Evidence map›Paper›PMID 33801001›Full record

ArticleCancers2021

Exploring Volatile Organic Compounds in Breath for High-Accuracy Prediction of Lung Cancer.

Ping-Hsien Tsou, Zong-Lin Lin, Yu-Chiang Pan, Hui-Chen Yang, Chien-Jen Chang, Sheng-Kai Liang, Yueh-Feng Wen, Chia-Hao Chang, Lih-Yu Chang, Kai-Lun Yu and 6 more

Open access · goldAbstract read
In one paragraph

Article in Cancers, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 47 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
47citing papers in PubMed, 5 pooled it
7.7field-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.

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

47 citing papers in PubMed, 5 syntheses or guidelines pooled it, 119 citations in OpenAlex.

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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

16 authors at 2 institutions in 1 country.

Ping-Hsien TsouDepartment of Internal Medicine, National Taiwan University Hospital, Hsin-Chu Branch, Hsin-Chu 30059, Taiwan.ORCID 0000-0003-0845-259X
Zong-Lin LinInstitute of Statistics, National Yang Ming Chiao Tung University, Hsin-Chu 30010, Taiwan.
Yu-Chiang PanCenter for Emergent Functional Matter Science, National Yang Ming Chiao Tung University, Hsin-Chu 30010, Taiwan.
Hui-Chen YangDepartment of Internal Medicine, National Taiwan University Hospital, Hsin-Chu Branch, Hsin-Chu 30059, Taiwan.
Chien-Jen ChangDepartment of Internal Medicine, National Taiwan University Hospital, Hsin-Chu Branch, Hsin-Chu 30059, Taiwan.
Sheng-Kai LiangDepartment of Internal Medicine, National Taiwan University Hospital, Hsin-Chu Branch, Hsin-Chu 30059, Taiwan.
Yueh-Feng WenDepartment of Internal Medicine, National Taiwan University Hospital, Hsin-Chu Branch, Hsin-Chu 30059, Taiwan.
Chia-Hao ChangDepartment of Internal Medicine, National Taiwan University Hospital, Hsin-Chu Branch, Hsin-Chu 30059, Taiwan.ORCID 0000-0003-2287-0149
Lih-Yu ChangDepartment of Internal Medicine, National Taiwan University Hospital, Hsin-Chu Branch, Hsin-Chu 30059, Taiwan.ORCID 0000-0002-1318-5548
Kai-Lun YuDepartment of Internal Medicine, National Taiwan University Hospital, Hsin-Chu Branch, Hsin-Chu 30059, Taiwan.
Chia-Jung LiuDepartment of Internal Medicine, National Taiwan University Hospital, Hsin-Chu Branch, Hsin-Chu 30059, Taiwan.
Li-Ta KengDepartment of Internal Medicine, National Taiwan University Hospital, Hsin-Chu Branch, Hsin-Chu 30059, Taiwan.
Meng-Rui LeeDepartment of Internal Medicine, National Taiwan University Hospital, Hsin-Chu Branch, Hsin-Chu 30059, Taiwan.ORCID 0000-0002-7220-4833
Jen-Chung KoDepartment of Internal Medicine, National Taiwan University Hospital, Hsin-Chu Branch, Hsin-Chu 30059, Taiwan.
Guan-Hua HuangInstitute of Statistics, National Yang Ming Chiao Tung University, Hsin-Chu 30010, Taiwan.ORCID 0000-0002-1802-3855
Yaw-Kuen LiCenter for Emergent Functional Matter Science, National Yang Ming Chiao Tung University, Hsin-Chu 30010, Taiwan.
National Taiwan University Hospital · TWNational Yang Ming Chiao Tung University · TW

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

(1) Background: Lung cancer is silent in its early stages and fatal in its advanced stages. The current examinations for lung cancer are usually based on imaging. Conventional chest X-rays lack accuracy, and chest computed tomography (CT) is associated with radiation exposure and cost, limiting screening effectiveness. Breathomics, a noninvasive strategy, has recently been studied extensively. Volatile organic compounds (VOCs) derived from human breath can reflect metabolic changes caused by diseases and possibly serve as biomarkers of lung cancer. (2) Methods: The selected ion flow tube mass spectrometry (SIFT-MS) technique was used to quantitatively analyze 116 VOCs in breath samples from 148 patients with histologically confirmed lung cancers and 168 healthy volunteers. We used eXtreme Gradient Boosting (XGBoost), a machine learning method, to build a model for predicting lung cancer occurrence based on quantitative VOC measurements. (3) Results: The proposed prediction model achieved better performance than other previous approaches, with an accuracy, sensitivity, specificity, and area under the curve (AUC) of 0.89, 0.82, 0.94, and 0.95, respectively. When we further adjusted the confounding effect of environmental VOCs on the relationship between participants' exhaled VOCs and lung cancer occurrence, our model was improved to reach 0.92 accuracy, 0.96 sensitivity, 0.88 specificity, and 0.98 AUC. (4) Conclusion: A quantitative VOCs databank integrated with the application of an XGBoost classifier provides a persuasive platform for lung cancer prediction.

Indexed as

breath analysislung cancermachine learningSIFT-MSvolatile organic compoundsXGBoost

Identifiers

PMID33801001
PMCPMC8003836
OpenAlexW3136238717

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.