Ioannis Kotsianidis

Questionnaires on health-related quality of life (HRQoL) play a crucial role in managing patients by revealing insights into physical, psychological, lifestyle, and social factors affecting well-being. A methodological aspect that has not been adequately explored yet, and is of considerable potential, is causal discovery. This study explored causal discovery techniques within HRQoL, assessed various considerations for reliable estimation, and proposed means for interpreting outcomes. Five causal structure learning algorithms were employed to examine different aspects in structure estimation based on simulated data derived from HRQoL-related directed acyclic graphs. The performance of the algorithms was assessed based on various measures related to the differences between the true and estimated structures. Moreover, the Resource Description Framework was adopted to represent the responses to the HRQoL questionnaires and the detected cause–effect relationships among the questions, resulting in semantic knowledge graphs which are structured representations of interconnected information. It was found that the structure estimation was impacted negatively by the structure’s complexity and favorably by increasing the sample size. The performance of the algorithms over increasing sample size exhibited a similar pattern, with distinct differences being observed for small samples. This study illustrates the dynamics of causal discovery in HRQoL-related research, highlights aspects that should be addressed in estimation, and fosters the shareability and interoperability of the output based on globally established standards. Thus, it provides critical insights in this context, further promoting the critical role of HRQoL questionnaires in advancing patient-centered care and management.

Imaging flow cytometry (ImFC) represents a significant technological advancement in the field of cytometry, effectively merging the high-throughput capabilities of flow analysis with the detailed imaging characteristics of microscopy. In our comprehensive review, we adopt a historical perspective to chart the development of ImFC, highlighting its origins and current state of the art and forecasting potential future advancements. The genesis of ImFC stemmed from merging the hydraulic system of a flow cytometer with advanced camera technology. This synergistic coupling facilitates the morphological analysis of cell populations at a high-throughput scale, effectively evolving the landscape of cytometry. Nevertheless, ImFC’s implementation has encountered hurdles, particularly in developing software capable of managing its sophisticated data acquisition and analysis needs. The scale and complexity of the data generated by ImFC necessitate the creation of novel analytical tools that can effectively manage and interpret these data, thus allowing us to unlock the full potential of ImFC. Notably, artificial intelligence (AI) algorithms have begun to be applied to ImFC, offering promise for enhancing its analytical capabilities. The adaptability and learning capacity of AI may prove to be essential in knowledge mining from the high-dimensional data produced by ImFC, potentially enabling more accurate analyses. Looking forward, we project that ImFC may become an indispensable tool, not only in research laboratories, but also in clinical settings. Given the unique combination of high-throughput cytometry and detailed imaging offered by ImFC, we foresee a critical role for this technology in the next generation of scientific research and diagnostics. As such, we encourage both current and future scientists to consider the integration of ImFC as an addition to their research toolkit and clinical diagnostic routine.