoring. , 2014, Biosensors & bioelectronics.

[74]  Bogusław Buszewski,et al.  Analysis of exhaled breath for disease detection. , 2014, Annual review of analytical chemistry.

[75]  P. Schoenfeld,et al.  The impact of fair colonoscopy preparation on colonoscopy use and adenoma miss rates in patients undergoing outpatient colonoscopy. , 2013, Gastrointestinal endoscopy.

[76]  Hossam Haick,et al.  Assessment, origin, and implementation of breath volatile cancer markers. , 2014, Chemical Society reviews.

[77]  R. de la Torre,et al.  Usefulness of sweat testing for the detection of MDMA after a single-dose administration. , 2003, Journal of analytical toxicology.

[78]  J. Vincent,et al.  Correlation of serial blood lactate levels to organ failure and mortality after trauma. , 1995, The American journal of emergency medicine.

[79]  Shyamal Patel,et al.  A review of wearable sensors and systems with application in rehabilitation , 2012, Journal of NeuroEngineering and Rehabilitation.

[80]  Kiran Chikkadi,et al.  E-Nose Sensing of Low-ppb Formaldehyde in Gas Mixtures at High Relative Humidity for Breath Screening of Lung Cancer? , 2016 .

[81]  J. Kysar,et al.  Measurement of the Elastic Properties and Intrinsic Strength of Monolayer Graphene , 2008, Science.

[82]  S. Suerbaum,et al.  Helicobacter pylori infection , 2013, Nature Reviews Disease Primers.

[83]  DNMT3A mutations and clinical features in Chinese patients with acute myeloid leukemia , 2013, Cancer Cell International.

[84]  R W Carlson,et al.  Significance of blood lactate levels in critically ill patients with liver disease. , 1987, The American journal of medicine.

[85]  Sung Woo Kim,et al.  Serum uric acid levels and the risk of type 2 diabetes: a prospective study. , 2010, The American journal of medicine.

[86]  R. Kaner,et al.  Graphene-like nano-sheets for surface acoustic wave gas sensor applications , 2009 .

[87]  W. Miekisch,et al.  Diagnostic potential of breath analysis--focus on volatile organic compounds. , 2004, Clinica chimica acta; international journal of clinical chemistry.

[88]  Otto S. Wolfbeis,et al.  Electropolymerized Molecularly Imprinted Polymers as Receptor Layers in Capacitive Chemical Sensors , 1999 .

[89]  B. Shirinzadeh,et al.  A wearable and highly sensitive pressure sensor with ultrathin gold nanowires , 2014, Nature Communications.

[90]  S. Takeuchi,et al.  Ultratrace Measurement of Acetone from Skin Using Zeolite: Toward Development of a Wearable Monitor of Fat Metabolism. , 2015, Analytical chemistry.

[91]  Chulki Kim,et al.  Chemiresistive Electronic Nose toward Detection of Biomarkers in Exhaled Breath. , 2016, ACS applied materials & interfaces.

[92]  B. Blount,et al.  Simultaneous analysis of 28 urinary VOC metabolites using ultra high performance liquid chromatography coupled with electrospray ionization tandem mass spectrometry (UPLC-ESI/MSMS). , 2012, Analytica chimica acta.

[93]  T. Tsuda,et al.  Noninvasive monitoring of plasma L-dopa concentrations using sweat samples in Parkinson's disease. , 2015, Clinica chimica acta; international journal of clinical chemistry.

[94]  D. Costill,et al.  SWEATING: ITS COMPOSITION AND EFFECTS ON BODY FLUIDS * , 1977, Annals of the New York Academy of Sciences.

[95]  Elisa Michelini,et al.  A 3D-printed device for a smartphone-based chemiluminescence biosensor for lactate in oral fluid and sweat. , 2014, The Analyst.

[96]  Joseph Wang,et al.  Wearable salivary uric acid mouthguard biosensor with integrated wireless electronics. , 2015, Biosensors & bioelectronics.

[97]  D. Kirsanov,et al.  Stepwise injection potentiometric determination of caffeine in saliva using single-drop microextraction combined with solvent exchange. , 2016, Talanta.

[98]  Babak A. Parviz,et al.  A contact lens with an integrated lactate sensor , 2012 .

[99]  Koichi Shibasaki,et al.  Uric acid concentration in saliva and its changes with the patients receiving treatment for hyperuricemia , 2011, Metabolomics.

[100]  Kang L. Wang,et al.  High-speed graphene transistors with a self-aligned nanowire gate , 2010, Nature.

