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Handheld device could transform heart disease screening

Research at Cambridge - Tue, 08/04/2025 - 09:10

The researchers, from the University of Cambridge, developed a device that makes it easy for people with or without medical training to record heart sounds accurately. Unlike a stethoscope, the device works well even if it’s not placed precisely on the chest: its larger, flexible sensing area helps capture clearer heart sounds than traditional stethoscopes.

The device can also be used over clothing, making it more comfortable for patients – especially women – during routine check-ups or community heart health screening programmes.

The heart sound recordings can be saved on the device, which can then be used to detect signs of heart valve disease. The researchers are also developing a machine learning algorithm which can detect signs of valve disease automatically. The results are reported in the IEEE Journal of Biomedical and Health Informatics.

Heart valve disease (valvular heart disease or VHD) has been called the ‘next cardiac epidemic,’ with a prognosis worse than many forms of cancer. Up to 50% of patients with significant VHD remain undiagnosed, and many patients only see their doctor when the disease has advanced and they are experiencing significant complications.

In the UK, the NHS and NICE have identified early detection of heart valve disease as a key goal, both to improve quality of life for patients, and to decrease costs.

An examination with a stethoscope, or auscultation, is the way that most diagnoses of heart valve disease are made. However, just 38% of patients who present to their GP with symptoms of valve disease receive an examination with a stethoscope.

“The symptoms of VHD can be easily confused with certain respiratory conditions, which is why so many patients don’t receive a stethoscope examination,” said Professor Anurag Agarwal from Cambridge’s Department of Engineering, who led the research. “However, the accuracy of stethoscope examination for diagnosing heart valve disease is fairly poor, and it requires a GP to conduct the examination.”

In addition, a stethoscope examination requires patients to partially undress, which is both time consuming in short GP appointments, and can be uncomfortable for patients, particularly for female patients in routine screening programmes.

The ‘gold standard’ for diagnosing heart valve disease is an echocardiogram, but this can only be done in a hospital and NHS waiting lists are extremely long – between six to nine months at many hospitals.

“To help get waiting lists down, and to make sure we’re diagnosing heart valve disease early enough that simple interventions can improve quality of life, we wanted to develop an alternative to a stethoscope that is easy to use as a screening tool,” said Agarwal.

Agarwal and his colleagues have developed a handheld device, about the diameter of a drinks coaster, that could be a solution. Their device can be used by any health professional to accurately record heart sounds, and can be used over clothes.

While a regular or electronic stethoscope has a single sensor, the Cambridge-developed device has six, meaning it is easier for the doctor or nurse – or even someone without any medical training – to get an accurate reading, simply because the surface area is so much bigger.

The device contains materials that can transmit vibration so that it can be used over clothes, which is particularly important when conducting community screening programmes to protect patient privacy. Between each of the six sensors is a gel that absorbs vibration, so the sensors don’t interfere with each other.

The researchers tested the device on healthy participants with different body shapes and sizes and recorded their heart sounds. Their next steps will be to test the device in a clinical setting on a variety of patients, against results from an echocardiogram.

In parallel with the development of the device, the researchers have developed a machine learning algorithm that can use the recorded heart sounds to detect signs of valve disease automatically. Early tests of the algorithm suggest that it outperforms GPs in detecting heart valve disease.  

“If successful, this device could become an affordable and scalable solution for heart health screening, especially in areas with limited medical resources,” said Agarwal.

The researchers say that the device could be a useful tool to triage patients who are waiting for an echocardiogram, so that those with signs of valve disease can be seen in a hospital sooner.

A patent has been filed on the device by Cambridge Enterprise, the University’s commercialisation arm. Anurag Agarwal is a Fellow of Emmanuel College, Cambridge.

 

Reference:
Andrew McDonald et al. ‘A flexible multi-sensor device enabling handheld sensing of heart sounds by untrained users.’ IEEE Journal of Biomedical and Health Informatics (2025). DOI: 10.1109/JBHI.2025.3551882

Researchers have developed a handheld device that could potentially replace stethoscopes as a tool for detecting certain types of heart disease.

