Evidence map›Paper›PMID 29371783›Full record

ArticleBiomarker insights2018

Evaluation of a Serum Lung Cancer Biomarker Panel.

Peter J Mazzone, Xiao-Feng Wang, Xiaozhen Han, Humberto Choi, Meredith Seeley, Richard Scherer, Victoria Doseeva

Abstract read
In one paragraph

Article in Biomarker insights, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 34 papers.

0numbers the graph read from it
0cells of the map it votes in
34citing papers in PubMed
–field-weighted citation impact
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

34 citing papers in PubMed.

  1. Review
  2. An ultrasensitive sensing strategy based on CRISPR/Cas13a and T7 RNA polymerase amplification for detection of extracellular vesicles.Analytical sciences : the international journal of the Japan Society for Analytical Chemistry · 2025
    Article
  3. Review
  4. Article
  5. Article
  6. Lung cancer screening: where do we stand?Breathe (Sheffield, England) · 2024
    Review
  7. Article
  8. Review
  9. Circulating proteome for pulmonary nodule malignancy.Journal of the National Cancer Institute · 2023
    Article
  10. Article
  11. Article
  12. Biomarkers in Lung Cancer Screening: a Narrative Review.Current challenges in thoracic surgery · 2023
    Article
  13. Review
  14. Article
  15. Article
  16. SCLC: Epidemiology, Risk Factors, Genetic Susceptibility, Molecular Pathology, Screening, and Early Detection.Journal of thoracic oncology : official publication of the International Association for the Study of Lung Cancer · 2023
    Review
  17. Article
  18. Review
  19. Article
  20. Article
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.

Peter J MazzoneRespiratory Institute, Cleveland Clinic, Cleveland, OH, USA.
Xiao-Feng WangDepartment of Quantitative Health Sciences, Cleveland Clinic, Cleveland, OH, USA.
Xiaozhen HanDepartment of Quantitative Health Sciences, Cleveland Clinic, Cleveland, OH, USA.
Humberto ChoiRespiratory Institute, Cleveland Clinic, Cleveland, OH, USA.
Meredith SeeleyRespiratory Institute, Cleveland Clinic, Cleveland, OH, USA.
Richard Scherer20/20 GeneSystems, Rockville, MD, USA.
Victoria Doseeva20/20 GeneSystems, Rockville, MD, USA.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundA panel of 3 serum proteins and 1 autoantibody has been developed to assist with the detection of lung cancer. We aimed to validate the accuracy of the biomarker panel in an independent test set and explore the impact of adding a fourth serum protein to the panel, as well as the impact of combining molecular and clinical variables.

methodsThe training set of serum samples was purchased from commercially available biorepositories. The testing set was from a biorepository at the Cleveland Clinic. All lung cancer and control subjects were >50 years old and had smoked a minimum of 20 pack-years. A panel of biomarkers including CEA (carcinoembryonic antigen), CYFRA21-1 (cytokeratin-19 fragment 21-1), CA125 (carbohydrate antigen 125), HGF (hepatocyte growth factor), and NY-ESO-1 (New York esophageal cancer-1 antibody) was measured using immunoassay techniques. The multiple of the median method, multivariate logistic regression, and random forest modeling was used to analyze the results.

resultsThe training set consisted of 604 patient samples (268 with lung cancer and 336 controls) and the testing set of 400 patient samples (155 with lung cancer and 245 controls). With a threshold established from the training set, the sensitivity and specificity of both the 4- and 5-biomarker panels on the testing set was 49% and 96%, respectively. Models built on the testing set using only clinical variables had an area under the receiver operating characteristic curve of 0.68, using the biomarker panel 0.81 and by combining clinical and biomarker variables 0.86.

conclusionsThis study validates the accuracy of a panel of proteins and an autoantibody in a population relevant to lung cancer detection and suggests a benefit to combining clinical features with the biomarker results.

Indexed as

carbohydrate antigen 125carcinoembryonic antigencytokeratin-19 fragment 21-1hepatocyte growth factorNew York esophageal cancer-1 antibody

Identifiers

PMID29371783
PMCPMC5772503

What OpenQuestion holds

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Registered trials

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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.