Publications

Advanced Materials in Responsible Electronics: Innovations for Sustainability, Health and Circularity
17/08/2025
Omar, R.; Yang, J.; Huynh, T. P.; Gulia, K.; Tavolacci, S.C.; Wu, W.; Wang, Y.; Haick, H.
Advanced Materials Technologies

Contemporary electronic devices generate substantial quantities of electronic waste (e-waste), presenting a significant environmental challenge and exerting considerable pressure on the health of the Earth’s ecosystems. Owing to the industry’s heavy reliance on limited resources and the use of nondegradable components, innovation is necessary in device design, use, and end-of-life management. This review delves into the growing field of advanced materials for sustainable electronics, emphasizing their critical role in transforming the industry toward sustainability. The use of advanced materials in a sustainable way offers promising opportunities for reducing environmental harm and health risks while enhancing device performance and longevity. This interdisciplinary review explores themes such as energy efficiency, sustainable materials, recycling potential, resource consumption reduction, and environmental and health monitoring. It aims to illuminate recent progress, highlight ongoing challenges, and examine future prospects and applications for advanced materials in the pursuit of responsible electronics.

Spatio-temporal deep learning with temporal attention for indeterminate lung nodule classification
15/08/2025
Farina, B., Carbajo Benito, R., Montalvo-García, D., Bermejo-Peláez, D., Maceiras, L.S., Ledesma-Carbayo, M.J.
Computers in Biology and Medicine
Lung cancer is the leading cause of cancer-related death worldwide. Deep learning-based computer-aided diagnosis (CAD) systems in screening programs enhance malignancy prediction, assist radiologists in decision-making, and reduce inter-reader variability. However, limited research has explored the analysis of repeated annual exams of indeterminate lung nodules to improve accuracy.
We introduced a novel spatio-temporal deep learning framework, the global attention convolutional recurrent neural network (globAttCRNN), to predict indeterminate lung nodule malignancy using serial screening computed tomography (CT) images from the National Lung Screening Trial (NLST) dataset. The model comprises a lightweight 2D convolutional neural network for spatial feature extraction and a recurrent neural network with a global attention module to capture the temporal evolution of lung nodules. Additionally, we proposed new strategies to handle missing data in the temporal dimension to mitigate potential biases arising from missing time steps, including temporal augmentation and temporal dropout.
Our model achieved an area under the receiver operating characteristic curve (AUC-ROC) of 0.954 in an independent test set of 175 lung nodules, each detected in multiple CT scans over patient follow-up, outperforming baseline single-time and multiple-time architectures.
The temporal global attention module prioritizes informative time points, enabling the model to capture key spatial and temporal features while ignoring irrelevant or redundant information. Our evaluation emphasizes its potential as a valuable tool for the diagnosis and stratification of patients at risk of lung cancer.
Cancer screening: recent developments and future directions
19/03/2025
Jacob Levman, Yoav Y. Broza
Scientific Reports

Cancer is among the most common causes of mortality worldwide. Screening for cancer involves surveillance of populations towards identification of cancer that was unknown to the patient. Therapeutic treatments for cancer generally are more effective when applied earlier on in the condition’s development, as such, screening for cancer has the potential to improve the standard for patient care and improving mortality and morbidity associated with the disease. Cancer screening has increasingly become dependent on advanced technologies to assist in the identification and characterization of tumours. This article Collection showcases current research towards the development of new methods for cancer screening, including the development of new advanced technologies in this domain such as novel methods incorporating liquid biopsies, tailed primer isothermal amplification assays, and infrared spectroscopy. As is common in modern research, approaches make use of computational techniques as a critical component in cancer screening, and research is highlighted on the use of artificial intelligence, which is now a common technological innovation contributing to the overall cancer screening process in research studies. Future directions for cancer screening are discussed.

LUCIA Newsletter 5, March 2025
01/04/2025

This newsletter provides an update about the project activities.

Short term effects of e-cigarettes smoking on cardio-respiratory parameters, volatile organic compounds and inflammatory markers
09/06/2025
Suha Rizik, Ronen Bar-Yoseph, Moneera Hanna, Fahed Hakim, Yoav Y Broza, Amir Sader, Yazeed Toukan, Hossam Haick, Lea Bentur, Michal Gur
ERJ Open Research

Background
Electronic cigarettes (e-cigarettes) have gained popularity in recent years. While initially introduced as a safe alternative for tobacco and a bridge for smoking cessation, subsequent studies found that they contain toxic substances. We aimed to assess the acute effect of a single session of e-cigarette smoking on cardiorespiratory parameters, exhaled volatile organic compounds (VOCs) and markers of inflammation.