This device could become an affordable and scalable solution for heart health screening, especially in areas with limited medical resourcesAnurag AgarwalAcoustics LabPerson demonstrating use of a handheld device for heart disease screening


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Researchers demonstrate the UK’s first long-distance ultra-secure communication over a quantum network

Research at Cambridge - Tue, 08/04/2025 - 00:38

The team, from the Universities of Bristol and Cambridge, created the network, which uses standard fibreoptic infrastructure, but relies on a variety of quantum phenomena to enable ultra-secure data transfer.

The network uses two types of quantum key distribution (QKD) schemes: ‘unhackable’ encryption keys hidden inside particles of light; and distributed entanglement: a phenomenon that causes quantum particles to be intrinsically linked.

The researchers demonstrated the capabilities of the network via a live, quantum-secure video conference link, the transfer of encrypted medical data, and secure remote access to a distributed data centre. The data was successfully transmitted between Bristol and Cambridge – a fibre distance of over 410 kilometres.

This is the first time that a long-distance network, encompassing different quantum-secure technologies such as entanglement distribution, has been successfully demonstrated. The researchers presented their results at the 2025 Optical Fiber Communications Conference (OFC) in San Francisco.

Quantum communications offer unparalleled security advantages compared to classical telecommunications solutions. These technologies are immune against future cyber-attacks, even with quantum computers, which – once fully developed – will have the potential to break through even the strongest cryptographic methods currently in use.

In the past few years, researchers have been working to build and use quantum communication networks. China recently set up a massive network that covers 4,600 kilometres by connecting five cities using both fibreoptics and satellites. In Madrid, researchers created a smaller network with nine connection points that use different types of QKD to securely share information.

In 2019, researchers at Cambridge and Toshiba demonstrated a metro-scale quantum network operating at record key rates of millions of key bits per second. And in 2020, researchers in Bristol built a network that could share entanglement between multiple users. Similar quantum network trials have been demonstrated in Singapore, Italy and the USA.

Despite this progress, no one has built a large, long-distance network that can handle both types of QKD, entanglement distribution, and regular data transmission all at once, until now.

The experiment demonstrates the potential of quantum networks to accommodate different quantum-secure approaches simultaneously with classical communications infrastructure. It was carried out using the UK’s Quantum Network (UKQN), established over the last decade by the same team, supported by funding from the Engineering and Physical Sciences Research Council (EPSRC), and as part of the Quantum Communications Hub project.

“This is a crucial step toward building a quantum-secured future for our communities and society,” said co-author Dr Rui Wang, Lecturer for Future Optical Networks in the Smart Internet Lab's High Performance Network Research Group at the University of Bristol. “More importantly, it lays the foundation for a large-scale quantum internet—connecting quantum nodes and devices through entanglement and teleportation on a global scale.”

“This marks the culmination of more than ten years of work to design and build the UK Quantum Network,” said co-author Adrian Wonfor from Cambridge’s Department of Engineering. “Not only does it demonstrate the use of multiple quantum communications technologies, but also the secure key management systems required to allow seamless end-to-end encryption between us.”

“This is a significant step in delivering quantum security for the communications we all rely upon in our daily lives at a national scale,” said co-author Professor Richard Penty, also from Cambridge and who headed the Quantum Networks work package in the Quantum Communications Hub. “It would not have been possible without the close collaboration of the two teams at Cambridge and Bristol, the support of our industrial partners Toshiba, BT, Adtran and Cisco, and our funders at UKRI.”

“This is an extraordinary achievement which highlights the UK’s world-class strengths in quantum networking technology,” said Gerald Buller, Director of the IQN Hub, based at Heriot-Watt University. “This exciting demonstration is precisely the kind of work the Integrated Quantum Networks Hub will support over the coming years, developing the technologies, protocols and standards which will establish a resilient, future-proof, national quantum communications infrastructure.”

