Evidence map›Paper›PMID 36969895›Full record

ArticleJournal of clinical and translational hepatology2023

Breath Biopsy

Giuseppe Ferrandino, Giovanna De Palo, Antonio Murgia, Owen Birch, Ahmed Tawfike, Rob Smith, Irene Debiram-Beecham, Olga Gandelman, Graham Kibble, Anne Marie Lydon and 9 more

Open access · diamondAbstract read
In one paragraph

Article in Journal of clinical and translational hepatology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing papers in PubMed, 2 pooled it
1.4field-weighted citation impact, top 21% 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

15 citing papers in PubMed, 2 syntheses or guidelines pooled it, 13 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. [Advances in the application of exhaled breath analysis technology in the detection and diagnosis of liver failure].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2026
    Review
  4. Review
  5. Review
  6. Article
  7. Review
  8. High-quality identification of volatile organic compounds (VOCs) originating from breath.Metabolomics : Official journal of the Metabolomic Society · 2024
    Article
  9. Review
  10. Review
  11. Predicting Chronological Age via the Skin Volatile Profile.Journal of the American Society for Mass Spectrometry · 2024
    Article
  12. Review
  13. Review
  14. Article
  15. [Functional recompensation during decompensated-stage cirrhosis].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2023
    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

19 authors at 4 institutions in 2 countries.

Giuseppe FerrandinoOwlstone Medical, Cambridge, UK.ORCID https://orcid.org/0000-0003-2305-2906
Giovanna De PaloOwlstone Medical, Cambridge, UK.
Antonio MurgiaOwlstone Medical, Cambridge, UK.
Owen BirchOwlstone Medical, Cambridge, UK.
Ahmed TawfikeOwlstone Medical, Cambridge, UK.
Rob SmithOwlstone Medical, Cambridge, UK.
Irene Debiram-BeechamDepartment of Oncology, University of Cambridge, Hutchison/MRC Research Centre, Cambridge, UK.
Olga GandelmanOwlstone Medical, Cambridge, UK.
Graham KibbleDepartment of Oncology, University of Cambridge, Hutchison/MRC Research Centre, Cambridge, UK.
Anne Marie LydonDepartment of Oncology, University of Cambridge, Hutchison/MRC Research Centre, Cambridge, UK.
Alice GrovesDepartment of Oncology, University of Cambridge, Hutchison/MRC Research Centre, Cambridge, UK.
Agnieszka SmolinskaOwlstone Medical, Cambridge, UK.
Max AllsworthOwlstone Medical, Cambridge, UK.
Billy BoyleOwlstone Medical, Cambridge, UK.
Marc P van der ScheeOwlstone Medical, Cambridge, UK.
Michael AllisonDepartment of Medicine, University of Cambridge, Addenbrooke's Hospital, Cambridge, UK.
Rebecca C FitzgeraldMRC Cancer Unit, Hutchison/MRC Research Centre, University of Cambridge, Cambridge, UK.
Matthew HoareDepartment of Medicine, University of Cambridge, Addenbrooke's Hospital, Cambridge, UK.
Victoria K SnowdonAddenbrookes Hepatology and Liver Transplantation Unit, Addenbrookes Hospital, Cambridge, UK.
Owlstone Medical (United Kingdom) · GBUniversity of Cambridge · GBAddenbrooke's Hospital · GBMaastricht University · NL

Funding

Cancer Research UK 26813Cancer Research UK 27855
6 · The paper itself

Abstract

Background and Aims: The prevalence of chronic liver disease in adults exceeds 30% in some countries and there is significant interest in developing tests and treatments to help control disease progression and reduce healthcare burden. Breath is a rich sampling matrix that offers non-invasive solutions suitable for early-stage detection and disease monitoring. Having previously investigated targeted analysis of a single biomarker, here we investigated a multiparametric approach to breath testing that would provide more robust and reliable results for clinical use. Methods: To identify candidate biomarkers we compared 46 breath samples from cirrhosis patients and 42 from controls. Collection and analysis used Breath Biopsy OMNI™, maximizing signal and contrast to background to provide high confidence biomarker detection based upon gas chromatography mass spectrometry (GC-MS). Blank samples were also analyzed to provide detailed information on background volatile organic compounds (VOCs) levels. Results: A set of 29 breath VOCs differed significantly between cirrhosis and controls. A classification model based on these VOCs had an area under the curve (AUC) of 0.95±0.04 in cross-validated test sets. The seven best performing VOCs were sufficient to maximize classification performance. A subset of 11 VOCs was correlated with blood metrics of liver function (bilirubin, albumin, prothrombin time) and separated patients by cirrhosis severity using principal component analysis. Conclusions: A set of seven VOCs consisting of previously reported and novel candidates show promise as a panel for liver disease detection and monitoring, showing correlation to disease severity and serum biomarkers at late stage.

Indexed as

BiomarkerBreath BiopsyCirrhosisLiver function testNon-invasive

Identifiers

PMID36969895
PMCPMC10037526
OpenAlexW4319025469

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
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.