The Detection of Colorectal Cancer through Machine Learning-Based Breath Sensor Analysis

Colorectal cancer (CRC) is the third most common malignancy and the second most common cause of cancer-related deaths worldwide. While CRC screening is already part of organized programs in many countries, there remains a need for improved screening tools. In recent years, a potential approach for c...

Full description

Bibliographic Details
Main Authors: Inese Poļaka, Linda Mežmale, Linda Anarkulova, Elīna Kononova, Ilona Vilkoite, Viktors Veliks, Anna Marija Ļeščinska, Ilmārs Stonāns, Andrejs Pčolkins, Ivars Tolmanis, Gidi Shani, Hossam Haick, Jan Mitrovics, Johannes Glöckler, Boris Mizaikoff, Mārcis Leja
Format: Article
Language:English
Published: MDPI AG 2023-10-01
Series:Diagnostics
Subjects:
Online Access:https://www.mdpi.com/2075-4418/13/21/3355
_version_ 1797632039180042240
author Inese Poļaka
Linda Mežmale
Linda Anarkulova
Elīna Kononova
Ilona Vilkoite
Viktors Veliks
Anna Marija Ļeščinska
Ilmārs Stonāns
Andrejs Pčolkins
Ivars Tolmanis
Gidi Shani
Hossam Haick
Jan Mitrovics
Johannes Glöckler
Boris Mizaikoff
Mārcis Leja
author_facet Inese Poļaka
Linda Mežmale
Linda Anarkulova
Elīna Kononova
Ilona Vilkoite
Viktors Veliks
Anna Marija Ļeščinska
Ilmārs Stonāns
Andrejs Pčolkins
Ivars Tolmanis
Gidi Shani
Hossam Haick
Jan Mitrovics
Johannes Glöckler
Boris Mizaikoff
Mārcis Leja
author_sort Inese Poļaka
collection DOAJ
description Colorectal cancer (CRC) is the third most common malignancy and the second most common cause of cancer-related deaths worldwide. While CRC screening is already part of organized programs in many countries, there remains a need for improved screening tools. In recent years, a potential approach for cancer diagnosis has emerged via the analysis of volatile organic compounds (VOCs) using sensor technologies. The main goal of this study was to demonstrate and evaluate the diagnostic potential of a table-top breath analyzer for detecting CRC. Breath sampling was conducted and CRC vs. non-cancer groups (105 patients with CRC, 186 non-cancer subjects) were included in analysis. The obtained data were analyzed using supervised machine learning methods (i.e., Random Forest, C4.5, Artificial Neural Network, and Naïve Bayes). Superior accuracy was achieved using Random Forest and Evolutionary Search for Features (79.3%, sensitivity 53.3%, specificity 93.0%, AUC ROC 0.734), and Artificial Neural Networks and Greedy Search for Features (78.2%, sensitivity 43.3%, specificity 96.5%, AUC ROC 0.735). Our results confirm the potential of the developed breath analyzer as a promising tool for identifying and categorizing CRC within a point-of-care clinical context. The combination of MOX sensors provided promising results in distinguishing healthy vs. diseased breath samples. Its capacity for rapid, non-invasive, and targeted CRC detection suggests encouraging prospects for future clinical screening applications.