The current UKQN covers two metropolitan quantum networks around Bristol and Cambridge, which are connected via a ‘backbone’ of four long-distance optical fibre links spanning 410 kilometres with three intermediate nodes.

The network uses single-mode fibre over the EPSRC National Dark Fibre Facility (which provides dedicated fibre for research purposes), and low-loss optical switches allowing network reconfiguration of both classical and quantum signal traffic.

The team will pursue this work further through a newly funded EPSRC project, the Integrated Quantum Networks Hub, whose vision is to establish quantum networks at all distance scales, from local networking of quantum processors to national-scale entanglement networks for quantum-safe communication, distributed computing and sensing, all the way to intercontinental networking via low-earth orbit satellites.

 

Reference:
R. Yang et al. ‘A UK Nationwide Heterogeneous Quantum Network.’ Paper presented at the 2025 Optical Fiber Communications Conference and Exhibition (OFC): https://www.ofcconference.org/en-us/home/schedule/

Researchers have successfully demonstrated the UK’s first long-distance ultra-secure transfer of data over a quantum communications network, including the UK’s first long-distance quantum-secured video call.

MR.Cole_Photographer via Getty ImagesAbstract background


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Yes

One in 3,000 people at risk of punctured lung from faulty gene – almost 100 times higher than previous estimate

Research at Cambridge - Tue, 08/04/2025 - 00:01

The gene in question, FLCN, is linked to a condition known as Birt-Hogg-Dubé syndrome, symptoms of which include benign skin tumours, lung cysts, and an increased risk of kidney cancer.

In a study published today in the journal Thorax, a team from the University of Cambridge examined data from UK Biobank, the 100,000 Genomes Project, and East London Genes & Health – three large genomic datasets encompassing more than 550,000 people.

They discovered that between one in 2,710 and one in 4,190 individuals carries the particular variant of FLCN that underlies Birt-Hogg-Dubé syndrome. But curiously, whereas patients with a diagnosis of Birt-Hogg-Dubé syndrome have a lifetime risk of punctured lung of 37%, in the wider cohort of carriers of the genetic mutation this was lower at 28%. Even more striking, while patients with Birt-Hogg-Dubé syndrome have a 32% of developing kidney cancer, in the wider cohort this was only 1%.

Punctured lung – known as pneumothorax – is caused by an air leak in the lung, resulting in painful lung deflation and shortness of breath. Not every case of punctured lung is caused by a fault in the FLCN gene, however. Around one in 200 tall, thin young men in their teens or early twenties will experience a punctured lung, and for many of them the condition will resolve itself, or doctors will remove air or fluid from their lungs while treating the individual as an outpatient; many will not even know they have the condition.

If an individual experiences a punctured lung and doesn’t fit the common characteristics – for example, if they are in their forties – doctors will look for tell-tale cysts in the lower lungs, visible on an MRI scan. If these are present, then the individual is likely to have Birt-Hogg-Dubé syndrome.

Professor Marciniak is a researcher at the University of Cambridge and an honorary consultant at Cambridge University Hospitals NHS Foundation Trust and Royal Papworth Hospital NHS Foundation Trust. He co-leads the UK’s first Familial Pneumothorax Rare Disease Collaborative Network, together with Professor Kevin Blyth at Queen Elizabeth University Hospital and University of Glasgow. The aim of the Network is to optimise the care and treatment of patients with rare, inherited forms of familial pneumothorax, and to support research into this condition. 

Professor Marciniak said: “If an individual has Birt-Hogg-Dubé syndrome, then it’s very important that we’re able to diagnose it, because they and their family members may also be at risk of kidney cancer.

“The good news is that the punctured lung usually happens 10 to 20 years before the individual shows symptoms of kidney cancer, so we can keep an eye on them, screen them every year, and if we see the tumour it should still be early enough to cure it.”

Professor Marciniak says he was surprised to discover that the risk of kidney cancer was so much lower in carriers of the faulty FLCN gene who have not been diagnosed with Birt-Hogg-Dubé syndrome.

