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J Urol


Title:Olfactory system of highly trained dogs detects prostate cancer in urine samples
Author(s):Taverna G; Tidu L; Grizzi F; Torri V; Mandressi A; Sardella P; La Torre G; Cocciolone G; Seveso M; Giusti G; Hurle R; Santoro A; Graziotti P;
Address:"Humanitas Clinical and Research Center, Rozzano, Milan, Italy. Electronic address: gianluigi.taverna@humanitas.it. Italian Ministry of Defense Military Veterinary Center, Grosseto, Milan, Italy. Humanitas Clinical and Research Center, Rozzano, Milan, Italy. Istituto di Ricovero e Cura a Carattere Scientifico, Istituto di Ricerche Farmacologiche Mario Negri, Milan, Italy"
Journal Title:J Urol
Year:2015
Volume:20140928
Issue:4
Page Number:1382 - 1387
DOI: 10.1016/j.juro.2014.09.099
ISSN/ISBN:1527-3792 (Electronic) 0022-5347 (Linking)
Abstract:"PURPOSE: We established diagnostic accuracy in terms of the sensitivity and specificity with which a rigorously trained canine olfactory system could recognize specific volatile organic compounds of prostate cancer in urine samples. MATERIALS AND METHODS: Two 3-year-old female German Shepherd Explosion Detection Dogs were trained to identify prostate cancer specific volatile organic compounds in urine samples. They were tested on 362 patients with prostate cancer (range low risk to metastatic) and on 540 healthy controls with no nonneoplastic disease or nonprostatic tumor. This cross-sectional design for diagnostic accuracy was performed at a single Italian teaching hospital and at the Italian Ministry of Defense Military Veterinary Center. RESULTS: For dog 1 sensitivity was 100% (95% CI 99.0-100.0) and specificity was 98.7% (95% CI 97.3-99.5). For dog 2 sensitivity was 98.6% (95% CI 96.8-99.6) and specificity was 97.6% (95% CI 95.9-98.7). When considering only men older than 45 years in the control group, dog 1 achieved 100% sensitivity and 98% specificity (95% CI 96-99.2), and dog 2 achieved 98.6% sensitivity (95% CI 96.8-99.6) and 96.4% specificity (95% CI 93.9-98.1). Analysis of false-positive cases revealed no consistent pattern in participant demographics or tumor characteristics. CONCLUSIONS: A trained canine olfactory system can detect prostate cancer specific volatile organic compounds in urine samples with high estimated sensitivity and specificity. Further studies are needed to investigate the potential predictive value of this procedure to identify prostate cancer"
Keywords:"Aged Aged, 80 and over Animals Cross-Sectional Studies Dogs/*physiology Female Humans Male Middle Aged Prostatic Neoplasms/*diagnosis/*urine Sensitivity and Specificity *Smell Volatile Organic Compounds/*urine diagnosis dogs olfactory perception prostatic;"
Notes:"MedlineTaverna, Gianluigi Tidu, Lorenzo Grizzi, Fabio Torri, Valter Mandressi, Alberto Sardella, Paolo La Torre, Giuseppe Cocciolone, Giampiero Seveso, Mauro Giusti, Guido Hurle, Rodolfo Santoro, Armando Graziotti, Pierpaolo eng Evaluation Study 2014/09/30 J Urol. 2015 Apr; 193(4):1382-7. doi: 10.1016/j.juro.2014.09.099. Epub 2014 Sep 28"

 
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