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Biomedical Research in Gynaecology

The Biomedical Research Group in Gynaecology is a multidisciplinary team made up of clinical specialists in gynaecology and pathology and basic and translational researchers. Our research is clearly translational. Although we take into account the obvious importance of understanding the mechanism at the cellular and molecular level and try to incorporate it into our research, our research is always focused on having a direct applicability to patients and their clinical benefit. On our way to transferring scientific results to clinical practice, we promote innovation and entrepreneurship.

Our group comprises four main research groups, which are closely connected: The clinical research group devoted mainly to clinical projects in all gynaecological cancers; and three translational research groups dedicated to ovarian cancer; endometrial cancer and endometriosis; diseases of the lower female genital tract.

Team

Antonio Gil Moreno

Antonio Gil Moreno

Head of group
Biomedical Research in Gynaecology
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Eva Colas  Ortega

Eva Colas Ortega

Head of group
Biomedical Research in Gynaecology
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Fco Javier De la Torre Fdez de Vega

Fco Javier De la Torre Fdez de Vega

Senior researcher
Biomedical Research in Gynaecology
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Laura Mañalich Barrachina

Laura Mañalich Barrachina

Predoctoral researcher
Biomedical Research in Gynaecology
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Maria Asuncion Perez Benavente

Maria Asuncion Perez Benavente

Biomedical Research in Gynaecology
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Úrsula Acosta  Sánchez

Úrsula Acosta Sánchez

Biomedical Research in Gynaecology
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Antonio Gil Moreno

Antonio Gil Moreno

Head of group
Biomedical Research in Gynaecology
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Eva Colas  Ortega

Eva Colas Ortega

Head of group
Biomedical Research in Gynaecology
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Fco Javier De la Torre Fdez de Vega

Fco Javier De la Torre Fdez de Vega

Senior researcher
Biomedical Research in Gynaecology
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Laura Mañalich Barrachina

Laura Mañalich Barrachina

Predoctoral researcher
Biomedical Research in Gynaecology
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Maria Asuncion Perez Benavente

Maria Asuncion Perez Benavente

Biomedical Research in Gynaecology
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Úrsula Acosta  Sánchez

Úrsula Acosta Sánchez

Biomedical Research in Gynaecology
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Research lines

Clinical Research in Ginecology

Research team:


Dr. Antonio Gil-Moreno (Principal researcher)

Dr. Assumpció Pérez-Benavente (Clinical associated investigator)

Dr. José Lúís Sánchez Iglesias (Clinical associated investigator)

Dra. Silvia Cabrera (Clinical associated investigator)

Dr. Vicente Bebia Conesa (Clinical associated investigator)

Dr. Natalia Rodríguez Gómez-Hidalgo (Clinical associated investigator)

Dr. Javier de la Torre Fernández de Vega (Clinical associated investigator)

Dr. José Luís Poza Barrasús (Clinical associated investigator)

Dr. Sabina Salicrú Riera (Clinical associated investigator)

Dr. Laura Mañalich Barrachina (Clinical associated investigator)

Dr. Montse Cubo Albert (Clinical associated investigator)

Dr. Cristina Centeno Mediavilla (Clinical associated investigator)

Dr. Melissa Bradbury (Clinical associated investigator)

Dr. Sonia Monreal (Clinical associated investigator)

Dr. Angel García (Clinical associated investigator)

Dr. Armando Reques (Clinical associated investigator)

Dr. Elena Suárez (Clinical associated investigator)

Dr. Mireia Armengol (Clinical associated investigator/resident)

Dra. Eva Colás (Translational associated researcher)

Dr. Melek Denizli (Technician)



Research focus. Clinical Research Lines



CLINICAL ENDOMETRIAL CANCER RESEARCH

- Prospective, randomized study: STELLA1-2 Trial: Transperitoneal vs. Extraperitoneal Approach for Laparoscopic Staging of Endometrial/Ovarian Cancer. ClinicalTrials.gov Identifier: NCT01810874.

- Implementation of radioguided surgery for clinically occult lesions (ROLL) in abdominal recurrences of gynecological tumors.

- MULTISENT study: Ambiespective multicenter study of sentinel node biopsy in initial endometrial cancer.