[101]  Rolf U Halden,et al.  Volatile organic compounds in human milk: methods and measurements. , 2007, Environmental science & technology.

[102]  Donald W. Bowden,et al.  Electrochemical Skin Conductance in Diabetic Kidney Disease , 2015, American Journal of Nephrology.

[103]  Zafar Hussain Ibupoto,et al.  Electrochemical l-Lactic Acid Sensor Based on Immobilized ZnO Nanorods with Lactate Oxidase , 2012, Sensors.

[104]  G. Rao,et al.  A rate-based transcutaneous CO2 sensor for noninvasive respiration monitoring , 2015, Physiological measurement.

[105]  Mark E Meyerhoff,et al.  Measurement of tear glucose levels with amperometric glucose biosensor/capillary tube configuration. , 2011, Analytical chemistry.

[106]  Giuseppe Lippi,et al.  High Serum Uric Acid as a Novel Risk Factor for Type 2 Diabetes , 2008, Diabetes Care.

[107]  Jian Liu,et al.  Electrochemical Biosensor Based on Bienzyme and Carbon Nanotubes Incorporated into an Os‐complex Thin Film for Continuous Glucose Detection in Human Saliva , 2016 .

[108]  Dorota M Ruszkiewicz,et al.  Real-time monitoring of exhaled volatiles using atmospheric pressure chemical ionization on a compact mass spectrometer. , 2016, Bioanalysis.

[109]  Weng Yu‐Ching,et al.  Detection of 2-Butanone for the Diagnosis of Helicobacter Pylori Using Graphene and ZnO Nanorod Electrodes , 2016 .

[110]  Giorgio Pennazza,et al.  Monitoring of melanoma released volatile compounds by a gas sensors array: From in vitro to in vivo experiments , 2011 .

[111]  Dermot Diamond,et al.  A potentiometric disposable sensor strip for measuring pH in saliva , 2014 .

[112]  James Noble,et al.  The rational development of molecularly imprinted polymer-based sensors for protein detection. , 2011, Chemical Society reviews.

[113]  H. Haick,et al.  Diagnosing lung cancer in exhaled breath using gold nanoparticles. , 2009, Nature nanotechnology.

[114]  J. Takács,et al.  Validation of the Fitbit One activity monitor device during treadmill walking. , 2014, Journal of science and medicine in sport.

[115]  H. Emrich,et al.  Sweat Composition in Relation to Rate of Sweating in Patients with Cystic Fibrosis of the Pancreas , 1968, Pediatric Research.

[116]  C. Bala,et al.  A novel amperometric biosensor based on gold nanoparticles anchored on reduced graphene oxide for sensitive detection of l-lactate tumor biomarker. , 2015, Biosensors & bioelectronics.

[117]  C. Mulder,et al.  Electronic nose can discriminate colorectal carcinoma and advanced adenomas by fecal volatile biomarker analysis: proof of principle study , 2014, International journal of cancer.

[118]  M J Navas,et al.  Human biomarkers in breath by photoacoustic spectroscopy. , 2012, Clinica chimica acta; international journal of clinical chemistry.

[119]  N M Ratcliffe,et al.  The characteristics of novel low-cost sensors for volatile biomarker detection. , 2008, Journal of breath research.

[120]  Guangbo Ge,et al.  A ratiometric fluorescent sensor for highly selective detection of human carboxylesterase 2 and its application in living cells , 2014 .

[121]  W. Kübler,et al.  Lactate accumulation rather than ATP depletion predicts ischemic myocardial necrosis: implications for the development of lethal myocardial injury. , 2002, Biochimica et biophysica acta.

[122]  E. Fukusaki,et al.  Serum metabolomics as a novel diagnostic approach for gastrointestinal cancer. , 2012, Biomedical chromatography : BMC.

[123]  J. Windmiller,et al.  Electrochemical tattoo biosensors for real-time noninvasive lactate monitoring in human perspiration. , 2013, Analytical chemistry.

[124]  P. Kim,et al.  Performance of monolayer graphene nanomechanical resonators with electrical readout. , 2009, Nature nanotechnology.

[125]  A. Karyakin,et al.  Noninvasive hypoxia monitor based on gene-free engineering of lactate oxidase for analysis of undiluted sweat. , 2014, Analytical chemistry.

[126]  S. Pratsinis,et al.  Thermally Stable, Silica-Doped ε-WO3 for Sensing of Acetone in the Human Breath , 2010 .

[127]  Ho Won Jang,et al.  Self-activated ultrahigh chemosensitivity of oxide thin film nanostructures for transparent sensors , 2012, Scientific Reports.

