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Review

Exhaled Breath Analysis in Diagnosis of Malignant Pleural Mesothelioma: Systematic Review

1
University of Leuven (KU Leuven), Department of Public Health and Primary Care, Centre for Environment and Health, 3000 Leuven, Belgium
2
Ege University, Faculty of Medicine, Department of Pulmonary Medicine, Division of Immunology, Allergy and Asthma, Laboratory of Occupational and Environmental Respiratory Diseases, Bornova, 35100 Izmir, Turkey
3
Ege University, Faculty of Medicine, Department of Pulmonary Medicine, Bornova, 35100 Izmir, Turkey
4
Idewe, External Service for Prevention and Protection at Work, 3001 Heverlee, Belgium
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2020, 17(3), 1110; https://doi.org/10.3390/ijerph17031110
Received: 18 December 2019 / Revised: 30 January 2020 / Accepted: 2 February 2020 / Published: 10 February 2020
(This article belongs to the Special Issue Occupational Cancer: From Early Detection to Prevention)
Malignant pleural mesothelioma (MPM) is mainly related to previous asbestos exposure. There is still dearth of information on non-invasive biomarkers to detect MPM at early stages. Human studies on exhaled breath biomarkers of cancer and asbestos-related diseases show encouraging results. The aim of this systematic review was to provide an overview on the current knowledge about exhaled breath analysis in MPM diagnosis. A systematic review was conducted on MEDLINE (PubMed), EMBASE and Web of Science databases to identify relevant studies. Quality assessment was done by the Newcastle–Ottawa Scale. Six studies were identified, all of which showed fair quality and explored volatile organic compounds (VOC) based breath profile using Gas Chromatography Coupled to Mass Spectrometry (GC–MS), Ion Mobility Spectrometry Coupled to Multi-capillary Columns (IMS–MCC) or pattern-recognition technologies. Sample sizes varied between 39 and 330. Some compounds (i.e, cyclohexane, P3, P5, P50, P71, diethyl ether, limonene, nonanal, VOC IK 1287) that can be indicative of MPM development in asbestos exposed population were identified with high diagnostic accuracy rates. E-nose studies reported breathprints being able to distinguish MPM from asbestos exposed individuals with high sensitivity and a negative predictive value. Small sample sizes and methodological diversities among studies limit the translation of results into clinical practice. More prospective studies with standardized methodologies should be conducted on larger populations. View Full-Text
Keywords: malignant pleural mesothelioma; exhaled breath analysis; volatile organic compounds; exhaled breath condensate malignant pleural mesothelioma; exhaled breath analysis; volatile organic compounds; exhaled breath condensate
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MDPI and ACS Style

Töreyin, Z.N.; Ghosh, M.; Göksel, Ö.; Göksel, T.; Godderis, L. Exhaled Breath Analysis in Diagnosis of Malignant Pleural Mesothelioma: Systematic Review. Int. J. Environ. Res. Public Health 2020, 17, 1110. https://doi.org/10.3390/ijerph17031110

AMA Style

Töreyin ZN, Ghosh M, Göksel Ö, Göksel T, Godderis L. Exhaled Breath Analysis in Diagnosis of Malignant Pleural Mesothelioma: Systematic Review. International Journal of Environmental Research and Public Health. 2020; 17(3):1110. https://doi.org/10.3390/ijerph17031110

Chicago/Turabian Style

Töreyin, Zehra N., Manosij Ghosh, Özlem Göksel, Tuncay Göksel, and Lode Godderis. 2020. "Exhaled Breath Analysis in Diagnosis of Malignant Pleural Mesothelioma: Systematic Review" International Journal of Environmental Research and Public Health 17, no. 3: 1110. https://doi.org/10.3390/ijerph17031110

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