- Concordance study between morphological techniques and OSNA (one-step nucleic cid amplification) for the detection of lymph node metastases in endometrial carcinoma.

- Preoperative staging of endometrial carcinoma by ultrasound 2D and 3D.


CLINICAL OVARIAN CANCER RESEARCH

- Prospective study: Postoperatory Recovery in Advanced Ovarian Cancer, Fast-Track Protocol vs. Classical Management (PROFAST). ClinicalTrials.gov Identifier: NCT02172638.

- EDMOCS study in ovarian cancer.

- SIMACEO study: Current Situation of the Management of Epithelial Cancer of the Ovary in initial stages in Spain.


CLINICAL CERVICAL CANCER RESEARCH

- Prospective study of validation of sentinel lymph node detection technique in early cervical cancer (FIGO 2018 stages IA2-IB1-IB2-IIA1).

- Collaborating center in the RACC Trial study (PI: Karolynska Hospital, Sweden): International, Prospective, Randomized comparative study of robotic versus laparotomic radical hysterectomy approach in early cervical cancer.

- Validation of robotic assisted and laparoscopic aortic extraperitoneal lymphadenectomy in recurrences of gynaecologic malignancies.

- Preoperative staging of carcinoma of the uterine cervix by ultrasound 2D and 3D.


CLINICAL RESEARCH IN BENIGN GYNECOLOGY

- Prospective study: Multicentric Comparative Randomized Study of the Single-incision Sling Ajust® Versus Suburethral Transobturator Slings. ClinicalTrials.gov Identifier: NCT01699425

- “A 3 Years Naturalistic Cohort Survey Of Altis® Single Incision Sling System For Female Stress Urinary Incontinence. A post-marketing and multicenter prospective observational cohort study in subjects with female stress urinary incontinence”.

- "Non-interventional study to evaluate quality of life, satisfaction with treatment, use of resources and persistence in treatment in patients with overactive bladder (OAB) who were prescribed Betmiga".

- “Comparative study of polyvinylidene fluoride and polypropylene suburethral-slings in the treatment of female stress urinary incontinence.”

- “Microarray analysis of differentially expressed genes in samples from patients with pelvic organ prolapse.”

Estudio EME: “Estudio epidemiológico sobre la miomatosis uterina en España”.


CLINICAL RESEARCH: MISCELLANEOUS

Prospective study of validation of sentinel lymph node detection technique in early vulvar cancer (early stages FIGO 2009)

- Prospective study of quality of life in patients with BRCA1-2 after risk-reducing adnexectomy.

- Prospective study of quality of life in patients with BRCA1-2 after risk-reducing mastectomy.

- Early detection of preneoplastic tubal lesions to delay ovarian cancer risk-reducing surgery in patients with BRCA1/2 mutations.

- Prospective, multicenter study for the evaluation of the intraoperative HPV test.

- INCIP Study: Cancer in pregnancy

- Randomized, open, multicentric, parallel group and control group clinical trial to evaluate the effect of PAPILOCARE® in the normalization of cytological alterations of the cervix caused by HPV (PALOMA II Clinical Trial).

- Cervical epithelium methylation as a risk marker of progression to HSIL in women with normal cytology and positive HPV.

- Conservative management of high-risk cervical intraepithelial lesions.

- Utility of DySIS® in the diagnosis and management of intraepithelial lesions of the lower genital tract.

- Breast Cancer During Pregnancy (BRCAPRE). ClinicalTrials.gov Identifier: NCT02102282.

IP: Antonio Gil Moreno

Endometrial Cancer and Endometriosis Research

Research team:


Dr. Eva Colas (Principal researcher)

Dr. Cristian Moiola (Post-doctoral researcher)

Dr. Eva Coll (PhD student)

Dr. Carlos López (PhD student)

Dr. Carina Masferrer (PhD student)

Dr. Beatriz Villafranca (PhD student)

Dr. Melek Denizli (Technician)

Dr. Marta Rebull (Technician)

Dr. Aida Soler (Technician)

Dr. Antonio Gil-Moreno (Principal researcher)

Dra. Silvia Cabrera (Clinical associated investigator)

