Evidence map›Paper›PMID 42832091›Full record

ArticleClinical oral investigations2026

Biofluid based biochemical and clinicopathological profiling for the detection and stratification of oral potentially malignant disorders.

Ronak A Varyani, Mandavi Waghmare, Panchali Saha, C Murali Krishna, Muskan Bajaj, Pranali Mane, Aishwarya Kathale, Vaidehi Mundhe, Purva Gaikwad

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Article in Clinical oral investigations, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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9 authors.

Ronak A VaryaniOral Medicine and Radiology, D. Y. Patil University School of Dentistry, Nerul, Navi Mumbai, Maharashtra, India. ronak.varyani@dypatil.edu.
Mandavi WaghmareOral Medicine and Radiology, D. Y. Patil University School of Dentistry, Nerul, Navi Mumbai, Maharashtra, India.
Panchali SahaAdvanced Centre for Treatment, Education and Research in Cancer, Tata Memorial Centre, Kharghar, Navi Mumbai, Maharashtra, India.
C Murali KrishnaAdvanced Centre for Treatment, Education and Research in Cancer, Tata Memorial Centre, Kharghar, Navi Mumbai, Maharashtra, India.
Muskan BajajOral Medicine and Radiology, D. Y. Patil University School of Dentistry, Nerul, Navi Mumbai, Maharashtra, India.
Pranali ManeOral Medicine and Radiology, D. Y. Patil University School of Dentistry, Nerul, Navi Mumbai, Maharashtra, India.
Aishwarya KathaleOral Medicine and Radiology, D. Y. Patil University School of Dentistry, Nerul, Navi Mumbai, Maharashtra, India.
Vaidehi MundheOral Medicine and Radiology, D. Y. Patil University School of Dentistry, Nerul, Navi Mumbai, Maharashtra, India.
Purva GaikwadOral Medicine and Radiology, D. Y. Patil University School of Dentistry, Nerul, Navi Mumbai, Maharashtra, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectivesTo assess the clinical applicability of Raman spectroscopy using serum and saliva for the identification and stratification of oral potentially malignant disorders (OPMDs) and to differentiate Oral Leukoplakia and Oral Submucous Fibrosis from tobacco habit controls. MATERIALS AND

methodsThis case control study was conducted on 60 patients divided into three groups: leukoplakia (L), Oral submucous Fibrosis (OSMF), and tobacco controls (TC). Serum and saliva samples were collected and analyzed using a confocal Raman spectroscope. Multivariate analysis using principal component analysis (PCA) and linear discriminant analysis (LDA) was performed to generate classification models.

resultsSpectral variations were observed among the groups in both serum and saliva, particularly in protein, lipid, nucleic acid related bands. Serum-based models demonstrated higher classification accuracy (~ 87.5%) compared to saliva (~ 80%) in 2-Class analyses. Combined 3-Class models showed accuracies of 70% and 60% in serum and saliva respectively. Class-specific sensitivity, specificity and predictive values for the three-class serum and saliva models are reported.

conclusionIn this exploratory case-control study, Raman spectroscopy of serum and saliva distinguished tobacco controls from patients with Oral Leukoplakia or OSMF with moderate-to-good classification accuracy, and serum-based models outperformed saliva-based models. These preliminary findings suggest that RS warrants further investigation as a minimally invasive adjunct for classification of OPMDs; validation in larger, prospective, multicentre cohorts with longitudinal follow-up is required before any early-detection or screening role can be established. CLINICAL RELEVANCE: Raman spectroscopy-based classification might eventually support risk-based triage for biopsy in high-burden settings. The present cross-sectional case-control design demonstrates group discrimination only, and does not by itself establish a screening, early-detection, or longitudinal-monitoring role.

Indexed as

Leukoplakia, OralMouth NeoplasmsOral Submucous FibrosisPrecancerous ConditionsSalivaSpectrum Analysis, RamanAdultAgedCase-Control StudiesFemaleHumansMaleMiddle AgedSensitivity and SpecificityBiopsyMetabolomicsOral LeukoplakiaOral submucous FibrosisPrecancerous conditionsRaman spectroscopy

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