Health
Researchers say blood tests can detect cancer many years before symptoms | Science
Blood tests can pick up cancer up to four years before symptoms appear, researchers say in a new study, they hope to get early detection.
A team led by Chinese researchers says a non-invasive blood test called Panthea detects cancer in 95% of individuals who are asymptomatic but later diagnosed.
“We have demonstrated that up to four years before conventional diagnosis, DNA methylation-based blood tests can detect five cancers,” the team wrote in a journal. Natural communication..
They said the tests are unlikely to predict cancer, but have picked up cancerous growth that has not yet caused symptoms or has not been discovered by other methods.
Such tests, called liquid biopsies, have been the focus of many studies because they provide a non-invasive method of screening patients.
The new study is not the first to report a positive blood test for early detection of cancer. However, the team said the study that showed that cancer could be detected before the patient showed signs of symptoms was exciting-what some studies have shown so far.
Researchers reported that the new test was based on screening specific regions of plasma DNA for a well-identified tag frequently found in tumor DNA, called methyl DNA. The team said they used a technique that could pick up even the tiniest levels of such DNA.
Next, using a machine learning algorithm that is a type of artificial intelligence, we developed a system that can judge whether the DNA circulating in the blood was actually released by the tumor based on the presence of these methyl groups. Did.
To develop the test, the team used plasma samples collected from Chinese individuals between 2007 and 2014 as part of a broader research effort.
Overall, 414 samples from participants who remained cancer-free for at least 5 years after blood collection were used and participants diagnosed with gastric, colorectal, liver, lung or esophageal cancer within 4 years of blood. 191 samples from were used have been collected. The team also used a biobank sample of 223 patients already diagnosed with one of five cancers.
After training the system with about half of the samples, the team tested the approach for the rest.
The results revealed cancers that were flagged as PanSeer in 88% of participants who had already been diagnosed, and in 95% of those who had not been diagnosed with cancer but later developed it. The test had a 96% chance of correctly identifying patients without cancer.
The study has limitations, such as being based on a relatively small number of samples, sub-optimal storage, and teams expressing concern about potential contamination. The test also does not identify what type of cancer an individual has.
But Dr. Eric Klein of Tausig, Cleveland Clinic cancer The lab was part of that team Previously revealed liquid biopsy This welcomed a new study because it could identify 10 cancers early and predict which organs are affected.
“This is an exciting study that further supports that methylation-based assays can detect cell-free circulating tumor DNA and may form the basis of new screening tests to detect cancer at an early stage,” he said. Said. “Such a test is needed to screen for cancers for which there is no current effective screening paradigm.”
Samantha Harrison, Senior Early Diagnosis Manager cancer Research UK says: “The PanSeer test has achieved promising initial results. Promisingly, the test has the potential to detect cancer in blood samples taken many years before diagnosis. The result is that it needs to be validated in a large study.”
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