“Even though we’ve always thought of Birt-Hogg-Dubé syndrome as being caused by a single faulty gene, there’s clearly something else going on,” Professor Marciniak said. “The Birt-Hogg-Dubé patients that we've been caring for and studying for the past couple of decades are not representative of when this gene is broken in the wider population. There must be something else about their genetic background that’s interacting with the gene to cause the additional symptoms.”

The finding raises the question of whether, if an individual is found to have a fault FLCN gene, they should be offered screening for kidney cancer. However, Professor Marciniak does not believe this will be necessary.

“With increasing use of genetic testing, we will undoubtedly find more people with these mutations,” he said, “but unless we see the other tell-tale signs of Birt-Hogg-Dubé syndrome, our study shows there's no reason to believe they’ll have the same elevated cancer risk.”

The research was funded by the Myrovlytis Trust, with additional support from the National Institute for Health and Care Research Cambridge Biomedical Research Centre.

Katie Honeywood, CEO of the Myrovlytis Trust, said: "The Myrovlytis Trust are delighted to have funded such an important project. We have long believed that the prevalence of Birt-Hogg-Dubé syndrome is far higher than previously reported. It highlights the importance of genetic testing for anyone who has any of the main symptoms associated with BHD including a collapsed lung. And even more so the importance of the medical world being aware of this condition for anyone who presents at an emergency department or clinic with these symptoms. We look forward to seeing the impact this projects outcome has on the Birt-Hogg-Dubé and wider community."

Reference
Yngvadottir, B et al. Inherited predisposition to pneumothorax: Estimating the frequency of Birt-Hogg-Dubé syndrome from genomics and population cohorts. Thorax; 8 April 2025; DOI: 10.1136/thorax-2024-221738

As many as one in 3,000 people could be carrying a faulty gene that significantly increases their risk of a punctured lung, according to new estimates from Cambridge researchers. Previous estimates had put this risk closer to one in 200,000 people.

If an individual has Birt-Hogg-Dubé syndrome, then it’s very important that we’re able to diagnose it, because they and their family members may also be at risk of kidney cancerStefan Marciniakwildpixel (Getty Images)Chest pain


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Cambridge researchers named 2025 Schmidt Science Fellows

Research at Cambridge - Mon, 07/04/2025 - 12:55

Now in its eighth year, the Fellowship provides financial support for a postdoctoral placement of one to two years at a world-class research institution.

The funding equips scientists to apply their knowledge to a new field of study with the goal of accelerating discoveries, and to develop their leadership potential.

Dr Poppy Oldroyd, a 2025 Schmidt Science Fellow from the Department of Engineering, plans to pioneer a new frontier in understanding brain communication through optical measurements, ultimately advancing treatments for memory-related diseases.

The human brain communicates through intricate networks of neurons, crucial for learning and memory. However, how these neural conversations translate into memory formation remains a mystery in neuroscience. Oldroyd’s research aims to use light-based tools, like advanced optogenetics, to explore these pathways in detail. By uncovering how specific brain circuits contribute to learning and memory, this research could revolutionise our understanding of these essential brain functions. 

Ultimately, this knowledge may enhance our comprehension of memory-related disorders like Alzheimer’s disease and epilepsy.

Dr Matthew McLouglin, a 2025 Schmidt Science Fellow from the Cambridge Stem Cell Institute, plans to develop tools to study how our cells age in real time. This will help us understand why we age and how we might promote healthy aging to improve quality of life in the elderly.

Our DNA is organised into structures called chromosomes. Each chromosome has a protective cap, the ‘telomere’, which is partially lost with each cell division. In old age, cells cannot function properly due to the loss of telomeres, increasing the risk of age-related diseases such as cancer and dementia. McLoughlin will use cutting-edge imaging technology to track the loss of telomeres over time, understanding how telomeres are lost and why this stops cells from functioning.

Oldroyd and McLoughlin join a community of 209 Schmidt Science Fellows from nearly 40 countries who are leaders in interdisciplinary science.

