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Diagnostic markers for early detection of ovarian cancer.

Diagnostic markers for early detection of ovarian cancer. Research Abstract Details 

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  • Diagnostic markers for early detection of ovarian cancer. Abstract Text:

    irene visintinIrene Visintin,ziding fengZiding Feng,gary longtonGary Longton,david c wardDavid C Ward,ayesha b alveroAyesha B Alvero,yinglei laiYinglei Lai,jeannette tenthoreyJeannette Tenthorey,aliza leiserAliza Leiser,ruben flores-saaibRuben Flores-Saaib,herbert yuHerbert Yu,masoud azoriMasoud Azori,thomas rutherfordThomas Rutherford,peter e schwartzPeter E Schwartz,gil morGil Mor,

    PURPOSE: Early detection would significantly decrease the mortality rate of ovarian cancer. In this study, we characterize and validate the combination of six serum biomarkers that discriminate between disease-free and ovarian cancer patients with high efficiency. EXPERIMENTAL DESIGN: We analyzed 362 healthy controls and 156 newly diagnosed ovarian cancer patients. Concentrations of leptin, prolactin, osteopontin, insulin-like growth factor II, macrophage inhibitory factor, and CA-125 were determined using a multiplex, bead-based, immunoassay system. All six markers were evaluated in a training set (181 samples from the control group and 113 samples from OC patients) and a test set (181 sample control group and 43 ovarian cancer). RESULTS: Multiplex and ELISA exhibited the same pattern of expression for all the biomarkers. None of the biomarkers by themselves were good enough to differentiate healthy versus cancer cells. However, the combination of the six markers provided a better differentiation than CA-125. Four models with <2% classification error in training sets all had significant improvement (sensitivity 84%-98% at specificity 95%) over CA-125 (sensitivity 72% at specificity 95%) in the test set. The chosen model correctly classified 221 out of 224 specimens in the test set, with a classification accuracy of 98.7%. CONCLUSIONS: We describe the first blood biomarker test with a sensitivity of 95.3% and a specificity of 99.4% for the detection of ovarian cancer. Six markers provided a significant improvement over CA-125 alone for ovarian cancer detection. Validation was performed with a blinded cohort. This novel multiplex platform has the potential for efficient screening in patients who are at high risk for ovarian cancer.

    Diagnostic markers for early detection of ovarian cancer. Publishing Authors By Initials

    i visintinI Visintin,z fengZ Feng,g longtonG Longton,dc wardDC Ward,ab alveroAB Alvero,y laiY Lai,j tenthoreyJ Tenthorey,a leiserA Leiser,r flores-saaibR Flores-Saaib,h yuH Yu,m azoriM Azori,t rutherfordT Rutherford,pe schwartzPE Schwartz,g morG Mor,

    For similar abstracts research abstracts see: abstracts research

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    Diagnostic markers for early detection of ovarian cancer. Journal Published:

    PUBLICATION TYPE: Journal Article

    Journal: Clinical cancer research : an official journal of

    VOLUME: 14

    Page Numbers: 1065-72

    Journal Abbreviation: Clin. Cancer Res.

    ISSN: 1078-0432

    DAY: 7

    MONTH: 02

    YEAR: 2008

    Diagnostic markers for early detection of ovarian cancer. Information

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    LANGUAGE: eng

    NlmUniqueID: 9502500

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    Grant and Affiliation Information for Diagnostic markers for early detection of ovarian cancer.

    AFFILIATION: Authors' Affiliations: Departments of Obstetrics and Gynecology and Reproductive Science, Yale University School of Medicine, New Haven, Connecticut.

    Country: United States

    United States Research PublicationUnited States Research Publication

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    MEDLINETA: Clin Cancer Res

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