Proteomic patterns in biological fluids: do they represent the future of cancer diagnostics?

EP Diamandis - Clinical Chemistry, 2003 - academic.oup.com
Clinical Chemistry, 2003academic.oup.com
Writing on the future of cancer diagnostics, this author has predicted that multiparametric
biomarker analysis, in combination with artificial neural networks and pattern recognition,
will likely represent one of the most promising methodologies for diagnosing and monitoring
cancer (1, 2). Over the last few years, we have witnessed publication of many reports
dealing with proteomic patterns in biological fluids, and especially serum, by using the so-
called “SELDI-TOF” technique (surface-enhanced laser desorption/ionization time-of-flight …
Writing on the future of cancer diagnostics, this author has predicted that multiparametric biomarker analysis, in combination with artificial neural networks and pattern recognition, will likely represent one of the most promising methodologies for diagnosing and monitoring cancer (1, 2). Over the last few years, we have witnessed publication of many reports dealing with proteomic patterns in biological fluids, and especially serum, by using the so-called “SELDI-TOF” technique (surface-enhanced laser desorption/ionization time-of-flight mass spectrometry), in combination with artificial intelligence (3–7). The reported sensitivities and specificities of this method for ovarian, prostate, and breast cancer diagnosis are clearly impressive, and they are superior to the sensitivities and specificities obtained with current serologic cancer biomarkers (8–12). In particular, these techniques appear to detect early as well as advanced disease with similar efficiency, making them candidate tools for cancer screening, an application that is not currently recommended, by utilizing the classical cancer biomarkers, eg, CA125, carcinoembryonic antigen (CEA), and α-fetoprotein (AFP)
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