Non-invasive screening of breast cancer from fingertip smears—a proof of concept study

Abstract Breast cancer is a global health issue affecting 2.3 million women per year, causing death in over 600,000. Mammography (and biopsy) is the gold standard for screening and diagnosis. Whilst effective, this test exposes individuals to radiation, has limitations to its sensitivity and specifi...

Full description

Bibliographic Details
Main Authors: C. Russo, L. Wyld, M. Da Costa Aubreu, C. S. Bury, C. Heaton, L. M. Cole, S. Francese
Format: Article
Language:English
Published: Nature Portfolio 2023-02-01
Series:Scientific Reports
Online Access:https://doi.org/10.1038/s41598-023-29036-7
_version_ 1811171795024216064
author C. Russo
L. Wyld
M. Da Costa Aubreu
C. S. Bury
C. Heaton
L. M. Cole
S. Francese
author_facet C. Russo
L. Wyld
M. Da Costa Aubreu
C. S. Bury
C. Heaton
L. M. Cole
S. Francese
author_sort C. Russo
collection DOAJ
description Abstract Breast cancer is a global health issue affecting 2.3 million women per year, causing death in over 600,000. Mammography (and biopsy) is the gold standard for screening and diagnosis. Whilst effective, this test exposes individuals to radiation, has limitations to its sensitivity and specificity and may cause moderate to severe discomfort. Some women may also find this test culturally unacceptable. This proof-of-concept study, combining bottom-up proteomics with Matrix Assisted Laser Desorption Ionisation Mass Spectrometry (MALDI MS) detection, explores the potential for a non-invasive technique for the early detection of breast cancer from fingertip smears. A cohort of 15 women with either benign breast disease (n = 5), early breast cancer (n = 5) or metastatic breast cancer (n = 5) were recruited from a single UK breast unit. Fingertips smears were taken from each patient and from each of the ten digits, either at the time of diagnosis or, for metastatic patients, during active treatment. A number of statistical analyses and machine learning approaches were investigated and applied to the resulting mass spectral dataset. The highest performing predictive method, a 3-class Multilayer Perceptron neural network, yielded an accuracy score of 97.8% when categorising unseen MALDI MS spectra as either the benign, early or metastatic cancer classes. These findings support the need for further research into the use of sweat deposits (in the form of fingertip smears or fingerprints) for non-invasive screening of breast cancer.
first_indexed 2024-04-10T17:20:03Z
format Article
id doaj.art-fe83d683e4814c649a2b047964043201
institution Directory Open Access Journal
issn 2045-2322
language English
last_indexed 2024-04-10T17:20:03Z
publishDate 2023-02-01
publisher Nature Portfolio
record_format Article
series Scientific Reports
spelling doaj.art-fe83d683e4814c649a2b0479640432012023-02-05T12:11:07ZengNature PortfolioScientific Reports2045-23222023-02-0113111510.1038/s41598-023-29036-7Non-invasive screening of breast cancer from fingertip smears—a proof of concept studyC. Russo0L. Wyld1M. Da Costa Aubreu2C. S. Bury3C. Heaton4L. M. Cole5S. Francese6Centre for Mass Spectrometry Imaging, Biomolecular Sciences Research Centre, Sheffield Hallam UniversityDepartment of Oncology and Metabolism, University of SheffieldDepartment of Computing, Materials Engineering Research Centre, Sheffield Hallam UniversityMedicine Catapult DiscoveryCentre for Mass Spectrometry Imaging, Biomolecular Sciences Research Centre, Sheffield Hallam UniversityCentre for Mass Spectrometry Imaging, Biomolecular Sciences Research Centre, Sheffield Hallam UniversityCentre for Mass Spectrometry Imaging, Biomolecular Sciences Research Centre, Sheffield Hallam UniversityAbstract Breast cancer is a global health issue affecting 2.3 million women per year, causing death in over 600,000. Mammography (and biopsy) is the gold standard for screening and diagnosis. Whilst effective, this test exposes individuals to radiation, has limitations to its sensitivity and specificity and may cause moderate to severe discomfort. Some women may also find this test culturally unacceptable. This proof-of-concept study, combining bottom-up proteomics with Matrix Assisted Laser Desorption Ionisation Mass Spectrometry (MALDI MS) detection, explores the potential for a non-invasive technique for the early detection of breast cancer from fingertip smears. A cohort of 15 women with either benign breast disease (n = 5), early breast cancer (n = 5) or metastatic breast cancer (n = 5) were recruited from a single UK breast unit. Fingertips smears were taken from each patient and from each of the ten digits, either at the time of diagnosis or, for metastatic patients, during active treatment. A number of statistical analyses and machine learning approaches were investigated and applied to the resulting mass spectral dataset. The highest performing predictive method, a 3-class Multilayer Perceptron neural network, yielded an accuracy score of 97.8% when categorising unseen MALDI MS spectra as either the benign, early or metastatic cancer classes. These findings support the need for further research into the use of sweat deposits (in the form of fingertip smears or fingerprints) for non-invasive screening of breast cancer.https://doi.org/10.1038/s41598-023-29036-7
spellingShingle C. Russo
L. Wyld
M. Da Costa Aubreu
C. S. Bury
C. Heaton
L. M. Cole
S. Francese
Non-invasive screening of breast cancer from fingertip smears—a proof of concept study
Scientific Reports
title Non-invasive screening of breast cancer from fingertip smears—a proof of concept study
title_full Non-invasive screening of breast cancer from fingertip smears—a proof of concept study
title_fullStr Non-invasive screening of breast cancer from fingertip smears—a proof of concept study
title_full_unstemmed Non-invasive screening of breast cancer from fingertip smears—a proof of concept study
title_short Non-invasive screening of breast cancer from fingertip smears—a proof of concept study
title_sort non invasive screening of breast cancer from fingertip smears a proof of concept study
url https://doi.org/10.1038/s41598-023-29036-7
work_keys_str_mv AT crusso noninvasivescreeningofbreastcancerfromfingertipsmearsaproofofconceptstudy
AT lwyld noninvasivescreeningofbreastcancerfromfingertipsmearsaproofofconceptstudy
AT mdacostaaubreu noninvasivescreeningofbreastcancerfromfingertipsmearsaproofofconceptstudy
AT csbury noninvasivescreeningofbreastcancerfromfingertipsmearsaproofofconceptstudy
AT cheaton noninvasivescreeningofbreastcancerfromfingertipsmearsaproofofconceptstudy
AT lmcole noninvasivescreeningofbreastcancerfromfingertipsmearsaproofofconceptstudy
AT sfrancese noninvasivescreeningofbreastcancerfromfingertipsmearsaproofofconceptstudy