Dr. Angel García (Clinical associated investigator)

Dr. Armando Reques (Clinical associated investigator)

Dra. Elena Suárez (Clinical associated investigator)

Dra. Mireia Armengol (Clinical associated investigator/resident)



Research focus


IMPLEMENTATION OF MOLECULAR DIAGNOSTICS IN ENDOMETRIAL CANCER

Early detection is directly related to an increased survival for endometrial cancer patients. Diagnosis of endometrial cancer initiates with the presence of symptoms, i.e. an abnormal vaginal bleeding, and 1 of every 10 women with this symptom will have an endometrial cancer. In order to improve early detection, we aim to improve the process of diagnosis by implementing molecular markers in proximal bodily fluids. Thus, we expect to minimize invasiveness whilst increase accuracy on the newly developed methods of diagnosis. In this research line, the group has two ongoing projects:

Proteomic biomarkers for an improved diagnosis in uterine aspirates.

Exploitation of pap-smears as an untapped source of biomarkers of endometrial cancer.


PREVENTING DISTANT AND LOCAL DISSEMINATION OF ENDOMETRIAL CANCER CELLS

Once a patient is diagnosed, the presence of prognostic factors are used to classify patients according to their risk of recurrence, which directly affects their clinical management. However, up to 20% of patients diagnosed at early stages, and up to 50% of patients diagnosed in advanced stages will suffer a relapse without means of predicting it. We aim to understand the mechanisms of local and distant tumour dissemination to develop strategies that prevent tumour relapse. Moreover, we aim to design tools to better estimate the risk of recurrence of endometrial cancer patients. In this research line, the group has two ongoing projects:

Understanding the molecular mechanisms associated to local and distant dissemination via studying the MELF component and the exosomes derived from the tumor.

Deciphering biomarkers of recurrence in endometrial cancer.


DEVELOPING INDIVIDUALIZED TREATMENT FOR ENDOMETRIAL CANCER PATIENTS

Nowadays, adjuvant treatment of metastatic or recurrent endometrial cancer patients is restricted to few therapeutic options, mostly based on radiotherapy and conventional chemotherapy regimens. Advances in understanding the molecular landscape of endometrial cancer have arisen the development of targeted therapies. However, responses to these targeted therapies are modest, probably due to the underestimation of the heterogeneity found in cancer, misrepresentation of low frequent subtypes of cancer, as well as the lack of clinically relevant models to perform pre-clinical studies, among other issues. The group aims to develop clinically relevant models and design experimental treatments in order to increase the response rate of patients. In this research line, the group has 2 ongoing projects:

The U-CAN platform of endometrial cancer PDX models to perform preclinical studies.

Identification of new experimental therapies.

Real-time oncology.


MOLECULAR DIAGNOSIS AND RECURRENCE PREDICTION IN ENDOMETRIOSIS

Endometriosis is an estrogen dependent disease that affects approximately 15% of women in reproductive age. Although endometriosis is considered a benign disease, characterized by the presence of uterine tissue outside the uterus, it causes strong pain and, often, infertility. So far, the gold standard method to diagnose endometriosis is laparoscopy, an invasive technique and there are no methods for early diagnose of the disease. In addition, patients undergoing surgery as a definitive treatment of endometriosis might recur without means of predicting it. In this research line, the group has 2 ongoing projects:

Assess the potential of angiogenic factors to diagnose and predict recurrence in endometriosis.

Identification of biomarkers to predict recurrence in endometrioma using a proteomic and transcriptomic approach.

IP: Eva Colas Ortega

Ovarian Cancer Research

Research team:


Dr. Melissa Bardbury (Principal researcher)

Dr. Antonio Gil-Moreno (Principal researcher)

Dra. Anna Santamaría (Stable collaborator)

Dr. Eva Coll (PhD student)

Dr. Carlos López (PhD student)

Dr. Melek Denizli (Technician)

Dr. José Luís Sánchez Iglesias (Clinical associated investigator)

Dr. Armando Reques (Clinical associated investigator)

Dr. Assumpció Pérez-Benavente (Clinical associated investigator)

Dr. Vicente Bebia Conesa (Clinical associated investigator)

