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Precision medicine in chronic disease management: The multiple sclerosis BioScreen
Authors:Pierre‐Antoine Gourraud PhD  Roland G. Henry PhD  Bruce A. C. Cree MD  PhD   MAS  Jason C. Crane PhD  Antoine Lizee MS  Marram P. Olson BS  Adam V. Santaniello BSc  Esha Datta MS  Alyssa H. Zhu MSc  Carolyn J. Bevan MD  MS  Jeffrey M. Gelfand MD  MAS  Jennifer S. Graves MD  PhD  Douglas S. Goodin MD  Ari J. Green MD  MCR  H.‐Christian von Büdingen MD  Emmanuelle Waubant MD  PhD  Scott S. Zamvil MD  PhD  Elizabeth Crabtree‐Hartman MD  Sarah Nelson PhD  Sergio E. Baranzini PhD  Stephen L. Hauser MD
Affiliation:1. Department of Neurology, School of Medicine, University of California, San Francisco, CA;2. Department of Radiology and Biomedical Imaging, University of California, San Francisco, CA
Abstract:We present a precision medicine application developed for multiple sclerosis (MS): the MS BioScreen. This new tool addresses the challenges of dynamic management of a complex chronic disease; the interaction of clinicians and patients with such a tool illustrates the extent to which translational digital medicine—that is, the application of information technology to medicine—has the potential to radically transform medical practice. We introduce 3 key evolutionary phases in displaying data to health care providers, patients, and researchers: visualization (accessing data), contextualization (understanding the data), and actionable interpretation (real‐time use of the data to assist decision making). Together, these form the stepping stones that are expected to accelerate standardization of data across platforms, promote evidence‐based medicine, support shared decision making, and ultimately lead to improved outcomes. Ann Neurol 2014;76:633–642
Keywords:
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