Evidence map›Paper›PMID 40830871›Full record

ArticleBMC biology2025

Multimodal analysis of cell-free DNA enhances differentiation of early-stage breast cancer from benign lesions and healthy individuals.

Thi Tuong Vi Van, Trung Hieu Tran, Thi Hue Hanh Nguyen, Van Thien Chi Nguyen, Dac Ho Vo, Giang Thi Huong Nguyen, Trong Hieu Nguyen, Kim Sang To, Anh Luan Nguyen, Cao Hong An Tran and 36 more

Abstract read
In one paragraph

Article in BMC biology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing 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

4 citing papers in PubMed.

  1. Review
  2. Article
  3. Review
  4. 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

46 authors.

Thi Tuong Vi VanMedical Genetics Institute, Ho Chi Minh, Vietnam.
Trung Hieu TranMedical Genetics Institute, Ho Chi Minh, Vietnam.
Thi Hue Hanh NguyenMedical Genetics Institute, Ho Chi Minh, Vietnam.
Van Thien Chi NguyenMedical Genetics Institute, Ho Chi Minh, Vietnam.
Dac Ho VoMedical Genetics Institute, Ho Chi Minh, Vietnam.
Giang Thi Huong NguyenMedical Genetics Institute, Ho Chi Minh, Vietnam.
Trong Hieu NguyenMedical Genetics Institute, Ho Chi Minh, Vietnam.
Kim Sang ToHo Chi Minh City Oncology Hospital, Ho Chi Minh, Vietnam.
Anh Luan NguyenHo Chi Minh City Oncology Hospital, Ho Chi Minh, Vietnam.
Cao Hong An TranHo Chi Minh City Oncology Hospital, Ho Chi Minh, Vietnam.
Thanh Xuan JasmineMedic Medical Center, Ho Chi Minh, Vietnam.
Thi Loan VoMedic Medical Center, Ho Chi Minh, Vietnam.
Thi Huong Thoang NaiMedic Medical Center, Ho Chi Minh, Vietnam.
Thuy Trang TranMedic Medical Center, Ho Chi Minh, Vietnam.
My Hoang TruongMedic Medical Center, Ho Chi Minh, Vietnam.
Ngan Chau TranMedic Medical Center, Ho Chi Minh, Vietnam.
Thi Loc LeThai Nguyen National General Hospital, Thai Nguyen, Vietnam.
Thi Hong Nhung NguyenThai Nguyen National General Hospital, Thai Nguyen, Vietnam.
Ngoc Hieu TuBuon Ma, Thuot Medical University Hospital, Buon Ma Thuot, Vietnam.
Thanh Son TranBuon Ma, Thuot Medical University Hospital, Buon Ma Thuot, Vietnam.
Bao Toan LeCan Tho Oncology Hospital, Can Tho, Vietnam.
Van Phong TangCan Tho Oncology Hospital, Can Tho, Vietnam.
Pham Thanh Nhan NguyenDa Nang Oncology Hospital, Da Nang, Vietnam.
Khac Tien NguyenNghe An Oncology Hospital, Nghe An, Vietnam.
Van Chien HoNghe An Oncology Hospital, Nghe An, Vietnam.
Xuan Vinh NguyenMedical Genetics Institute, Ho Chi Minh, Vietnam.
Nhu Nhat Tan DoanMedical Genetics Institute, Ho Chi Minh, Vietnam.
Thi Trang TranMedical Genetics Institute, Ho Chi Minh, Vietnam.
Thi Minh Thu TranMedical Genetics Institute, Ho Chi Minh, Vietnam.
Vu Uyen TranMedical Genetics Institute, Ho Chi Minh, Vietnam.
Minh Phong LeMedical Genetics Institute, Ho Chi Minh, Vietnam.
Thi Luyen VuMedical Genetics Institute, Ho Chi Minh, Vietnam.
Ba Linh TieuMedical Genetics Institute, Ho Chi Minh, Vietnam.
Huu Tam Phuc NguyenMedical Genetics Institute, Ho Chi Minh, Vietnam.
Luu Hong Dang NguyenMedical Genetics Institute, Ho Chi Minh, Vietnam.
Ngoc Minh PhanMedical Genetics Institute, Ho Chi Minh, Vietnam.
Thi Van PhanMedical Genetics Institute, Ho Chi Minh, Vietnam.
Thi Thanh Thuy DoMedical Genetics Institute, Ho Chi Minh, Vietnam.
Thi Huyen DaoMedical Genetics Institute, Ho Chi Minh, Vietnam.
Hung Sang TangMedical Genetics Institute, Ho Chi Minh, Vietnam.
Duy Sinh NguyenMedical Genetics Institute, Ho Chi Minh, Vietnam.
Hoa GiangMedical Genetics Institute, Ho Chi Minh, Vietnam.
Minh Duy PhanMedical Genetics Institute, Ho Chi Minh, Vietnam.
Hoai-Nghia NguyenMedical Genetics Institute, Ho Chi Minh, Vietnam.
Duc Hieu VoHo Chi Minh City Oncology Hospital, Ho Chi Minh, Vietnam. hieuvobvub@gmail.com.
Le Son TranMedical Genetics Institute, Ho Chi Minh, Vietnam. leson1808@gmail.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundBreast cancer (BC) remains the second leading cause of cancer-related mortality among women worldwide. Liquid biopsy based on circulating tumor DNA (ctDNA) offers a promising noninvasive approach for early detection; however, differentiating malignant tumors from benign abnormalities remains a significant challenge.

resultsHere, we developed a multimodal approach to analyze cfDNA methylation and fragmentomic patterns in 273 BC patients, 108 individuals with benign breast conditions, and 134 healthy controls. Genome-wide analyses revealed distinct cfDNA copy number alterations and cytosine-enriched cleavage sites in BC patients. Targeted sequencing further revealed unique methylation patterns, including hypermethylation in GPR126, KLF3, and TLR10 and hypomethylation in TOP1 and MAFB. Our machine-learning model achieved an AUC of 0.90, with 93.6% specificity and 62.1-66.3% sensitivity for stage I-II cancers. In symptomatic populations, sensitivities were 50.0%, 68.2%, and 64.7% for BI-RADS categories 3, 4, and 5, respectively, with 96.1% specificity.

conclusionsThese findings underscore the potential of cfDNA biomarkers to enhance BC detection and reduce the rate of unnecessary biopsies.

Indexed as

Breast NeoplasmsCell-Free Nucleic AcidsAdultAgedBiomarkers, TumorDNA MethylationEarly Detection of CancerFemaleHumansMiddle AgedBiomarkers, TumorCell-Free Nucleic AcidsBenign abnormalitiesBreast cancerCfDNAMethylation and fragmentomic

Identifiers

PMID40830871
PMCPMC12366216

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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.