Evidence map›Paper›PMID 41604309›Full record

SynthesisThe oncologist2026

eNose technologies in the detection of cancer: a systematic review and meta-analysis.

Eitan J Neugut, Alfred I Neugut

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in The oncologist, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
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

2 authors.

Eitan J NeugutDepartment of Statistics, Columbia University, New York, NY 10027, United States.
Alfred I NeugutDepartment of Medicine and Herbert Irving Comprehensive Cancer Center, Vagelos College of Physicians & Surgeons, Columbia University, New York, NY 10032, United States.ORCID 0000-0002-5949-4522

Funding

Tumor Biology and Microenvironment ProgramP30CA013696 · NCI · COLUMBIA UNIV NEW YORK MORNINGSIDE · PI Anil K Rustgi · 1985 to 2026
$115.3M
CCSG P30 CA13696NCI NIH HHS P30 CA013696
6 · The paper itself

Abstract

backgroundIn 2004, researchers in the United Kingdom were able to train six dogs to distinguish between urine samples from bladder cancer patients and healthy controls using smell, achieving a detection rate of 41% (95% confidence interval [CI]: 23-58%), far above the 14% expected by chance. After numerous subsequent studies validated that the odor of breath and urine samples could be used by dogs to detect cancer, researchers pivoted to electronic noses (eNoses), sensor-based systems that mimic the sense of smell using arrays of chemical detectors. In this study, we review the potential efficacy of eNoses in the detection of selected cancer types in human biological samples.

methodsWe identified and performed a meta-analysis on 37 studies of eNose technology, comprising 1 365 cancer patients and 2 249 control subjects. We calculated the pooled sensitivity and specificity stratified by cancer type, sample type, and sensor type. Meta-regressions were conducted on these variables as well as the number of sensors used in the sensor array.

resultsAll six cancer types analyzed-breast, colorectal, gastric, lung, ovarian, and prostate-achieved pooled sensitivities and specificities above 70%, with most around 85%. The overall pooled sensitivity was 85.9% (95% CI: 82.3-88.9%) and specificity was 83.6% (95% CI: 78.6-87.7%). Meta-regression revealed that the number of sensors in the sensor arrays, up to 15 sensors, was predictive of sensitivity with PFDR < 0.001.

conclusionThis analysis found that eNoses constitute a promising tool in the early detection of cancer. However, more research is necessary before it can be introduced into clinical settings.

Indexed as

Electronic NoseNeoplasmsAnimalsDogsFemaleHumansMaleSensitivity and SpecificitySmellcancer detectionelectronic noseeNosemeta-analysissensor arrayvolatile organic compounds

Identifiers

PMID41604309
PMCPMC12923108

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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.