Impact of breast density on classification of infrared spectroscopy for breath-based breast cancer screening.

Authors

null

Farah Naz

Horizon Health Network–Saint John Regional Hospital, Saint John, NB, Canada

Farah Naz , Amy Grace Groom , MD Mohiuddin , Arpita Sengupta , Margot J. Burnell , Trisha Daigle-Maloney , James Charles Roger Michael , Stephen Graham , Gisia Beydaghyan , Christian Bailey Morrell , Robyn Larracy , Erik Scheme

Organizations

Horizon Health Network–Saint John Regional Hospital, Saint John, NB, Canada, Horizon Health Network, Saint John, NB, Canada, St. John Regional Hospital, Saint John, NB, Canada, Saint John Regional Hospital, Saint John, NB, Canada, Breathe BioMedical, Moncton, NB, Canada, University of New Brunswick, Fredericton, NB, Canada

Research Funding

Other Foundation
New Brunswick Health Research Foundation, Breathe BioMedical

Background: While mammography is currently the standard of care for breast cancer screening, dense breast tissue can significantly degrade results. Alternatively, infrared spectroscopy analysis of breath offers a highly sensitive method for identifying exhaled volatile organic compounds (VOCs), which may circumvent issues with breast density. Methods: Alveolar breath samples were collected onto Tenax TA sorbent tubes using a SohnoXB™ breath sampler. Using four desorb temperatures (75, 150, 225 and 300°C), absorption spectra were measured by infrared cavity ring-down spectroscopy (IR-CRDS), a technique for measuring absorption coefficients due to VOCs in exhaled breath. Missing values in the absorption spectra were backfilled using interpolation, and the spectrum was min-max normalized and quadratic detrended. First and second derivatives of the preprocessed absorption spectra were used as features for a support vector machine machine-learning model. Features were ranked based on minimum redundancy maximum relevance (mRMR). The top 20 ranked features were selected to limit the potential for overfitting and then optimized. Model performance was validated using non-nested leave-one-out cross-validation (LOOCV) and nested LOOCV to provide optimistic and pessimistic results, respectively. Results: Absorption spectra from 111 participants (71 positive, 40 control) were used. Of the positive subjects, 30 had low- and 31 had high-density breast tissue (measures missing for 10). Model performance is outlined. A subgroup analysis compared model performance for subjects with low- and high-density breast tissue for both non-nested and nested LOOCV models. Breast density data was not captured for control subjects thus they were not included in the subgroup analysis. Fisher’s exact test was performed to assess for significant difference between model performance for those with low- vs high-density breast tissue, resulting in a p-value of 1.00. Conclusions: Our results suggest that the classification of alveolar breath using IR-CRDS is a promising technique for the detection of breast cancer that is independent of breast density. Breath analysis may therefore become a new alternative or corroborative to mammography to support clinical decision-making.

Evaluation
LOOCV
Accuracy (Sensitivity, Specificity) (%)AUCLow-Density Sensitivity (%)High-Density Sensitivity (%)
Non-nested88.2 (92.9, 80.0)0.87190.093.5
Nested81.9 (90.1, 67.5)0.79886.690.3

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Abstract Details

Meeting

2023 ASCO Annual Meeting

Session Type

Publication Only

Session Title

Publication Only: Care Delivery and Regulatory Policy

Track

Care Delivery and Quality Care

Sub Track

Clinical Informatics/Advanced Algorithms/Machine Learning

Citation

J Clin Oncol 41, 2023 (suppl 16; abstr e13558)

DOI

10.1200/JCO.2023.41.16_suppl.e13558

Abstract #

e13558

Abstract Disclosures

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