Abstract

We integrated untargeted serum metabolomics using high-resolution mass spectrometry with data analysis using machine learning algorithms to accurately detect early stages of the women specific cancers of breast, endometrium, cervix, and ovary across diverse age-groups and ethnicities. A two-step approach was employed wherein cancer-positive samples were first identified as a group. A second multi-class algorithm then helped to distinguish between the individual cancers of the group. The approach yielded high detection sensitivity and specificity, highlighting its utility for the development of multi-cancer detection tests especially for early-stage cancers.

Highlights

  • We integrated untargeted serum metabolomics using high-resolution mass spectrometry with data analysis using machine learning algorithms to accurately detect early stages of the women specific cancers of breast, endometrium, cervix, and ovary across diverse age-groups and ethnicities

  • Endometrial cancer accounts for about 5% and 2% of global cancer incidence and mortality among w

  • We describe an integrated method for the simultaneous detection of early stages of the four most prominent women-specific cancers

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Summary

Introduction

We integrated untargeted serum metabolomics using high-resolution mass spectrometry with data analysis using machine learning algorithms to accurately detect early stages of the women specific cancers of breast, endometrium, cervix, and ovary across diverse age-groups and ethnicities. The approach yielded high detection sensitivity and specificity, highlighting its utility for the development of multi-cancer detection tests especially for early-stage cancers. Cancer is the second most important cause of death, with about 7 million new cases, and over 3.5 million deaths, being recorded each y­ ear. Breast cancer is the most frequently diagnosed and accounts for 25% of cancer cases, along with 15% of cancer-related deaths among women across the ­world. Cervical cancer is the fourth most frequently diagnosed cancer in women, with an estimate of over 500,000 cases w. Endometrial cancer accounts for about 5% and 2% of global cancer incidence and mortality among w

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