Detection and localization of surgically resectable cancers with a multi-analyte blood test
Joshua D. Cohen, Lu Li,Yuxuan Wang, Christopher Thoburn ,Bahman Afsari,Ludmila Danilova,Christopher Douville, Ammar A. Javed, Fay Wong ,Austin Mattox ,Ralph. H. Hruban, Christopher L. Wolfgang ,Michael G. Goggins, Marco Dal Molin ,Tian-Li Wang ,Richard Roden3,9, Alison P. Klein, Janine Ptak, Lisa Dobbyn ,Joy Schaefer, Natalie Silliman, Maria Popoli, Joshua T. Vogelstein, James D. Browne ,Robert E. Schoen, Randall E. Brand ,Jeanne Tie, Peter Gibbs ,Hui-Li Wong, Aaron S. Mansfield, Jin Jen, Samir M. Hanash, Massimo Falconi, Peter J. Allen, Shibin, Chetan Bettegowda, Luis Diaz, Cristian Tomasetti, Kenneth W. Kinzler, Bert Vogelstein, Anne Marie Lennon, Nickolas Papadopoulos
原文链接:
http://science.sciencemag.org/content/early/2018/01/17/science.aar3247
原文摘要:Earlier detection is key to reducing cancer deaths. Here we describe a blood test that can detect eight common cancer types through assessment of the levels of circulating proteins and mutations in cell-free DNA. We applied this test, called CancerSEEK, to 1,005 patients with non-metastatic, clinically detected cancers of the ovary, liver, stomach, pancreas, esophagus, colorectum, lung, or breast. CancerSEEK tests were positive in a median of 70% of the eight cancer types. The sensitivities ranged from 69% to 98% for the detection of five cancer types (ovary, liver, stomach, pancreas, and esophagus) for which there are no screening tests available for average-risk individuals. The specificity of CancerSEEK was > 99%: only 7 of 812 healthy controls scored positive. In addition, CancerSEEK localized the cancer to a small number of anatomic sites in a median of 83% of the patients.