Emanuela Stan

Dr. Emanuela Stan

orcid

Research Focus & Metrics

Academic Career Length

6Years (2021-Present)

(Calculated once Scilit publication data is synced: current year − year of first publication + 1)

Representative Publications

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23 September 2025 in Diagnostics
Verified
Journal Article
Open access
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AIAlexandru Isaic
Alexandru Isaic
NMNadica Motofelea
Nadica Motofelea
THTeodora Hoinoiu
Teodora Hoinoiu
AMAlexandru Catalin Motofelea
Alexandru Catalin Motofelea
ILIoan Cristian Leancu
Ioan Cristian Leancu
A(Andreea Moise-Crintea (Crintea)
Andreea Moise-Crintea (Crintea)
Background/Objectives: Next-Generation Sequencing (NGS) has transformed cancer diagnostics and treatment by enabling comprehensive genomic profiling of tumors. This review aims to summarize the current applications of NGS in oncology, highlighting its role in early detection, precision therapy, and disease monitoring. Methods: We conducted a comprehensive review of the recent literature, focusing on the application of NGS in cancer care. Results: NGS enables high-resolution genomic profiling, identifying actionable mutations (e.g., EGFR, KRAS, and ALK) and immunotherapy biomarkers (e.g., PD-L1, TMB, and MSI), guiding personalized treatment selection and improving outcomes in advanced malignancies. Liquid biopsy enhances diagnostic accessibility and enables real-time monitoring of minimal residual disease and treatment resistance. Despite these advances, widespread clinical adoption remains constrained by technical limitations (e.g., coverage uniformity and sample quality), economic challenges (high costs and complex reimbursement), and interpretative issues, including the management of variants of uncertain significance (VUSs). Conclusions: NGS is central to precision oncology, enabling molecularly driven cancer care. Integration with artificial intelligence, single-cell sequencing, spatial transcriptomics, multi-omics, and nanotechnology promises to overcome current limitations, advancing personalized treatment strategies. Standardization of workflows, cost reduction, and improved bioinformatics expertise are critical for its full clinical integration.

30 June 2024 in Methods and Protocols
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Journal Article
Open access
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ESEmanuela Stan
Emanuela Stan
CMCamelia-Oana Muresan
Camelia-Oana Muresan
EDEcaterina Daescu
Ecaterina Daescu
Raluca DumacheRaluca Dumache
Raluca Dumache
VCVeronica Ciocan
Veronica Ciocan
AEAlexandra Enache
Alexandra Enache
The first step in anthropological study is the positive identification of human remains, which can be a challenging undertaking when bones are broken. When bone pieces from different species are mixed together, it can be crucial to distinguish between them in forensic and archaeological contexts. For years, anthropology and archaeology have employed the histomorphological analysis of bones to evaluate species-specific variations. Based on variations in the dimensions and configuration of Haversian systems between the two groups, these techniques have been devised to distinguish between non-human and human bones. All of those techniques concentrate on a very particular kind of bone, zone, and segment. Histomorphometric techniques make the assumption that there are size, form, and quantity variations between non-humans and humans. The structural components of Haversian bones are significant enough to use discriminant function analysis to separate one from the other. This review proposes a comprehensive literature analysis of the various strategies or techniques available for distinguishing human from non-human bones to demonstrate that histomorphological analysis is the most effective method to be used in the case of inadequate or compromised samples.

13 May 2024 in Applied Sciences
Verified
Journal Article
Open access
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ESEmanuela Stan
Emanuela Stan
CMCamelia-Oana Muresan
Camelia-Oana Muresan
Raluca DumacheRaluca Dumache
Raluca Dumache
VCVeronica Ciocan
Veronica Ciocan
SUStefania Ungureanu
Stefania Ungureanu
AEAlexandra Enache
Alexandra Enache
This study aimed to evaluate the DSP method’s applicability to Romania’s contemporary population and to assess the accuracy and reliability of variables derived from CT images. A total of 80 pelvic CT scans were analyzed. Participants ranged from 22 to 93 years, with a mean age of 59.51 ± 22.7 years. All variables measured from the CT scans were analyzed using DSP software. The study found that sex estimation was possible in 71.25% of cases overall, with varying rates between males (57.50%) and females (85%). Despite encountering undetermined specimens comprising 42.5% males and 15% females, only one misclassification occurred. Regarding accuracy, the overall rate remained notably high at 98.24%. All female specimens that could be estimated were correctly classified (100% accuracy), while for males, the accuracy rate was 95.65%. Undetermined cases were noted to potentially impact the accuracy of sex classification, underscoring the critical role of precision in forensic contexts. In conclusion, the study highlights the importance of accuracy in forensic sex estimation. It emphasizes the confidence with which DSP software can be utilized, if not the only method, at least as a preliminary or adjuvantly accurate technique for sex estimation in forensic anthropology.