[128]  Wenzhao Jia,et al.  Non-invasive mouthguard biosensor for continuous salivary monitoring of metabolites. , 2014, The Analyst.

[129]  Jacob W. Coffey,et al.  Blood, sweat, and tears: developing clinically relevant protein biosensors for integrated body fluid analysis. , 2015, The Analyst.

[130]  Malarvili Balakrishnan,et al.  Saliva-Based Biosensors: Noninvasive Monitoring Tool for Clinical Diagnostics , 2014, BioMed research international.

[131]  Yumei Hu,et al.  Construction of near-infrared photonic crystal glucose-sensing materials for ratiometric sensing of glucose in tears. , 2013, Biosensors & bioelectronics.

[132]  Brian Owen-Smith,et al.  Salivary urate in gout, exercise, and diurnal variation , 1998, The Lancet.

[133]  Till Bärnighausen,et al.  Increases in Adult Life Expectancy in Rural South Africa: Valuing the Scale-Up of HIV Treatment , 2013, Science.

[134]  N. Ratcliffe,et al.  An analysis of volatiles in the headspace of the faeces of neonates , 2008, Journal of breath research.

[135]  J. McDevitt,et al.  Translational and Clinical Applications of Salivary Diagnostics , 2011, Advances in dental research.

[136]  Anton Amann,et al.  Breath analysis by nanostructured metal oxides as chemo-resistive gas sensors , 2015 .

[137]  H. Haick,et al.  Differentiation between genetic mutations of breast cancer by breath volatolomics , 2015, Oncotarget.

[138]  Hamdi Melih Saraoglu,et al.  A study on non‐invasive detection of blood glucose concentration from human palm perspiration by using artificial neural networks , 2010, Expert Syst. J. Knowl. Eng..

[139]  L. Gorton,et al.  Beyond graphene: Electrochemical sensors and biosensors for biomarkers detection. , 2017, Biosensors & bioelectronics.

[140]  Martin L Dunn,et al.  Ultrastrong adhesion of graphene membranes. , 2011, Nature nanotechnology.

[141]  K. Unterkofler,et al.  Breath isoprene – aspects of normal physiology related to age, gender and cholesterol profile as determined in a proton transfer reaction mass spectrometry study , 2008, Clinical chemistry and laboratory medicine.

[142]  C. Bartlett,et al.  Estimating the current and future costs of Type 1 and Type 2 diabetes in the UK, including direct health costs and indirect societal and productivity costs , 2012, Diabetic medicine : a journal of the British Diabetic Association.

[143]  B. de Lacy Costello,et al.  A review of the volatiles from the healthy human body , 2014, Journal of breath research.

[144]  C Di Natale,et al.  Identification of melanoma with a gas sensor array , 2008, Skin research and technology : official journal of International Society for Bioengineering and the Skin (ISBS) [and] International Society for Digital Imaging of Skin (ISDIS) [and] International Society for Skin Imaging.

[145]  S. Milz,et al.  Hydroxyapatite scaffolds for bone tissue engineering made by 3D printing , 2005, Journal of materials science. Materials in medicine.

[146]  Xianghong Liu,et al.  Nanostructured Materials for Room‐Temperature Gas Sensors , 2016, Advanced materials.

[147]  Wei-Song Wang,et al.  Wide Dynamic Range CMOS Potentiostat for Amperometric Chemical Sensor , 2010, Sensors.

[148]  A. Teleki,et al.  Semiconductor gas sensors: dry synthesis and application. , 2010, Angewandte Chemie.

[149]  Joseph Wang,et al.  Noninvasive Alcohol Monitoring Using a Wearable Tattoo-Based Iontophoretic-Biosensing System , 2016 .

[150]  James D. Plummer,et al.  A High-Resolution Low-Power Incremental $\Sigma\Delta$ ADC With Extended Range for Biosensor Arrays , 2010, IEEE Journal of Solid-State Circuits.

[151]  Deepti D. Deobagkar,et al.  Acoustic wave immunosensing of Escherichia coli in water , 2005 .

[152]  Alessandro Ragnoni,et al.  Monitoring breath markers under controlled conditions , 2015, Journal of breath research.

[153]  Hooman Mohseni,et al.  Towards an Integrated Chip-Scale Plasmonic Biosensor , 2011 .

[154]  S. Pratsinis,et al.  Dispersed nanoelectrode devices. , 2010, Nature nanotechnology.

[155]  Seok Hyun Yun,et al.  Contact Lens Sensors in Ocular Diagnostics , 2015, Advanced healthcare materials.

