
doi: 10.1002/ijc.34981
pmid: 38769763
AbstractOvarian cancer (OC) is a major cause of cancer mortality in women worldwide. Due to the occult onset of OC, its nonspecific clinical symptoms in the early phase, and a lack of effective early diagnostic tools, most OC patients are diagnosed at an advanced stage. In this study, shallow whole‐genome sequencing was utilized to characterize fragmentomics features of circulating tumor DNA (ctDNA) in OC patients. By applying a machine learning model, multiclass fragmentomics data achieved a mean area under the curve (AUC) of 0.97 (95% CI 0.962–0.976) for diagnosing OC. OC scores derived from this model strongly correlated with the disease stage. Further comparative analysis of OC scores illustrated that the fragmentomics‐based technology provided additional clinical benefits over the traditional serum biomarkers cancer antigen 125 (CA125) and the Risk of Ovarian Malignancy Algorithm (ROMA) index. In conclusion, fragmentomics features in ctDNA are potential biomarkers for the accurate diagnosis of OC.
Ovarian Neoplasms, Adult, Whole Genome Sequencing, Middle Aged, Circulating Tumor DNA, Machine Learning, CA-125 Antigen, Area Under Curve, Biomarkers, Tumor, Humans, Female, Algorithms, Aged
Ovarian Neoplasms, Adult, Whole Genome Sequencing, Middle Aged, Circulating Tumor DNA, Machine Learning, CA-125 Antigen, Area Under Curve, Biomarkers, Tumor, Humans, Female, Algorithms, Aged
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