breath based volatile organic compounds in the detection of breast, lung, and colorectal cancers: a systematic review
电子鼻技术用于检测乳腺癌、肺癌和结直肠癌挥发性气体综述
ingrid oakley-girvan and sharon watkins davis
cancer prevention institute of california, fremont, ca, usa
abstract.
background: detecting volatile organic compounds (vocs) could provide a rapid, noninvasive, and inexpensive screenin tool for detecting cancer.
背景:检测挥发性有机化合物(voc)可以提供一种快速、无创、廉价的癌症筛查工具。
objective: in this systematic review, we identified specific exhaled breath vocs correlated with lung, colorectal, and breast cancer.
目的:在本系统综述中,我们确定了与肺癌、结直肠癌和乳腺癌相关的特定呼气voc。
methods:we identified relevant studies published in 2015 and 2016 by searching pubmed and web of science. the protocol for this systematic review was registered in prospero and the prisma guidelines were used in reporting. vocs and performance data were extracted.
方法:通过检索pubmed和web of science对2015年和2016年发表的相关研究进行鉴定。该系统性审查的方案已在prospero注册,报告中使用了prisma指南。提取挥发性有机化合物和性能数据。
results:three hundred and thirty three records were identified and 43 papers were included in the review, of which 20 were review articles themselves. we identified 17 studies that listed the vocs with at least a subset of statistics on detection cutoff levels, sensitivity, specificity, area under the receiver operating characteristic curve (auc), and gradient.
结果:共鉴定出333份病历,43篇论文,其中20篇为综述文章。我们确定了17项研究,列出了voc,其中至少包含检测截止水平、灵敏度、特异性、传感器工作特性曲线下面积(auc)和梯度统计数据集。
conclusions:breath analysis for cancer screening and early detection shows promise, because samples can be collected easily, safely, and frequently. while gas chromatography-mass spectrometry is considered the gold standard for identifying specific vocs, breath analysis has moved into analyzing patterns of vocs using a variety of different multiple sensor techniques, such as enoses and nanomaterials. further development of vocs for early cancer detection requires clinical trials with standardized breath sampling methods.
结论:呼吸分析在癌症筛查和早期检测中具有应用前景,因为可以方便、安全、频繁地采集样本。虽然气相色谱-质谱法被认为是识别特定voc的金标准,但呼吸分析已经开始使用各种不同的多传感器技术(如enose和纳米材料)分析voc的模式。为了进一步开发用于早期癌症检测的挥发性有机化合物,需要采用标准化呼吸取样方法进行临床试验
keywords:exhaled breath, volatile organic compounds (vocs), biomarkers, lung cancer, colorectal cancer, breast cancer
关键词:呼气、挥发性有机物(vocs)、生物标志物、肺癌、结直肠癌、乳腺癌
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