Calculated indices of volatile organic compounds (VOCs) in exhalation for lung cancer screening and early detection
| Autor: | Jun Liu, Gorlova Olga Yurievna, Channa Madeeha, Wei Fu, Yanjie Hu, Kejing Ying, Liying Chen, Xing Chen, Linxin Xu, Kanhar Ghulam Muhammad |
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| Rok vydání: | 2021 |
| Předmět: |
0301 basic medicine
Pulmonary and Respiratory Medicine Cancer Research medicine.medical_specialty Lung Neoplasms Gastroenterology 03 medical and health sciences 0302 clinical medicine Internal medicine medicine Humans Stage (cooking) Lung cancer Early Detection of Cancer Volatile Organic Compounds Receiver operating characteristic business.industry Area under the curve Exhalation medicine.disease Confidence interval 030104 developmental biology Breath Tests Oncology Breath gas analysis 030220 oncology & carcinogenesis business Lung cancer screening |
| Zdroj: | Lung Cancer. 154:197-205 |
| ISSN: | 0169-5002 |
| DOI: | 10.1016/j.lungcan.2021.02.006 |
| Popis: | Background Breath analysis is a promising noninvasive technique that offers a wide range of opportunities to facilitate early diagnosis of lung cancer (LC). Method Exhaled breath samples of 352 subjects including 160 with lung cancer (LC), 70 with benign pulmonary nodule (BPN) and 122 healthy controls (HC) were analyzed through thermal desorption coupled with gas chromatography-mass spectrometry (TD-GC–MS) to obtain the metabolic information from volatile organic compounds (VOCs). Statistical classification models were used to find diagnostic clusters of VOCs for the discrimination of HC, BPN and LC patients’ early and advanced stages, as well as subtypes of LC. Receiver operator characteristics (ROC) curves with 5-fold validations were used to evaluate the accuracy of these models. Results The analysis revealed that 20, 19, 19, and 20 VOCs discriminated LC from HC, LC from BPN, histology and LC stages respectively. The calculated diagnostic indices showed a large area under the curve (AUC) to distinguish HC from LC (AUC: 0.987, 95 % confidence interval (CI): 0.976−0.997), BPN from LC (AUC: 0.809, 95 % CI: 0.758−0.860), NSCLC from SCLC (AUC: 0.939, 95 % CI: 0.875−0.995) and Stage II I from stage III-IV (AUC: 0.827, 95 % CI: 0.768−0.886). The comparison between the high-risk groups (BPN and HC smokers) and early stages LC resulted in the AUC of 0.756 (95 %CI: 0.681−0.817) for BPN vs. early stage LC and AUC of 0.986 (95 % CI: 0.972−0.994) for HC smoker vs. early stage LC. Conclusion Volatome of breath of the LC patients was significantly different from that of both BPN patients and HC and showed an ability of distinguishing early from advance stage LC and NSCLC from SCLC. We conclude that the volatome has a potential to help improve early diagnosis of LC. |
| Databáze: | OpenAIRE |
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