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一种用于多种癌症类型早期检测的非侵入性筛查方法:一项前瞻性临床研究。

A non-invasive screening method using for early detection of multiple cancer types: A prospective clinical study.

作者信息

Hatakeyama Hideyuki, Morishita Masayo, Alshammari Aya Hasan, Ungkulpasvich Umbhorn, Yamaguchi Junichi, Hirotsu Takaaki, di Luccio Eric

机构信息

Hirotsu Bio Science Inc., Tokyo, 102-0094, Japan.

出版信息

Biochem Biophys Rep. 2024 Jul 13;39:101778. doi: 10.1016/j.bbrep.2024.101778. eCollection 2024 Sep.

Abstract

Cancer is the second leading cause of death worldwide, according to the World Health Organization, surpassed only by cardiovascular diseases. Early identification and intervention can significantly improve outcomes. However, finding a universal, non-invasive, economical, and precise method for early cancer detection remains a significant challenge. This study explores the efficacy of an innovative cancer detection test, N-NOSE, leveraging a olfactory assay on urine samples across a diverse patient group exceeding 1600 individuals diagnosed with various cancers, with samples from the Shikoku Cancer Center (Ehime, Japan) under approved ethical standards. Current cancer screening techniques often require invasive procedures, can be painful or complex, with poor performance, and might be prohibitively costly, limiting accessibility for many. N-NOSE addresses these challenges head-on by offering a test based on urine analysis, eliminating the need for invasive methods, and being more affordable with higher performance at early stages than extensive blood tests or comprehensive body scans for cancer detection. In this study, N-NOSE demonstrated a capability to accurately identify upwards of 20 cancer types, achieving detection sensitivities between 60 and 90 %, including initial-stage cancers. The findings robustly advocate for N-NOSE's potential as a revolutionary, cost-effective, and minimally invasive strategy for broad-spectrum early cancer detection. It is also particularly significant in low- and middle-income countries with limited access to advanced cancer diagnostic methods, which may contribute to the improved outcome of affected individuals.

摘要

根据世界卫生组织的数据,癌症是全球第二大死因,仅次于心血管疾病。早期识别和干预可显著改善治疗结果。然而,找到一种通用、非侵入性、经济且精确的早期癌症检测方法仍然是一项重大挑战。本研究探讨了一种创新的癌症检测测试——N-NOSE的功效,该测试对超过1600名被诊断患有各种癌症的不同患者群体的尿液样本进行嗅觉分析,样本来自四国癌症中心(日本爱媛县),符合批准的伦理标准。目前的癌症筛查技术通常需要侵入性操作,可能会很痛苦或复杂,性能不佳,而且成本可能过高,限制了许多人的可及性。N-NOSE直接应对这些挑战,它提供了一种基于尿液分析的测试,无需侵入性方法,并且在早期阶段比广泛的血液检测或全面的身体扫描更经济实惠且性能更高,用于癌症检测。在这项研究中,N-NOSE展示了准确识别20多种癌症类型的能力,检测灵敏度在60%至90%之间,包括早期癌症。这些发现有力地支持了N-NOSE作为一种用于广谱早期癌症检测的革命性、经济高效且微创策略的潜力。这在难以获得先进癌症诊断方法的低收入和中等收入国家也尤为重要,这可能有助于改善患者的治疗结果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ae51/11299558/0240ae70ca8c/gr1.jpg

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