Riedlova Petra, Tavandzis Spiros, Kana Josef, Ostrizkova Silvie, Kramna Dagmar, Krajcir Libor, Kanova Tereza, Lastikova Simona, Tomaskova Hana, Roubec Jaromir
Department of Epidemiology and Public Health, Faculty of Medicine, University of Ostrava, 703 00 Ostrava, Czech Republic.
Centre of Epidemiological Research, Faculty of Medicine, University of Ostrava, 703 00 Ostrava, Czech Republic.
Diagnostics (Basel). 2023 Aug 1;13(15):2567. doi: 10.3390/diagnostics13152567.
Lung carcinoma is one of the most common malignancies worldwide. At present, unfortunately, there are no markers that would allow early identification of this tumor in the preclinical or early clinical stage. The use of sniffer dogs has been reported to show some promise in early diagnosis of this type of cancer Aim: This study aimed to evaluate the possibility of utilizing changes in the heart rate of sniffer dogs (which increases when finding a positive sample) in tumor detection.
This double-blinded pilot study included two sniffer dogs. A chest strap was fastened on the dog's chests for heart rate monitoring while they were examining samples and heart rate was recorded. Test parameters (sensitivity, specificity, positive and negative predictive values) were then calculated, evaluating performances based on (i) the dog's indications according to their training and (ii) the changes in their heart rates.
Calculation according to the dog's indications revealed an overall sensitivity of 95.2% accompanied by a specificity of 81.8%, a PPV of 93.7%, and an NPV of 85.7%, respectively. These results were not significantly different from those evaluated by heart rate; heart rate monitoring was, however, burdened with a relatively high proportion of invalid experiments in which heart rate measurement failed. When the method of calculation was changed from rounds to individual samples, the test parameters further increased.
This pilot study confirmed the hypothesis that heart rate increases in trained sniffer dogs when encountering samples from tumor-positive patients but remains unchanged when only negative samples are present. The reliability of results based on heart rate increase is similar to that obtained by a dog's indications and, if the limitation represented by technical issues is overcome, it could serve as a valuable verification method.
肺癌是全球最常见的恶性肿瘤之一。遗憾的是,目前尚无能够在临床前或临床早期阶段早期识别这种肿瘤的标志物。据报道,使用嗅探犬在这种癌症的早期诊断中显示出一些前景。目的:本研究旨在评估利用嗅探犬心率变化(发现阳性样本时心率会增加)进行肿瘤检测的可能性。
这项双盲试点研究包括两只嗅探犬。在它们检查样本时,将胸带系在犬的胸部以监测心率,并记录心率。然后计算测试参数(敏感性、特异性、阳性和阴性预测值),根据(i)犬根据其训练做出的指示和(ii)它们心率的变化来评估性能。
根据犬的指示进行计算,总体敏感性为95.2%,特异性为81.8%,阳性预测值为93.7%,阴性预测值为85.7%。这些结果与通过心率评估的结果没有显著差异;然而,心率监测存在相对较高比例的无效实验,即心率测量失败。当计算方法从轮次改为单个样本时,测试参数进一步提高。
这项试点研究证实了这一假设,即经过训练的嗅探犬在遇到肿瘤阳性患者的样本时心率会增加,而仅存在阴性样本时心率保持不变。基于心率增加的结果的可靠性与通过犬的指示获得的可靠性相似,如果克服技术问题所代表的限制,它可以作为一种有价值的验证方法。