Dr. Natalia Rodríguez Gómez-Hidalgo (Clinical associated investigator)

Dr. Javier de la Torre Fernández de Vega (Clinical associated investigator)


Research focus


PERIOPERATIVE IMMUNOMODULATION IN OVARIAN CANCER

Surgery for advanced ovarian cancer is a stressful stimulus that results in a pro-catabolic hormonal and cytokine environment, which significantly impacts metabolism. This metabolic response is accompanied by immune system impairment, increasing the risk of post-operative complications. In this research line the group is working in a multidisplinary project within the ERAS® program at the Vall d’Hebron Hospital for the: 

Identification of inflammatory markers predicting improved recovery after surgery within an ERAS® protocol.


MOLECULAR DIAGNOSTICS AND PREDICTION OF TREATMENT RESPONSE IN OVARIAN CANCER

Ovarian cancer remains the leading cause of death from gynecological malignancies due to its late diagnosis and high recurrence rates following treatment. There is a need to improve the early detection of the disease and identify predictive markers of treatment response. These diagnostic and predictive markers are being identified in proximal body fluids and patient-tissue samples. In this research line, the group has 3 ongoing projects:

Proteomic biomarkers for an improved diagnosis in uterine aspirates and pap-smears.

Proteomic biomarkers for the prediction of treatment response.

SalivOmiX: A salivary miRNA-based test for ovarian cancer early diagnosis.


IP: Melissa Bradbury Lobato, Antonio Gil Moreno

Preinvasive and invasive disease of the lower genital tract research

Research team:


Dr. Melissa Bradbury (Principal researcher)

Dr. Cristina Centeno (Clinical associated investigator)

Dr. Antonio Gil-Moreno (Principal researcher)

Dr. Carme Dinarés (Clinical associated investigator)

Dr. Josep Castellví (Clinical associated investigator)

Dr. Armando Reques (Clinical associated investigator)

Dr. Angel Garcia (Clinical associated investigator)

Dra. Eva Colás (Translational associated researcher)

Dr. Melek Denizli (Technician)


Research focus


NEW MARKERS FOR THE DIAGNOSIS AND PROGRESSION OF INTRAEPITHELIAL NEOPLASIA OF THE LOWER GENITAL TRACT

Persistent infections with high-risk human papillomavirus (HPV) genotypes are necessary, but not sufficient, cause of preinvasive and invasive lesions of the cervix and the lower genital tract. Although cancer screening prevention is based on HPV screening and pap-smear tests, it is essential to identify new molecular markers that can predict the transformation of HPV-associated lesions.

In this research line our group is assessing: Identification of molecular markers associated to an increased risk of development, persistence and progression of preinvasive lesions of the lower genital tract.


IP: Melissa Bradbury Lobato

Projects

Terapia Combinada de SYD985 y Niraparib: Un Nuevo Horizonte en el Tratamiento Personalizado del Cáncer de Endometrio HER2/neu Positivo

IP: Valeria Tubita
Collaborators: -
Funding agency: Fundació Santiago Dexeus Font
Funding: 6000
Reference: DEXEUS/PROJECTE/TUBITA/2024
Duration: 30/12/2024 - 30/12/2026

Telemedicine-guided Patients Reported Outcome Measures (PROMs): side efects screening and early intervention to impact in quality of life of gynaecological cancer patients.

IP: Vicente Bebia Conesa
Collaborators: Maria Asuncion Perez Benavente, Francesc Xavier Serra Marin, Antonio Gil Moreno, Martina Angeles Fite, Ana Luzarraga Aznar, Irene De la Calle Fuentes, Melissa Bradbury Lobato, Melek Denizli, Giulio Bonaldo
Funding agency: Fundació La Marató de TV3
Funding: 96737.5
Reference: 202403-30
Duration: 28/02/2025 - 27/02/2028

Precision Endometriosis Research: Integrating Molecular Classification, In Vitro Modeling, and Personalized Therapeutic Strategies

IP: Eva Colas Ortega
Collaborators: Elena Suarez Salvador, Francesc Xavier Serra Marin, Carina Masferrer Ferragutcasas, Anna Ruano Lopez, Josep Castellví Vives, Sonia Monreal Clua, Diana Alejandra Guerrero Lojano, Raquel Delgado Gil
Funding agency: Fundació La Marató de TV3
Funding: 200000
Reference: 202407-10
Duration: 20/02/2025 - 19/02/2028