[156]  Hiroyuki Kudo,et al.  Soft contact lens biosensor for in situ monitoring of tear glucose as non-invasive blood sugar assessment. , 2011, Talanta.

[157]  Massimo Corradi,et al.  Lung cancer biomarkers in exhaled breath , 2011, Expert review of molecular diagnostics.

[158]  Pietro Siciliano,et al.  Evidence of catalytic activation of anatase nanocrystals by vanadium oxide surface layer: Acetone and ethanol sensing properties , 2015 .

[159]  H. Haick,et al.  Nanomaterial-based sensors for detection of disease by volatile organic compounds. , 2013, Nanomedicine.

[160]  Julian Hill,et al.  Intestinal Gas Capsules: A Proof-of-Concept Demonstration. , 2016, Gastroenterology.

[161]  J Heikenfeld,et al.  The microfluidics of the eccrine sweat gland, including biomarker partitioning, transport, and biosensing implications. , 2015, Biomicrofluidics.

[162]  C. Hoeschen,et al.  Discrimination of cancerous and non-cancerous cell lines by headspace-analysis with PTR-MS , 2010, Analytical and bioanalytical chemistry.

[163]  Royston Goodacre,et al.  Novel noninvasive identification of biomarkers by analytical profiling of chronic wounds using volatile organic compounds , 2010, Wound repair and regeneration : official publication of the Wound Healing Society [and] the European Tissue Repair Society.

[164]  Eric Chun Yong Chan,et al.  Use of urine volatile organic compounds to discriminate tuberculosis patients from healthy subjects. , 2011, Analytical chemistry.

[165]  Guozhen Chen,et al.  Capacitive contact lens sensor for continuous non-invasive intraocular pressure monitoring , 2013 .

[166]  Adrian Tarniceriu,et al.  Evaluation of accuracy and reliability of PulseOn optical heart rate monitoring device , 2015, 2015 37th Annual International Conference of the IEEE Engineering in Medicine and Biology Society (EMBC).

[167]  Kazushige Touhara,et al.  The scent of disease: volatile organic compounds of the human body related to disease and disorder. , 2011, Journal of biochemistry.

[168]  Takayoshi Yoshida,et al.  Endurance training regimen based upon arterial blood lactate: Effects on anaerobic threshold , 2006, European Journal of Applied Physiology and Occupational Physiology.

[169]  J. Cowan,et al.  Use of exhaled nitric oxide measurements to guide treatment in chronic asthma. , 2005, The New England journal of medicine.

[170]  W. Nyhan,et al.  The recognition of Lesch-Nyhan syndrome as an inborn error of purine metabolism , 1997, Journal of Inherited Metabolic Disease.

[171]  Werner Mäntele,et al.  In vivo noninvasive monitoring of glucose concentration in human epidermis by mid-infrared pulsed photoacoustic spectroscopy. , 2013, Analytical chemistry.

[172]  Ye Chang,et al.  Detection of Volatile Organic Compounds by Self-assembled Monolayer Coated Sensor Array with Concentration-independent Fingerprints , 2016, Scientific Reports.

[173]  X. Zhang,et al.  Investigation of volatile biomarkers in lung cancer blood using solid-phase microextraction and capillary gas chromatography-mass spectrometry. , 2004, Journal of chromatography. B, Analytical technologies in the biomedical and life sciences.

[174]  Noushin Nasiri,et al.  Ultraporous Electron‐Depleted ZnO Nanoparticle Networks for Highly Sensitive Portable Visible‐Blind UV Photodetectors , 2015, Advanced materials.

[175]  Nicola Dalbeth,et al.  The genetic basis of hyperuricaemia and gout. , 2011, Joint, bone, spine : revue du rhumatisme.

[176]  Dong-Hee Shin,et al.  An acceptance model for smart watches: Implications for the adoption of future wearable technology , 2015, Internet Res..

[177]  John Durkin,et al.  Expert Systems , 1994 .

[178]  Andreas Hierlemann,et al.  Micropatterning Layers by Flame Aerosol Deposition‐Annealing , 2008 .

[179]  Roger S. Hubbard,et al.  DETERMINATION OF ACETONE IN EXPIRED AIR , 1920 .

[180]  B. D. Malhotra,et al.  Nanostructured zirconia decorated reduced graphene oxide based efficient biosensing platform for non-invasive oral cancer detection. , 2016, Biosensors & bioelectronics.

[181]  I. Conget,et al.  Uric acid concentration in subjects at risk of type 2 diabetes mellitus: relationship to components of the metabolic syndrome. , 2002, Metabolism: clinical and experimental.