Evidence map›Paper›PMID 25268885›Full record

ArticlePloS one2014

Detection of colorectal cancer (CRC) by urinary volatile organic compound analysis.

Ramesh P Arasaradnam, Michael J McFarlane, Courtenay Ryan-Fisher, Erik Westenbrink, Phoebe Hodges, Paula Hodges, Matthew G Thomas, Samantha Chambers, Nicola O'Connell, Catherine Bailey and 4 more

Erratum issued Registry-linked trialOpen access · goldAbstract read
In one paragraph

Article in PloS one, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT04217083 (Volatile Organic Compounds), which is not on this map. Cited by 64 papers, 8 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
64citing papers in PubMed, 8 pooled it
7.9field-weighted citation impact, top 2% 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.

NCT04217083 unknown statusnot on this mapstarted 2019, after this paper: background citation

Volatile Organic Compounds (VOCs) Could Discriminate Patients With Colorectal Cancer From Healthy Controls.

Typeobservational_patient_registrySponsorSocieta Italiana di Chirurgia ColoRettaleRan2019 to 2021Enrolled90ConditionsColorectal Cancer, Colon PolypArmsBreath sampling
3 · Its place in the literature

Who cites it

64 citing papers in PubMed, 8 syntheses or guidelines pooled it, 166 citations in OpenAlex.

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4 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors at 4 institutions in 1 country.

Ramesh P ArasaradnamClinical Sciences Research Institute, University of Warwick, Coventry, Warwickshire, United Kingdom; Department of Gastroenterology, University Hospital Coventry & Warwickshire, Coventry, Warwickshire, United Kingdom.
Michael J McFarlaneDepartment of Gastroenterology, University Hospital Coventry & Warwickshire, Coventry, Warwickshire, United Kingdom.
Courtenay Ryan-FisherDepartment of Gastroenterology, University Hospital Coventry & Warwickshire, Coventry, Warwickshire, United Kingdom.
Erik WestenbrinkSchool of Engineering, University of Warwick, Coventry, Warwickshire, United Kingdom.
Phoebe Hodges
Paula HodgesDepartment of Gastroenterology, University Hospital Coventry & Warwickshire, Coventry, Warwickshire, United Kingdom.
Matthew G ThomasSchool of Engineering, University of Warwick, Coventry, Warwickshire, United Kingdom; MOAC Doctoral Training Centre, University of Warwick, Coventry, Warwickshire, United Kingdom.
Samantha ChambersDepartment of Gastroenterology, University Hospital Coventry & Warwickshire, Coventry, Warwickshire, United Kingdom.
Nicola O'ConnellDepartment of Gastroenterology, University Hospital Coventry & Warwickshire, Coventry, Warwickshire, United Kingdom.
Catherine BaileyDepartment of Gastroenterology, University Hospital Coventry & Warwickshire, Coventry, Warwickshire, United Kingdom.
Christopher HarmstonDepartment of Surgery, University Hospital Coventry and Warwickshire, Coventry, Warwickshire, United Kingdom.
Chuka U NwokoloDepartment of Gastroenterology, University Hospital Coventry & Warwickshire, Coventry, Warwickshire, United Kingdom.
Karna D BardhanClinical Sciences Research Institute, University of Warwick, Coventry, Warwickshire, United Kingdom; Department of Gastroenterology, Rotherham General Hospital, Rotherham, Yorkshire, United Kingdom.
James A CovingtonSchool of Engineering, University of Warwick, Coventry, Warwickshire, United Kingdom.
University Hospital Coventry · GBUniversity of Warwick · GBRotherham General Hospital · GBWarwickshire Hospital · GB

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Colorectal cancer (CRC) is a leading cause of cancer related death in Europe and the USA. There is no universally accepted effective non-invasive screening test for CRC. Guaiac based faecal occult blood (gFOB) testing has largely been superseded by Faecal Immunochemical testing (FIT), but sensitivity still remains poor. The uptake of population based FOBt testing in the UK is also low at around 50%. The detection of volatile organic compounds (VOCs) signature(s) for many cancer subtypes is receiving increasing interest using a variety of gas phase analytical instruments. One such example is FAIMS (Field Asymmetric Ion Mobility Spectrometer). FAIMS is able to identify Inflammatory Bowel disease (IBD) patients by analysing shifts in VOCs patterns in both urine and faeces. This study extends this concept to determine whether CRC patients can be identified through non-invasive analysis of urine, using FAIMS. 133 patients were recruited; 83 CRC patients and 50 healthy controls. Urine was collected at the time of CRC diagnosis and headspace analysis undertaken using a FAIMS instrument (Owlstone, Lonestar, UK). Data was processed using Fisher Discriminant Analysis (FDA) after feature extraction from the raw data. FAIMS analyses demonstrated that the VOC profiles of CRC patients were tightly clustered and could be distinguished from healthy controls. Sensitivity and specificity for CRC detection with FAIMS were 88% and 60% respectively. This study suggests that VOC signatures emanating from urine can be detected in patients with CRC using ion mobility spectroscopy technology (FAIMS) with potential as a novel screening tool.

Indexed as

Mass SpectrometryAdultAgedBiomarkers, TumorCluster AnalysisColorectal NeoplasmsDiscriminant AnalysisFemaleGas Chromatography-Mass SpectrometryHumansMaleMiddle AgedSensitivity and SpecificityVolatile Organic CompoundsBiomarkers, TumorVolatile Organic Compounds

Identifiers

PMID25268885
PMCPMC4182548
OpenAlexW2121454357

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

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.