Methods
A prospective single-centre study was carried out. Participants (healthy volunteers, former e-cigarette users) were assessed before and after a 30-min session of e-cigarette smoking. Evaluations included vital signs, pulmonary functions – spirometry and fractional exhaled nitric oxide (FeNO) – blood and exhaled breath condensate (EBC) cytokines and electronic nose (e-nose) for analysis of exhaled VOCs profile.

Results
30 participants aged 27.9±4.4 years were enrolled in the study. Post-smoking observations revealed a significant increase in heart rate (77.5±10.9 to 85.5±12.1 beats·min−1, p=0.002), respiratory rate (15.4±2.2 to 17.1±1.8 breaths·min−1, p=0.002) and blood pressure (systolic 118±8.1 to 123.5±11.9, p=0.017; diastolic 73.9±8.4 to 78.5±6.3 mmHg, p=0.011). FeNO decreased significantly (median of 11 (7.5–15.5) to 9.7 (7.3–17.3) ppb, p=0.024). Analysis of e-nose found a significant change of exhaled VOC pattern after e-cigarette smoking. No significant changes were found in spirometry and cytokine levels in blood or EBC.

Conclusions
A single session of 30 min of e-cigarette smoking caused significant cardiorespiratory effects, decreased FeNO and altered exhaled VOC pattern, similar to the effect seen with cigarette and water-pipe smoking.‏ The observed acute effects, together with the well-known chronic risks, highlight the importance of effective regulation of e-cigarettes.

Biodegradable, Humidity-Insensitive Mask-Integrated E-Nose for Sustainable and Non-Invasive Continuous Breath Analysis
24/02/2025
Indrajit Mondal, Adan Zoabi, Hossam Haick
Advanced Functional Materials

Breath analysis offers a non-invasive approach to modern diagnostics by capturing volatile organic compounds (VOCs) in exhaled breath. However, current breath analysis technologies face challenges like humidity sensitivity, high costs, and biodegradable solutions, limiting their scalability and environmental sustainability. This study presents a paper-based, biodegradable, humidity-insensitive electronic nose (e-nose) sensor array integrated into a face mask for real-time breath analysis. The sensors, coated with hydrophobic polymer coating, ensure robust insensitivity to humidity, enabling reliable detection of VOCs even in high-moisture environments. The mask-integrated e-nose facilitates real-time breath monitoring for applications such as alcohol consumption tracking and respiratory health assessment. For the latter, Tuberculosis (TB) detection is selected as a representative use case, achieving 89% accuracy in disease diagnosis and recovery monitoring using a pre-trained deep-learning model. The fully-biodegradable paper-based sensor naturally degrades in soil within months, underscoring its eco-friendly design and suitability for disposable health monitoring. This work introduces a sustainable, user-friendly approach to breath analysis with potential applications in non-invasive disease detection and personalized healthcare monitoring.

Chemical Tomography of Cancer Organoids and Cyto-Proteo-Genomic Development Stages Through Chemical Communication Signals
11/02/2025
Arnab Maity, Vivian Darsa Maidantchik, Keren Weidenfeld, Sarit Larisch, Dalit Barkan, and Hossam Haick
Advanced Materials

Organoids mimic human organ function, offering insights into development and disease. However, non-destructive, real-time monitoring is lacking, as traditional methods are often costly, destructive, and low-throughput. In this article, a non-destructive chemical tomographic strategy is presented for decoding cyto-proteo-genomics of organoid using volatile signaling molecules, hereby, Volatile Organic Compounds (VOCs), to indicate metabolic activity and development of organoids. Combining a hierarchical design of graphene-based sensor arrays with AI-driven analysis, this method maps VOC spatiotemporal distribution and generate detailed digital profiles of organoid morphology and proteo-genomic features. Lens- and label-free, it avoids phototoxicity, distortion, and environmental disruption. Results from testing organoids with the reported chemical tomography approach demonstrate effective differentiation between cyto-proteo-genomic profiles of normal and diseased states, particularly during dynamic transitions such as epithelial-mesenchymal transition (EMT). Additionally, the reported approach identifies key VOC-related biochemical pathways, metabolic markers, and pathways associated with cancerous transformations such as aromatic acid degradation and lipid metabolism. This real-time, non-destructive approach captures subtle genetic and structural variations with high sensitivity and specificity, providing a robust platform for multi-omics integration and advancing cancer biomarker discovery.