first_indexed 2024-03-11T11:31:16Z
format Article
id doaj.art-01ee4628f711419287eaefc1bc8bffe8
institution Directory Open Access Journal
issn 2075-4418
language English
last_indexed 2024-03-11T11:31:16Z
publishDate 2023-10-01
publisher MDPI AG
record_format Article
series Diagnostics
spelling doaj.art-01ee4628f711419287eaefc1bc8bffe82023-11-10T15:01:04ZengMDPI AGDiagnostics2075-44182023-10-011321335510.3390/diagnostics13213355The Detection of Colorectal Cancer through Machine Learning-Based Breath Sensor AnalysisInese Poļaka0Linda Mežmale1Linda Anarkulova2Elīna Kononova3Ilona Vilkoite4Viktors Veliks5Anna Marija Ļeščinska6Ilmārs Stonāns7Andrejs Pčolkins8Ivars Tolmanis9Gidi Shani10Hossam Haick11Jan Mitrovics12Johannes Glöckler13Boris Mizaikoff14Mārcis Leja15Institute of Clinical and Preventive Medicine, University of Latvia, LV-1586 Riga, LatviaInstitute of Clinical and Preventive Medicine, University of Latvia, LV-1586 Riga, LatviaInstitute of Clinical and Preventive Medicine, University of Latvia, LV-1586 Riga, LatviaInstitute of Clinical and Preventive Medicine, University of Latvia, LV-1586 Riga, LatviaHealth Centre 4, LV-1012 Riga, LatviaInstitute of Clinical and Preventive Medicine, University of Latvia, LV-1586 Riga, LatviaInstitute of Clinical and Preventive Medicine, University of Latvia, LV-1586 Riga, LatviaInstitute of Clinical and Preventive Medicine, University of Latvia, LV-1586 Riga, LatviaInstitute of Clinical and Preventive Medicine, University of Latvia, LV-1586 Riga, LatviaFaculty of Medicine, Riga Stradins University, LV-1007 Riga, LatviaLaboratory for Nanomaterial-Based Devices, Technion—Israel Institute of Technology, Haifa 3200003, IsraelLaboratory for Nanomaterial-Based Devices, Technion—Israel Institute of Technology, Haifa 3200003, IsraelJLM Innovation GmbH, D-72070 Tübingen, GermanyInstitute of Analytical and Bioanalytical Chemistry, Ulm University, 89081 Ulm, GermanyInstitute of Analytical and Bioanalytical Chemistry, Ulm University, 89081 Ulm, GermanyInstitute of Clinical and Preventive Medicine, University of Latvia, LV-1586 Riga, LatviaColorectal cancer (CRC) is the third most common malignancy and the second most common cause of cancer-related deaths worldwide. While CRC screening is already part of organized programs in many countries, there remains a need for improved screening tools. In recent years, a potential approach for cancer diagnosis has emerged via the analysis of volatile organic compounds (VOCs) using sensor technologies. The main goal of this study was to demonstrate and evaluate the diagnostic potential of a table-top breath analyzer for detecting CRC. Breath sampling was conducted and CRC vs. non-cancer groups (105 patients with CRC, 186 non-cancer subjects) were included in analysis. The obtained data were analyzed using supervised machine learning methods (i.e., Random Forest, C4.5, Artificial Neural Network, and Naïve Bayes). Superior accuracy was achieved using Random Forest and Evolutionary Search for Features (79.3%, sensitivity 53.3%, specificity 93.0%, AUC ROC 0.734), and Artificial Neural Networks and Greedy Search for Features (78.2%, sensitivity 43.3%, specificity 96.5%, AUC ROC 0.735). Our results confirm the potential of the developed breath analyzer as a promising tool for identifying and categorizing CRC within a point-of-care clinical context. The combination of MOX sensors provided promising results in distinguishing healthy vs. diseased breath samples. Its capacity for rapid, non-invasive, and targeted CRC detection suggests encouraging prospects for future clinical screening applications.https://www.mdpi.com/2075-4418/13/21/3355colorectal cancersensorsscreeningbreath analyzervolatile organic compoundsmachine learning
spellingShingle Inese Poļaka
Linda Mežmale
Linda Anarkulova
Elīna Kononova
Ilona Vilkoite
Viktors Veliks
Anna Marija Ļeščinska
Ilmārs Stonāns
Andrejs Pčolkins
Ivars Tolmanis
Gidi Shani
Hossam Haick
Jan Mitrovics
Johannes Glöckler