Verified
Journal Article
Open access
PDF file
ESEmanuela Stan
Emanuela Stan
CMCamelia-Oana Muresan
Camelia-Oana Muresan
Raluca DumacheRaluca Dumache
Raluca Dumache
VCVeronica Ciocan
Veronica Ciocan
SUStefania Ungureanu
Stefania Ungureanu
AEAlexandra Enache
Alexandra Enache
DNA analysis plays a crucial role in forensic investigations, helping in criminal cases, missing persons inquiries, and archaeological research. This study focuses on the DNA concentration in different skeletal elements to improve human identification efforts. Ten cases of unidentified skeletal remains brought to the Institute of Forensic Medicine in Timisoara, Romania, underwent DNA analysis between 2019 and 2023. The results showed that teeth are the best source for DNA extraction as they contain the highest concentration of genetic material, at 3.68 ng/µL, compared to the petrous temporal bone (0.936 ng/µL) and femur bone (0.633 ng/µL). These findings highlight the significance of teeth in forensic contexts due to their abundant genetic material. Combining anthropological examination with DNA analysis enhances the understanding and precision of identifying human skeletal remains, thus advancing forensic science. Selecting specific skeletal elements, such as the cochlea or teeth, emerges as crucial for reliable genetic analyses, emphasizing the importance of careful consideration in forensic identification procedures. Our study concludes that automated DNA extraction protocols without liquid nitrogen represent a significant advancement in DNA extraction technology, providing a faster, more efficient, and less labor-intensive method for extracting high-quality DNA from damaged bone and tooth samples.

6 July 2024 in Diagnostics
Verified
Journal Article
Open access
PDF file
ESEmanuela Stan
Emanuela Stan
CMCamelia-Oana Muresan
Camelia-Oana Muresan
Raluca DumacheRaluca Dumache
Raluca Dumache
VCVeronica Ciocan
Veronica Ciocan
SUStefania Ungureanu
Stefania Ungureanu
AEAlexandra Enache
Alexandra Enache
Determining an individual’s sex is crucial in several fields, such as forensic anthropology, archaeology, and medicine. Accurate sex estimation, alongside the estimation of age at death, stature, and ancestry, is of paramount importance for creating a biological profile. This profile helps narrow the potential pool of missing persons and aids identification. Our research focuses on the second cervical vertebra and odontoid process, which is particularly valuable due to their high sexual dimorphism. This brief research is structured as follows: we provide an overview of morphometric analysis of the second cervical vertebra for accurate sex estimation in forensic anthropology. We then delve into a case report to explore sexual dimorphism of the C2 vertebrae. Moreover, we discuss some of these studies that showed a significant correlation between the dimensions of the second cervical vertebrae and height, suggesting that the C2 can be used as a reliable indicator for stature estimation. The high accuracy rate of sex estimation using the second cervical vertebrae suggests that this method is a valuable tool for forensic anthropologists. Its practical application can significantly contribute to identifying and profiling individuals in a forensic context, thereby aiding in the identification process.

30 August 2024 in Children
Verified
Journal Article
Open access
PDF file
SUStefania Ungureanu
Stefania Ungureanu
VCVeronica Ciocan
Veronica Ciocan
CMCamelia-Oana Muresan
Camelia-Oana Muresan
ESEmanuela Stan
Emanuela Stan
GGGeorgiana Denisa Gavrilita
Georgiana Denisa Gavrilita
AEAlexandra Enache
Alexandra Enache
Introduction: Road Traffic Accidents (RTAs) are the leading cause of premature death in young people aged 5–29. Globally, 186,300 children aged 9 years and under die from RTAs each year. Romania had the highest mortality rate in children aged 0 to 14 for 2018–2020. This study aimed to assess the involvement of children aged 0–17 years in fatal RTAs by analyzing medico-legal autopsy records in a 5-year period at Timisoara Institute of Legal Medicine (TILM), Romania. Materials and Methods: A retrospective analysis of medico-legal autopsy records of road fatalities in children aged 0–17 years, from TILM in a 5-year period (2017–2021), was conducted. Results: Of all medico-legal autopsies in the 5-year period, 23 cases (5.8%) involved road fatalities in children aged 17 and under. Preschoolers accounted for 10 cases, followed by the age group 15–17 years (n = 9). Most children sustained fatal injuries as passengers (n = 13), followed by child pedestrians (n = 7). This research follows four representative cases, each being a different type of child road fatality regarding the type of road user, the age of the victim, and the involvement of other risk factors. Conclusions: Our findings emphasize the tragedy of road fatalities in children and the need to determine risk factors and prevention strategies to reduce the enormous global crisis involving these vulnerable victims.