Microneedle-based Integrated Pharmokinetic and Pharmacodynamic Evaluation Platform for Personalizes Medicine
07/07/2025
Yang, J.; Gong, X.; Zheng, Y.; Duan, H.; Chen, S.; Wu, T.; Yi, C.; Jiang, L.; Haick, H.
Nature Communications

Precision and personalized medicine for disease management necessitates real-time, continuous monitoring of biomarkers and therapeutic drugs to adjust treatment regimens based on individual patient responses. This study introduces a wearable Microneedle-based Continuous Biomarker/Drug Monitoring (MCBM) system, designed for the simultaneous, in vivo pharmacokinetic and pharmacodynamic evaluation for diabetes. Utilizing a dual-sensor microneedle and a layer-by-layer nanoenzyme immobilization strategy, the MCBM system achieves high sensitivity and specificity in measuring glucose and metformin concentrations in skin interstitial fluid (ISF). Seamless integration with a smartphone application enables real-time data analysis and feedback, fostering a pharmacologically informed approach to diabetes management. The MCBM system’s validation and in vivo trials demonstrate its precise monitoring of glucose and metformin, offering a tool for personalized treatment adjustments. Its proven biocompatibility and safety suit long-term usage. This system advances personalized diabetes care, highlighting the move towards wearables that adjust drug dosages in real-time, enhancing precision and personalized medicine.

Joint inference of mutational signatures from indels and single-nucleotide substitutions reveals prognostic impact of DNA repair deficiencies
03/07/2025
Patricia Ferrer-Torres, Iván Galván-Femenía & Fran Supek
Genome Medicine

Background
Mutational signatures are increasingly used to understand the mechanisms causing cancer. However, their important applications in predicting prognosis and stratifying patients for therapy are hampered by inaccurate inference of the various featureless, dense trinucleotide mutational spectra, which are often confounded with one another. One of them is the homologous recombination deficiency (HRd)-associated signature SBS3, relevant because of its association with prognosis in ovarian and breast cancer and because of its potential as a biomarker for synthetic lethality therapies.

Methods
Here, we highlight strong benefits of a multimodal approach for mutational signature extraction, applied on top of standard bioinformatic pipelines. By jointly operating on single-base substitution (SBS) and indel (ID) spectra, this method enables accurate identification of various DNA repair deficiency signatures and patient survival prediction.

Results
Across four different cohorts of whole-genome sequenced high-grade serous ovarian cancers (HGSOC), the multimodal SBS + ID approach correctly distinguished the commonly confused signatures SBS3, SBS5, SBS8, SBS39, and SBS40. Importantly, we robustly identified two different multimodal SBS3 signatures, m-SBS3a and m-SBS3b, with distinct patterns in the indel spectrum. Multimodal SBS3b signature was strongly predictive of longer survival in ovarian cancer patients, replicating across four cohorts, with effect sizes greatly exceeding other genetic markers. Our m-SBS3 also predicted survival in platinum-treated patients with various cancer types, and moreover, the SBS + ID joint inference was successfully applied to mismatch repair-deficient colorectal cancer and immunotherapy response, supporting a general utility of the multimodal mutational signatures approach.

Conclusions
Overall, combining SBS and ID mutations improves detection of HR deficiency-associated signatures and reveals distinct SBS3 subtypes with prognostic value. This multimodal approach outperforms existing markers and is readily applicable to therapy stratification.

Lung-CABO: Lung Cancer Concepts Association Biological Ontology
20/06/2025
Delia Aminta Moreno-Perdomo, Paloma Tejera-Nevado, Lucía Prieto-Santamaría, Guillermo Vigueras, Antonio Jesus Diaz-Honrubia, Alejandro Rodríguez-González
IEE Xplore

Lung cancer remains one of the deadliest cancers and a major public health concern. Although numerous studies have identified various risk factors, further research is essential, particularly in the biological domain. Existing data sources compile biological information on lung cancer and its subtypes but differ in structure and format, complicating data extraction and integration for artificial intelligence (AI) models. Ontologies and semantic technologies address this challenge by enabling the construction of unified knowledge graphs that promote interoperability. Lung-CABO is an ontology specifically designed for lung cancer, supporting the creation of a knowledge graph for risk factor identification and AI applications. Its modular design allows expansion to integrate additional data, such as environmental factors, further enhancing its utility and reusability.