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9G检测癌症/肺癌:肺癌筛查中低剂量CT的理想辅助手段。

9G Test Cancer/Lung: A Desirable Companion to LDCT for Lung Cancer Screening.

作者信息

Choe Wonho, Chae Jeong Don, Lee Byoung-Hoon, Kim Sang-Hoon, Park So Young, Nimse Satish Balasaheb, Kim Junghoon, Warkad Shrikant Dashrath, Song Keum-Soo, Oh Ae-Chin, Hong Young Jun, Kim Taisun

机构信息

Nowon Eulji Medical Center, Department of Laboratory Medicine, Eulji University, Seoul 01830, Korea.

Nowon Eulji Medical Center, Department of Pulmonology and Allergy, Eulji University, Seoul 01830, Korea.

出版信息

Cancers (Basel). 2020 Oct 30;12(11):3192. doi: 10.3390/cancers12113192.

Abstract

A complimentary biomarker test that can be used in combination with LDCT for lung cancer screening is highly desirable to improve the diagnostic capacity of LDCT and reduce the false-positive rates. Most importantly, the stage I lung cancer detection rate can be dramatically increased by the simultaneous use of a biomarker test with LDCT. The present study was conducted to evaluate 9G test Cancer/Lung's sensitivity and specificity in detecting Stage 0IV lung cancer. The obtained results indicate that the 9G test Cancer/Lung can detect lung cancer with overall sensitivity and specificity of 75.0% (69.180.3) and 97.3% (95.0~98.8), respectively. The detection of stage I, stage II, stage III, and stage IV cancers with sensitivities of 77.5%, 78.1%, 67.4%, and 33.3%, respectively, at the specificity of 97.3% have never been reported before. The receiver operating characteristic curve analysis allowed us to determine the population-weighted AUC of 0.93 (95% CI, 0.91-0.95). These results indicate that the 9G test Cancer/Lung can be used in conjunction with LDCT to screen lung cancer. Furthermore, obtained results indicate that the use of 9G test Cancer/Lung with LDCT for lung cancer screening can increase stage I cancer detection, which is crucial to improve the currently low 5-year survival rates.

摘要

非常需要一种可与低剂量计算机断层扫描(LDCT)联合使用的补充生物标志物检测方法,以提高LDCT的诊断能力并降低假阳性率。最重要的是,同时使用生物标志物检测和LDCT可显著提高I期肺癌的检出率。本研究旨在评估9G检测癌症/肺部在检测0IV期肺癌方面的敏感性和特异性。所得结果表明,9G检测癌症/肺部检测肺癌的总体敏感性和特异性分别为75.0%(69.180.3)和97.3%(95.0~98.8)。在特异性为97.3%的情况下,I期、II期、III期和IV期癌症的检测敏感性分别为77.5%、78.1%、67.4%和33.3%,此前从未有过相关报道。受试者工作特征曲线分析使我们能够确定人群加权曲线下面积为0.93(95%置信区间,0.91 - 0.95)。这些结果表明,9G检测癌症/肺部可与LDCT联合用于肺癌筛查。此外,所得结果表明,将9G检测癌症/肺部与LDCT用于肺癌筛查可提高I期癌症的检出率,这对于提高目前较低的5年生存率至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5b4e/7692999/8b4a89c8de65/cancers-12-03192-g001.jpg

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