New York, NY, May 1, 2014 We may soon be able to make easy and early diagnoses of prostate cancer by smell. Investigators in Finland have established that a novel noninvasive technique can detect prostate cancer using an electronic nose. In a proof of principle study, the eNose successfully discriminated between prostate cancer and benign prostatic hyperplasia (BPH) by "sniffing" urine headspace (the space directly above the urine sample). Results using the eNose are comparable to testing prostate specific antigen (PSA), reports the Journal of Urology.
Prostate cancer is the second most common cancer in males and one of the leading causes of cancer death. The heterogeneity of prostate cancer makes it difficult to diagnose and predict tumor progression. Both of the current cornerstones of diagnosis, i.e. digital rectal examination (DRE) and PSA have limitations, while ultrasound guided biopsies are costly, uncomfortable for the patient, and have a risk of infection. Additionally, significant numbers of diagnosed prostate cancers are of low grade and will not cause symptoms or disease-specific mortality. Therefore, aggressive treatment can lead to decreased quality of life without extending the patient's life. Thus, there is a need for novel diagnostic tools.
In the 1980s incidental reports of dogs that detected cancer in their owners sparked a number of experimental studies that have since confirmed that trained sniffer dogs can detect cancer. However, variations in the performance of dogs during and between studies have meant that these findings are of limited application. A more promising development is the growth of sensor technology (generally referred to as artificial olfaction) that has led to the invention of numerous new types of olfactory electronic sensors.
eNoses are best suited for qualitative analysis of complex gaseous mixtures of molecules, and are routinely used in food and agricultural quality control and milit
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Elsevier Health Sciences