“Philanthropic funding of scientific research, and especially support of early-career researchers, has never been more important,” said Wendy Schmidt, who co-founded Schmidt Science Fellows with her husband, Eric.

“By providing Schmidt Science Fellows with support, community, and freedom to work across disciplines and gain new insights, we hope they’ll tackle some of the world’s most vexing challenges, achieve breakthroughs and help create a healthier, more resilient world for all.”

Established in 2017, Schmidt Science Fellows is a programme of Schmidt Sciences delivered in partnership with the Rhodes Trust.

The 2025 Fellows represent 15 nationalities, including researchers from Jordan and the United Arab Emirates for the first time in the programme’s history.

This year’s cohort will work on a range of problems from cancer treatment to quantum technologies to sustainability.

Alongside their research Placement, Fellows participate in a 12-month interdisciplinary Science Leadership Programme.

Each year, Schmidt Science Fellows works in partnership with more than 100 universities to identify candidates for the Fellowship.

Nominees are selected via an application process that includes an academic review with panels of experts in their original disciplines and final interviews with a multidisciplinary panel of scientists and private sector leaders.

“The Schmidt Science Fellows Program is cultivating a dynamic global community of remarkable scientists and champions of interdisciplinary research,” said Stu Feldman, Chief Scientist at Schmidt Sciences.

“Their work exemplifies Schmidt Sciences’ commitment to support pioneering approaches that will drive the next era of discovery and innovation.”

The 2025 Schmidt Science Fellows represent 27 nominating universities, including, for the first time, McGill University in Canada, RWTH Aachen University in Germany, Tecnológico de Monterrey in Mexico, University of California, Los Angeles in the US, and University of Groningen in the Netherlands.

Two University of Cambridge researchers are among the thirty-two early career researchers, tackling issues from improving food security to developing better medical implants, who have been announced as the 2025 Schmidt Science Fellows.

Schmidt Science FellowsPoppy Oldroyd (left) and Matthew McLoughlin (right)


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Yes

New funding to model solar geoengineering impacts

Research at Cambridge - Thu, 03/04/2025 - 15:23

The UK government is taking steps to research potential interventions that could reduce global warming by reflecting sunlight into space.

New research will model the risks and impacts of using solar radiation modification (SRM) to guide informed decision-making on climate interventions.

Read more at the Centre for Climate Repair

 

Cambridge is leading one of four projects receiving new funding from the Natural Environment Research Council (NERC) to model the risks and impacts of solar radiation modification (SRM).

We need to build up our understandingDr Shaun Fitzgerald


The text in this work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License. Images, including our videos, are Copyright ©University of Cambridge and licensors/contributors as identified. All rights reserved. We make our image and video content available in a number of ways – on our main website under its Terms and conditions, and on a range of channels including social media that permit your use and sharing of our content under their respective Terms.

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Play 'humanises' paediatric care and should be key feature of a child-friendly NHS – report

Research at Cambridge - Mon, 31/03/2025 - 11:01

Play should be a core feature of children’s healthcare in forthcoming plans for the future of the NHS, according to a new report which argues that play “humanises” the experiences of child patients.

The report, by University of Cambridge academics for the charity Starlight, calls for play, games and playful approaches to be integrated into a ‘holistic’ model of children’s healthcare – one that acknowledges the emotional and psychological dimensions of good health, alongside its physical aspects.

Both internationally and in the UK, health systems have, in recent decades, increasingly promoted play in paediatric healthcare. There is a growing understanding that making healthcare more child-friendly can reduce stress and positively improve younger patients’ experiences.

Despite this recognition, play often remains undervalued and inconsistently integrated across healthcare contexts. For the first time, the report compiles evidence from over 120 studies to make the case for its more systematic incorporation.

In the case of the UK, the authors argue that the Government’s forthcoming 10-year health plan for the NHS offers an important opportunity to embed play within a more holistic vision for childhood health.

The report was produced by academics at the Centre for Play in Education, Development and Learning (PEDAL) at the Faculty of Education, University of Cambridge. Starlight, which commissioned the review, is a national charity advocating to reduce trauma through play in children’s healthcare.