Boris Mizaikoff
Mārcis Leja
The Detection of Colorectal Cancer through Machine Learning-Based Breath Sensor Analysis
Diagnostics
colorectal cancer
sensors
screening
breath analyzer
volatile organic compounds
machine learning
title The Detection of Colorectal Cancer through Machine Learning-Based Breath Sensor Analysis
title_full The Detection of Colorectal Cancer through Machine Learning-Based Breath Sensor Analysis
title_fullStr The Detection of Colorectal Cancer through Machine Learning-Based Breath Sensor Analysis
title_full_unstemmed The Detection of Colorectal Cancer through Machine Learning-Based Breath Sensor Analysis
title_short The Detection of Colorectal Cancer through Machine Learning-Based Breath Sensor Analysis
title_sort detection of colorectal cancer through machine learning based breath sensor analysis
topic colorectal cancer
sensors
screening
breath analyzer
volatile organic compounds
machine learning
url https://www.mdpi.com/2075-4418/13/21/3355
work_keys_str_mv AT inesepolaka thedetectionofcolorectalcancerthroughmachinelearningbasedbreathsensoranalysis
AT lindamezmale thedetectionofcolorectalcancerthroughmachinelearningbasedbreathsensoranalysis
AT lindaanarkulova thedetectionofcolorectalcancerthroughmachinelearningbasedbreathsensoranalysis
AT elinakononova thedetectionofcolorectalcancerthroughmachinelearningbasedbreathsensoranalysis
AT ilonavilkoite thedetectionofcolorectalcancerthroughmachinelearningbasedbreathsensoranalysis
AT viktorsveliks thedetectionofcolorectalcancerthroughmachinelearningbasedbreathsensoranalysis
AT annamarijalescinska thedetectionofcolorectalcancerthroughmachinelearningbasedbreathsensoranalysis
AT ilmarsstonans thedetectionofcolorectalcancerthroughmachinelearningbasedbreathsensoranalysis
AT andrejspcolkins thedetectionofcolorectalcancerthroughmachinelearningbasedbreathsensoranalysis
AT ivarstolmanis thedetectionofcolorectalcancerthroughmachinelearningbasedbreathsensoranalysis
AT gidishani thedetectionofcolorectalcancerthroughmachinelearningbasedbreathsensoranalysis
AT hossamhaick thedetectionofcolorectalcancerthroughmachinelearningbasedbreathsensoranalysis
AT janmitrovics thedetectionofcolorectalcancerthroughmachinelearningbasedbreathsensoranalysis
AT johannesglockler thedetectionofcolorectalcancerthroughmachinelearningbasedbreathsensoranalysis
AT borismizaikoff thedetectionofcolorectalcancerthroughmachinelearningbasedbreathsensoranalysis
AT marcisleja thedetectionofcolorectalcancerthroughmachinelearningbasedbreathsensoranalysis
AT inesepolaka detectionofcolorectalcancerthroughmachinelearningbasedbreathsensoranalysis
AT lindamezmale detectionofcolorectalcancerthroughmachinelearningbasedbreathsensoranalysis
AT lindaanarkulova detectionofcolorectalcancerthroughmachinelearningbasedbreathsensoranalysis
AT elinakononova detectionofcolorectalcancerthroughmachinelearningbasedbreathsensoranalysis
AT ilonavilkoite detectionofcolorectalcancerthroughmachinelearningbasedbreathsensoranalysis
AT viktorsveliks detectionofcolorectalcancerthroughmachinelearningbasedbreathsensoranalysis
AT annamarijalescinska detectionofcolorectalcancerthroughmachinelearningbasedbreathsensoranalysis
AT ilmarsstonans detectionofcolorectalcancerthroughmachinelearningbasedbreathsensoranalysis
AT andrejspcolkins detectionofcolorectalcancerthroughmachinelearningbasedbreathsensoranalysis
AT ivarstolmanis detectionofcolorectalcancerthroughmachinelearningbasedbreathsensoranalysis
AT gidishani detectionofcolorectalcancerthroughmachinelearningbasedbreathsensoranalysis
AT hossamhaick detectionofcolorectalcancerthroughmachinelearningbasedbreathsensoranalysis
AT janmitrovics detectionofcolorectalcancerthroughmachinelearningbasedbreathsensoranalysis
AT johannesglockler detectionofcolorectalcancerthroughmachinelearningbasedbreathsensoranalysis
AT borismizaikoff detectionofcolorectalcancerthroughmachinelearningbasedbreathsensoranalysis
AT marcisleja detectionofcolorectalcancerthroughmachinelearningbasedbreathsensoranalysis