Publications by authors named "Lester W J Tan"

The digital revolution in healthcare, amplified by the COVID-19 pandemic and artificial intelligence (AI) advances, has led to a surge in the development of digital technologies. However, integrating digital health solutions, especially AI-based ones, in rare diseases like Waldenström macroglobulinemia (WM) remains challenging due to limited data, among other factors. CURATE.

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Article Synopsis
  • Conventional radiotherapy (RT) involves a set total dose given in fractions over weeks, but this one-size-fits-all method can be ineffective due to differences in patients and tumors.
  • Personalized RT approaches, particularly using artificial intelligence (AI) and small data phenotypic medicine (PM), allow for treatment adjustments based on individual patient responses in real-time.
  • This paper explores the benefits and limitations of implementing PM for tailoring RT doses, which can enhance treatment efficacy and minimize risks of over or under-treatment, in conjunction with other therapeutic methods.
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Aims: Artificial intelligence-driven small data platforms such as CURATE.AI hold potential for personalized hypertension care by assisting physicians in identifying personalized anti-hypertensive doses for titration. This trial aims to assess the feasibility of a larger randomized controlled trial (RCT), evaluating the efficacy of CURATE.

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Tacrolimus is a potent immunosuppressant used after pediatric liver transplant. However, tacrolimus's narrow therapeutic window, reliance on physicians' experience for the dose titration, and intra- and inter-patient variability result in liver transplant patients falling out of the target tacrolimus trough levels frequently. Existing personalized dosing models based on the area-under-the-concentration over time curves require a higher frequency of blood draws than the current standard of care and may not be practically feasible.

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