Búsqueda de firmas proteómicas y dianas terapéuticas en el cáncer de ovario seroso de alto grado avanzado resistente a platino

IP: Antonio Gil Moreno
Collaborators: Vicente Bebia Conesa, Francesc Xavier Serra Marin, Marta Rebull Santamaria, Martina Angeles Fite, Ana Luzarraga Aznar, Melissa Bradbury Lobato, Beatriz Villafranca Magdalena, Melek Denizli, Lourdes Elena Salazar Huayna, Giulio Bonaldo, Valeria Tubita
Funding agency: Instituto de Salud Carlos III
Funding: 196250
Reference: PI24/01509
Duration: 01/01/2025 - 31/12/2027

Thesis

Molecular insights into ovarian endometriosis: Towards a personalized management

PhD student: Carina Masferrer Ferragutcasas, Carina Masferrer Ferragutcasas
Director/s: Eva Colas Ortega, Antonio Gil Moreno
University: Universitat Autònoma de Barcelona
Year: 2025

Linfadenectomia aòrtica extraperitoneal laparoscòpica versus proves d'imatge en càncer de cèrvix localment avançat

PhD student: Úrsula Acosta Sánchez
Director/s: Antonio Gil Moreno
University:
Year: 2024

L'ecografia intraoperatòria com tècnica per guir i reduir la cirurgia axil·lar en les pacients amb càncer de mama després de tractament sistèmic preoperatori.

PhD student: Christian Siso Raber
Director/s: Antonio Gil Moreno
University: Universitat Autònoma de Barcelona
Year: 2023

Valor pronóstico de la linfadenectomía aórtica extraperitoneal en cáncer de cérvix localmente avanzado

PhD student: Rocio Luna Guibourg
Director/s: Berta Diaz Feijoo, Antonio Gil Moreno
University: Universitat Autònoma de Barcelona
Year: 2022

Ganglis limfàtics sentinella en el carcinoma d'endometri: "Passat, present i futur"

PhD student: Natalia Rodriguez Gómez - Hidalgo , Natalia Rodriguez Gómez - Hidalgo
Director/s: Silvia Cabrera Diaz, Maria Asuncion Perez Benavente, Antonio Gil Moreno, Silvia Cabrera Diaz
University: Universitat Autònoma de Barcelona
Year: 2022

Aproximació a la medicina personalitzada en càncer d'endometri pel control de la malaltia recurrent

PhD student: Carlos Lopez Gil
Director/s: Antonio Gil Moreno, Eva Colas Ortega
University:
Year: 2022

Biomarcadors en endometriosi

PhD student: Taisiia Melnychuk
Director/s: Antonio Gil Moreno, Eva Colas Ortega
University:
Year: 2022

Estadificació prequirúrgica del carcinoma endometrial mitjançant ecografia en dos-tres

PhD student: Montserrat Cubo Abert, Montserrat Cubo Abert
Director/s: Antonio Gil Moreno
University:
Year: 2021

Resultats a llarg termini del tractament quirúrgic amb diferents vies d'abordatge per a la histerectomia radical en el càncer de cèrvix inicial

PhD student: Sabina Salicrú Riera
Director/s: Antonio Gil Moreno
University:
Year: 2021

Utilidad diagnóstica del test intraoperatorio del virus del papiloma humano como marcador precoz de curación o recidiva en mujeres con neoplasia intraepitelial cervical de alto grado (HSIL/CIN2-3)

PhD student: Jordi Rabasa Antonijuan
Director/s: Antonio Gil Moreno
University: Universidad Autònoma de Barcelona
Year: 2020

Impacto del uso de la sutura de absorción retardada en la incidencia de dehiscencia de la cúpula vaginal, después de la histerectomía laparoscópica y robótica

PhD student: Elena Suarez Salvador
Director/s: Antonio Gil Moreno
University: Universidad Autònoma de Barcelona
Year: 2020

