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使用传感器阵列分析通过呼吸、尿液和血液检测卵巢癌:一项病例对照研究。

Use of Sensor Array Analysis to Detect Ovarian Cancer through Breath, Urine, and Blood: A Case-Control Study.

作者信息

Angioli Roberto, Santonico Marco, Pennazza Giorgio, Montera Roberto, Luvero Daniela, Gatti Alessandra, Zompanti Alessandro, Finamore Panaiotis, Incalzi Raffaele Antonelli

机构信息

Unit of Gynecology, University Campus Bio-Medico of Rome, Via Alvaro del Portillo 200, 00128 Rome, Italy.

Unit of Electronics for Sensor Systems, Department of Science and Technology for Sustainable Development and One Health, University Campus Bio-Medico of Rome, Via Alvaro del Portillo 21, 00128 Rome, Italy.

出版信息

Diagnostics (Basel). 2024 Mar 6;14(5):561. doi: 10.3390/diagnostics14050561.

DOI:10.3390/diagnostics14050561
PMID:38473033
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10930654/
Abstract

Ovarian cancer (OC) is the eighth most common cancer in women. Since screening programs do not exist, it is often diagnosed in advanced stages. Today, the detection of OC is based on clinical examination, transvaginal ultrasound (US), and serum biomarker (Carbohydrate Antigen 125 (CA 125) and Human Epididymis Protein 4 (HE4)) dosage, with a sensitivity of 88% and 95%, respectively, and a specificity of 84% for US and 76% for biomarkers. These methods are clearly not enough, and OC in its early stages is often missed. Many scientists have recently focused their attention on volatile organic compounds (VOCs). These are gaseous molecules, found in the breath, that could provide interesting information on several diseases, including solid tumors. To detect VOCs, an electronic nose was invented by a group of researchers. A similar device, the e-tongue, was later created to detect specific molecules in liquids. For the first time in the literature, we investigated the potential use of the electronic nose and the electronic tongue to detect ovarian cancer not just from breath but also from urine, blood, and plasma samples.

摘要

卵巢癌(OC)是女性中第八大常见癌症。由于不存在筛查项目,它常常在晚期才被诊断出来。如今,OC的检测基于临床检查、经阴道超声(US)以及血清生物标志物(糖类抗原125(CA 125)和人附睾蛋白4(HE4))检测,其灵敏度分别为88%和95%,US的特异性为84%,生物标志物的特异性为76%。这些方法显然还不够,早期OC常常被漏诊。最近,许多科学家将注意力集中在了挥发性有机化合物(VOCs)上。这些是在呼出气体中发现的气态分子,它们可能为包括实体瘤在内的多种疾病提供有价值的信息。为了检测VOCs,一组研究人员发明了电子鼻。后来又制造了类似的设备——电子舌,用于检测液体中的特定分子。在文献中,我们首次研究了电子鼻和电子舌不仅从呼出气体,还从尿液、血液和血浆样本中检测卵巢癌的潜在用途。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/203a/10930654/62cc3e0dcb2a/diagnostics-14-00561-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/203a/10930654/7886df9ad23c/diagnostics-14-00561-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/203a/10930654/48e6bf2926f7/diagnostics-14-00561-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/203a/10930654/8fa59ea765f1/diagnostics-14-00561-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/203a/10930654/4e55e613aa43/diagnostics-14-00561-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/203a/10930654/62cc3e0dcb2a/diagnostics-14-00561-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/203a/10930654/7886df9ad23c/diagnostics-14-00561-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/203a/10930654/48e6bf2926f7/diagnostics-14-00561-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/203a/10930654/8fa59ea765f1/diagnostics-14-00561-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/203a/10930654/4e55e613aa43/diagnostics-14-00561-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/203a/10930654/62cc3e0dcb2a/diagnostics-14-00561-g005.jpg

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本文引用的文献

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Breath Analysis: A Promising Tool for Disease Diagnosis-The Role of Sensors.呼吸分析:疾病诊断的有前途工具-传感器的作用。
Sensors (Basel). 2022 Feb 6;22(3):1238. doi: 10.3390/s22031238.
2
Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries.《全球癌症统计数据 2020:全球 185 个国家和地区 36 种癌症的发病率和死亡率估计》。
CA Cancer J Clin. 2021 May;71(3):209-249. doi: 10.3322/caac.21660. Epub 2021 Feb 4.
3
Detection of Ovarian Cancer through Exhaled Breath by Electronic Nose: A Prospective Study.
通过电子鼻检测呼出气体诊断卵巢癌:一项前瞻性研究。
Cancers (Basel). 2020 Aug 25;12(9):2408. doi: 10.3390/cancers12092408.
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How to reduce the impact of cervical cancer worldwide: Gaps and priority areas identified through the essential cancer and primary care packages: An analysis of effective interventions.如何降低全球范围内宫颈癌的影响:通过基本癌症和初级保健一揽子计划确定的差距和优先领域:有效干预措施的分析。
Cancer. 2020 Nov 1;126(21):4697-4705. doi: 10.1002/cncr.33116. Epub 2020 Aug 11.
5
Electronic Nose Analysis of Exhaled Breath Volatiles to Identify Lung Cancer Cases: A Systematic Review.电子鼻分析呼出气挥发性成分鉴别肺癌:系统评价。
J Assoc Nurses AIDS Care. 2020 Jan-Feb;31(1):71-79. doi: 10.1097/JNC.0000000000000146.
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Volatile organic compounds in breath can serve as a non-invasive diagnostic biomarker for the detection of advanced adenomas and colorectal cancer.呼气中的挥发性有机化合物可以作为一种非侵入性的诊断生物标志物,用于检测晚期腺瘤和结直肠癌。
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Prediction of response to anti-PD-1 therapy in patients with non-small-cell lung cancer by electronic nose analysis of exhaled breath.利用电子鼻分析呼出气预测非小细胞肺癌患者对 PD-1 治疗的反应。
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Biomarkers and algorithms for diagnosis of ovarian cancer: CA125, HE4, RMI and ROMA, a review.用于卵巢癌诊断的生物标志物和算法:CA125、HE4、RMI 和 ROMA,综述。
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