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乳腺密度不影响Videssa® Breast检测50岁以下女性乳腺癌的能力。

Breast density does not impact the ability of Videssa® Breast to detect breast cancer in women under age 50.

作者信息

Reese David E, Henderson Meredith C, Silver Michael, Mulpuri Rao, Letsios Elias, Tran Quynh, Wolf Judith K

机构信息

Provista Diagnostics, New York, NY, United States of America.

出版信息

PLoS One. 2017 Oct 25;12(10):e0186198. doi: 10.1371/journal.pone.0186198. eCollection 2017.

Abstract

Breast density is associated with reduced imaging resolution in the detection of breast cancer. A biochemical approach that is not affected by density would provide an important tool to healthcare professionals who are managing women with dense breasts and suspicious imaging findings. Videssa® Breast is a combinatorial proteomic biomarker assay (CPBA), comprised of Serum Protein Biomarkers (SPB) and Tumor Associated Autoantibodies (TAAb) integrated with patient-specific clinical data to produce a diagnostic score that reliably detects breast cancer (BC) as an adjunctive tool to imaging. The performance of Videssa® Breast was evaluated in the dense (a and b) and non-dense (c and d) groups in a population of n = 545 women under age 50. The sensitivity and specificity in the dense breast group were calculated to be 88.9% and 81.2%, respectively, and 92.3% and 86.6%, respectively, for the non-dense group. No significant differences were observed in the sensitivity (p = 1.0) or specificity (p = 0.18) between these groups. The NPV was 99.3% and 99.1% in non-dense and dense groups, respectively. Unlike imaging, Videssa® Breast does not appear to be impacted by breast density; it can effectively detect breast cancer in women with dense and non-dense breasts alike. Thus, Videssa® Breast provides a powerful tool for healthcare providers when women with dense breasts present with challenging imaging findings. In addition, Videssa® Breast provides assurance to women with dense breasts that they do not have breast cancer, reducing further anxiety in this higher risk patient population.

摘要

乳腺密度与乳腺癌检测中成像分辨率降低有关。一种不受密度影响的生化方法将为管理乳腺致密且有可疑成像结果的女性的医疗保健专业人员提供重要工具。Videssa® Breast是一种组合蛋白质组学生物标志物检测方法(CPBA),由血清蛋白质生物标志物(SPB)和肿瘤相关自身抗体(TAAb)组成,并结合患者特定的临床数据以产生诊断评分,作为成像的辅助工具可靠地检测乳腺癌(BC)。在n = 545名50岁以下女性人群的致密(a和b)组和非致密(c和d)组中评估了Videssa® Breast的性能。致密乳腺组的敏感性和特异性分别计算为88.9%和81.2%,非致密组分别为92.3%和86.6%。这些组之间在敏感性(p = 1.0)或特异性(p = 0.18)方面未观察到显著差异。非致密组和致密组的阴性预测值分别为99.3%和99.1%。与成像不同,Videssa® Breast似乎不受乳腺密度的影响;它可以有效检测乳腺致密和非致密女性的乳腺癌。因此,当乳腺致密的女性出现具有挑战性的成像结果时,Videssa® Breast为医疗保健提供者提供了一个强大的工具。此外,Videssa® Breast为乳腺致密的女性提供她们没有患乳腺癌的保证,减少了这个高风险患者群体的进一步焦虑。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d1d8/5656317/da6b9f18dde5/pone.0186198.g001.jpg

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