Dr Kelsey Graber, the report’s lead author, said: “Play and child-centred activities have a unique capacity to support the emotional and mental aspects of children’s healthcare experiences, whether in hospital or during a routine treatment at the GP. It won’t directly change the course of an illness, but it can humanise the experience by reducing stress and anxiety and enhancing understanding and comfort. Hospital-based play opens up a far more complete understanding of what it means for a child to be a healthy or well.”

Adrian Voce, Head of Policy and Public Affairs at Starlight, said: “With the government promising to create the healthiest generation of children ever as part of its new long term health plan, this compelling evidence of the benefits of play to children’s healthcare is very timely. We encourage ministers and NHS leaders to make health play teams an integral part of paediatric care.”

The report synthesised evidence from 127 studies in 29 countries. Most were published after 2020, reflecting intensified interest in children’s healthcare interventions following the COVID-19 outbreak.

Some studies focused on medically-relevant play. For example, hospital staff sometimes use role-play, or games and toys like Playmobil Hospital to familiarise children with medical procedures and ease anxiety. Other studies focused on non-medical play: the use of activities like social games, video games, arts and crafts, music therapy and storytelling to help make patients more comfortable. Some hospitals and surgeries even provide “distraction kits” to help children relax.

In its survey of all these studies, the report finds strong evidence that play benefits children’s psychological health and wellbeing. Play is also sometimes associated with positive physical health; one study, for example, found that children who played an online game about dentistry had lower heart rates during a subsequent dental procedure, probably because they felt more prepared.

The authors identify five main ways in which play enhances children’s healthcare based on the available body of evidence:

Reducing stress and discomfort during medical procedures. Play is sometimes associated with physiological markers of reduced distress, such as lower heart rates and blood pressure. Therapeutic play can also ease pain and anxiety.

Helping children express and manage emotions. Play can help to alleviate fear, anxiety, boredom and loneliness in healthcare settings. It also provides an outlet for emotional expression among all age groups.

Fostering dignity and agency. In an environment where children often feel powerless and a lack of personal choice, play provides a sense of control which supports mental and emotional wellbeing.

Building connection and belonging. Play can strengthen children’s relationships with other patients, family members and healthcare staff, easing their experiences in a potentially overwhelming environment. This may be particularly important for children in longer term or palliative care.

Preserving a sense of childhood. Play helps children feel like children, and not just patients, the report suggests, by providing “essential moments of happiness, respite and emotional release”.

While play is widely beneficial, the report stresses that its impact will vary from child to child. This variability highlights a need, the authors note, for informed, child-centred approaches to play in healthcare settings. Unfortunately, play expertise in these settings may often be lacking: only 13% of the studies reviewed covered the work of health play specialists, and most of the reported activities were directed and defined by adults, rather than by children themselves.

The report also highlights a major gap in research on the use of play in mental healthcare. Just three of the 127 studies focused on this area, even though 86% emphasised play’s psychological benefits. The report calls for greater professional and academic attention to the use of play in mental health support, particularly in light of escalating rates of mental health challenges among children and young people. More work is also needed, it adds, to understand the benefits of play-based activities in healthcare for infants and adolescents, both of which groups were under-represented in the research literature.

Embedding play more fully in healthcare as part of wider Government reforms, the authors suggest, could reduce healthcare-related trauma and improve long-term outcomes for children. “It is not just healthcare professionals, but also policy leaders who need to recognise the value of play,” Graber said. “That recognition is foundational to ensuring that children’s developmental, psychological, and emotional health needs are met, alongside their physical health.”

The report, Playing with children’s health? will be published on the Starlight website on 31 March: https://www.starlight.org.uk/ 

The Cambridge report argues that play should be a recognised component of children’s healthcare in the Government’s forthcoming 10-year plan for the NHS.

Hospital-based play opens up a far more complete understanding of what it means for a child to be a healthy or wellDr Kelsey GraberSturti, via Getty ImagesChildren’s hospital ward


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Yes