Estudi de cohorts prospectiu del tractament quirúrgic de la incontinència urinària de esforç femenina amb bandes suburetrals transobturadores

PhD student: Jose Luis Poza Barrasus, Jose Luis Poza Barrasus
Director/s: Antonio Gil Moreno
University: Universidad Autònoma de Barcelona
Year: 2020

Targeting mitosis in ovarian cancer: The study of Bora as a future therapeutic avenue

PhD student: Alfonso Parrilla Ocon
Director/s: Anna Santamaria Margalef
University: Universidad Autònoma de Barcelona
Year: 2019

EV-associated miRNAs as a new source of biomarkers in endometrial, colorectal and lung cancers

PhD student: Berta Román Canal
Director/s: Eva Colas Ortega
University: Universidad Autònoma de Barcelona
Year: 2019

Metabolomic study for the identification of diagnostic markers and the characterization of the dissemination process of endometrial cancer

PhD student: Tatiana Altadill Vallespi
Director/s: Antonio Gil Moreno, Eva Colas Ortega
University: Universidad Autònoma de Barcelona
Year: 2018

Molecular alteracions in eutopic endometrium of women with endometriosis and implications in its diagnostic

PhD student: Júlia Vallvé Juanico
Director/s: Xavier Santamaria Costa, Antonio Gil Moreno
University: Universidad Autònoma de Barcelona
Year: 2018

The role of activated leukocyte cell adhesion molecule (ALCAM) in endometrial cancer progression and dissemination

PhD student: Laura Devis Jauregui
Director/s: Jaume Reventós Puigjaner, Antonio Gil Moreno, Eva Colas Ortega
University: Universidad Autònoma de Barcelona
Year: 2017

Nuevas moléculas asociadas al cáncer de ovario para la mejora de su diagnóstico y tratamiento

PhD student: Lucia Lanau Angulo
Director/s: Jaume Reventós Puigjaner, Marina Rigau Resina, Anna Santamaria Margalef
University: Universidad Autònoma de Barcelona
Year: 2017

Protein signatures in uterine aspirates to improve diagnosis of endometrial cancer. The CEMARK project

PhD student: Elena Martínez García
Director/s: Antonio Gil Moreno, Jaume Reventós Puigjaner, Eva Colas Ortega
University: Universidad Autònoma de Barcelona
Year: 2017

Micro-RNAs in ovarian cancer as tools for diagnosis and therapy

PhD student: Blanca Majem Cavaller
Director/s: Anna Santamaria Margalef
University: Universidad Autònoma de Barcelona
Year: 2017

Estudio comparativo entre cirugía primaria y cirurgia de intervalo en el estadio IIIC del cáncer de ovario

PhD student: José Luis Sánchez Iglesias, José Luis Sánchez Iglesias
Director/s: Antonio Gil Moreno
University: Universidad Autònoma de Barcelona
Year: 2014

Identification of New Urine Biomarkers for the Detection of Prostate Cancer

PhD student: Marina Rigau Resina
Director/s: Jaume Reventós Puigjaner, Andreas He Doll , Joan Morote Robles
University: Universidad Autònoma de Barcelona
Year: 2011

Endometrial carcinoma: improving diagnosis, deconstructing carcinoma invasion and pursuing new therapeutic strategies

PhD student: Eva Colas Ortega, Eva Colas Ortega, Eva Colas Ortega
Director/s: Jaume Reventós Puigjaner, Miguel Abal Posada
University: Universidad Autònoma de Barcelona
Year: 2011

Estudio prospectivo para la validacion de la tecnica del ganclio centinela en cáncer de cervix uterino inicial

PhD student: Berta Diaz Feijoo
Director/s:
University: Universidad Autònoma de Barcelona
Year: 2007

Blog

News

Researchers from the centre took part in international debates on AI in healthcare, spin-offs emerging from research were presented, and several initiatives linked to VHIR received recognition in the field of entrepreneurship.

The grants promote new therapeutic strategies and diagnostic tools in highly complex tumors such as glioblastoma, triple-negative breast cancer, and endometrial cancer.

The Department of Health of the Generalitat de Catalunya grants subsidies for carrying out validation tests on innovative projects in the field of health that are in the early stages of development.