Evidence map›Paper›PMID 19476629›Full record

ArticleBMC cancer2009

Do serum biomarkers really measure breast cancer?

Jonathan L Jesneck, Sayan Mukherjee, Zoya Yurkovetsky, Merlise Clyde, Jeffrey R Marks, Anna E Lokshin, Joseph Y Lo

Open access · goldAbstract read
In one paragraph

Article in BMC cancer, 2009. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed
2.0field-weighted citation impact, top 14% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 42 citations in OpenAlex.

  1. Article
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  10. Construction and analysis of the NCI-EDRN breast cancer reference set for circulating markers of disease.Cancer epidemiology, biomarkers & prevention : a publication of the American Association for Cancer Research, cosponsored by the American Society of Preventive Oncology · 2015
    Article
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  15. Orally bioavailable small-molecule inhibitor of transcription factor Stat3 regresses human breast and lung cancer xenografts.Proceedings of the National Academy of Sciences of the United States of America · 2012
    Article
  16. Review
  17. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 4 institutions in 1 country.

Jonathan L JesneckDuke Advanced Imaging Labs, Department of Radiology, Duke University Medical Center, Durham, North Carolina 27710, USA. JonathanL_Jesneck@dfci.harvard.edu
Sayan Mukherjee
Zoya Yurkovetsky
Merlise Clyde
Jeffrey R Marks
Anna E Lokshin
Joseph Y Lo
Duke University · USDuke University Hospital · USUniversity of Pittsburgh · USUPMC Hillman Cancer Center · US

Funding

EXPRESSION BASED MARKERS FOR BREAST CANCER DETECTIONU01CA084955 · NCI · DUKE UNIVERSITY · PI MARKS, JEFFREY R. · 1999 to 2015
$6.5M
Tomosynthesis for Improved Breast Cancer DetectionR01CA112437 · NCI · DUKE UNIVERSITY · PI LO, JOSEPH Y · 2006 to 2009
$1.3M
NCI NIH HHS CA 84955NCI NIH HHS R01 CA-112437-01
6 · The paper itself

Abstract

backgroundBecause screening mammography for breast cancer is less effective for premenopausal women, we investigated the feasibility of a diagnostic blood test using serum proteins.

methodsThis study used a set of 98 serum proteins and chose diagnostically relevant subsets via various feature-selection techniques. Because of significant noise in the data set, we applied iterated Bayesian model averaging to account for model selection uncertainty and to improve generalization performance. We assessed generalization performance using leave-one-out cross-validation (LOOCV) and receiver operating characteristic (ROC) curve analysis.

resultsThe classifiers were able to distinguish normal tissue from breast cancer with a classification performance of AUC = 0.82 +/- 0.04 with the proteins MIF, MMP-9, and MPO. The classifiers distinguished normal tissue from benign lesions similarly at AUC = 0.80 +/- 0.05. However, the serum proteins of benign and malignant lesions were indistinguishable (AUC = 0.55 +/- 0.06). The classification tasks of normal vs. cancer and normal vs. benign selected the same top feature: MIF, which suggests that the biomarkers indicated inflammatory response rather than cancer.

conclusionOverall, the selected serum proteins showed moderate ability for detecting lesions. However, they are probably more indicative of secondary effects such as inflammation rather than specific for malignancy.

Indexed as

AdultBayes TheoremBiomarkers, TumorBreast NeoplasmsEnzyme-Linked Immunosorbent AssayFeasibility StudiesFemaleHumansModels, StatisticalNeoplasm ProteinsROC CurveBiomarkers, TumorNeoplasm Proteins

Identifiers

PMID19476629
PMCPMC2696469
OpenAlexW2118773575

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.