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An Extracellular Vesicle Protein-Based Machine Learning Framework for Early Detection of Oesophageal Squamous Cell Carcinoma: A Multicentre, Prospective Study - PubMed

4 hours ago
  • #biomarkers
  • #liquid biopsy
  • #early detection
  • Developed a blood test using extracellular vesicle (EV) proteins for early detection of oesophageal squamous cell carcinoma (ESCC).
  • Created BarFlare, a high-sensitivity platform for serum EV protein analysis, identifying novel biomarkers SCC and MMP13.
  • Integrated biomarkers with clinical factors into a machine-learning framework (MCF) for accurate ESCC detection.
  • Validated the MCF model in multicentre diagnostic cohorts (n=1018), achieving high AUC scores (0.901-0.987).
  • Detected ESCC in preclinical stages with a median lead time of 34.9 months before clinical diagnosis.
  • Demonstrated superior performance over traditional serum SCC for risk stratification.
  • Provides a non-invasive tool for risk-stratified screening and early intervention.