Journal: iScience
Article Title: Multi-analyte approach combining cfDNA sequencing and protein testing for early ovarian cancer detection
doi: 10.1016/j.isci.2025.112617
Figure Lengend Snippet: Performance comparison among the three combination tests (A) Receiver operator characteristic (ROC) curves for the ROMA, CA125+ctDNA, and EarlySEEK tests determined using the validation dataset. (B) Comparison of sensitivity, specificity, and accuracy between the ROMA model and the two combined biomarkers in different datasets. The cutoff values for the ROMA model in the premenopausal and postmenopausal populations were 11.4 and 29.9, respectively. The Youden Index was used to determine the threshold for the CA125+ctDNA and EarlySEEK and models. (C) Venn diagram showing the number and proportion of patients with OC identified based on the ROMA, CA125+ctDNA, and EarlySEEK tests at 95% and 98% specificity. (D) Overall sensitivities of the ROMA, CA125+ctDNA, and EarlySEEK combination tests at 95% and 98% specificity in the entire cohort. (E) Sensitivities of the ROMA, CA125+ctDNA, and EarlySEEK models stratified by tumor stage at 95% and 98% specificity. (F) Sensitivities of the ROMA, CA125+ctDNA, and EarlySEEK models at 95% and 98% specificity in different tumor types and at different tumor stages. (G) Identification of different indicators in patients with OC who tested negative for CA125 (<35 U/mL) at 95% specificity. The black lines indicate the 95% confidence intervals for sensitivity. ∗ p < 0.05; ∗∗ p < 0.01; ∗∗∗ p < 0.001. Groups with statistical differences are labeled.
Article Snippet: Moreover, the detection rate of early-stage OC (stage I and II) appeared to be higher in EOC groups than in non-EOC group for almost all the indicators; however, only CA125 showed a statistically significant difference (Chi-squared test, p = 0.03).
Techniques: Comparison, Biomarker Discovery, Labeling