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Detecting colorectal cancer by 1 H magnetic resonance spectroscopy of fecal extracts
Author(s) -
Bezabeh T.,
Somorjai R.,
Dolenko B.,
Bryski.,
Levin B.,
Bernstein C. N.,
Jeyarajah E.,
Steinhart A. H.,
Rubin D. T.,
Smith I. C. P.
Publication year - 2009
Publication title -
nmr in biomedicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.278
H-Index - 114
eISSN - 1099-1492
pISSN - 0952-3480
DOI - 10.1002/nbm.1372
Subject(s) - colorectal cancer , magnetic resonance imaging , colonoscopy , multivariate analysis , spectroscopy , feces , medicine , artificial intelligence , cancer , computer science , biology , radiology , physics , paleontology , quantum mechanics
Colorectal cancer is one of the most common cancers in the western world. Its early detection has been found to improve the prognosis of the patient, providing a wide window of opportunity for successful therapeutic interventions. However, current diagnostic techniques all have some limitations; there is a need to develop a better technique for routine screening purposes. We present a new methodology based on magnetic resonance spectroscopy of fecal extracts for the non‐invasive detection of colorectal cancer. Five hundred twenty‐three human subjects (412 with no colonic neoplasia and 111 with colorectal cancer, who were scheduled for colonoscopy or surgery) were recruited to donate a single sample of stool. One‐dimensional 1 H magnetic resonance spectroscopy (MRS) experiments were performed on the supernatant of aqueous dispersions of the stool samples. Using a statistical classification strategy, several multivariate classifiers were developed. Applying the preprocessing, feature selection and classifier development stages of the Statistical Classification Strategy led to ∼87% average balanced sensitivity and specificity for both training and monitoring sets, improving to ∼92% when only crisp results, i.e. class assignment probabilities ≥75%, are considered. These results indicate that 1 H magnetic resonance spectroscopy of human fecal extracts, combined with appropriate data analysis methodology, has the potential to detect colorectal neoplasia accurately and reliably, and could be a useful addition to the current screening tools. Copyright © 2009 John Wiley & Sons, Ltd.