CT scans to check long-time smokers for early lung cancer are becoming more common. Now, an experimental test may help determine whether lung nodules detected by those scans are malignant or not, researchers say in a Medicinenet report.
The test, which checks sputum (respiratory mucus) for chemical signals of lung cancer, was able to distinguish early stage lung cancer from noncancerous nodules most of the time, according to the findings.
"We are facing a tremendous rise in the number of lung nodules identified because of the increasing implementation of the low-dose CT lung cancer screening program," Dr Feng Jiang, associate professor, department of pathology, University of Maryland School of Medicine, explained. "However, this screening approach has been shown to have a high false-positive rate," he added. "Therefore, a major challenge is the lack of non-invasive and accurate approaches for preoperative diagnosis of malignant nodules." Testing a patient's sputum for a group of three genetic signals – called microRNA (miRNA) biomarkers – may help overcome this problem, Jiang said.
Jiang and his colleagues first tried the test in 122 people who were found to have a lung nodule after they underwent a chest CT scan. The sputum test was nearly 83% accurate in identifying lung cancer, the study found, and nearly 88% in correctly identifying when a lung nodule was not cancerous. In two other groups of patients tested, the rates were about 82% and 88%, and 80% and 86%, respectively.
However, those results are still not high enough for the panel to be used for diagnosing patients, so more work must be done to boost accuracy, the researchers said. "We are now applying new technologies to identify additional miRNA sputum biomarkers of lung cancer with the goal of expanding our biomarker panel to generate a test with high efficiency that can be practically used in clinical settings for lung cancer early detection," Jiang said.
[link url="http://www.medicinenet.com/script/main/art.asp?articlekey=186313"]Full Medicinenet report[/link]
[link url="http://clincancerres.aacrjournals.org/content/21/2/484.abstract?sid=a3c4ff2a-4feb-49c4-a8d7-9b3fae1a9dcc"]Clinical Cancer Research abstract[/link]