Using infrared spectroscopy to analyze breath of patients diagnosed with breast cancer.

e13579 Background: Population-level screening programs aimed at early detection and treatment of breast cancer saves lives. Analyzing breath using infrared spectroscopy offers a highly sensitive, non-invasive, and cost-effective mechanism for identifying exhaled volatile organic chemicals, and it is hypothesized that it may identify differences in the “breathprint” of women with breast cancer relative to those without a breast cancer diagnosis. Methods: Alveolar breath samples (10 L) were collected using a Breathe BioMedical alveolar breath sampler onto Tenax TA sorbent tubes. Corresponding room air samples (10 L) were collected in the same manner. Absorption spectra of the samples at a desorb temperature of 75 °C were measured by infrared cavity ring-down spectroscopy (IR-CRDS), a highly sensitive method of measuring absorption coefficients due to trace volatile organic compounds (VOCs) present in exhaled breath. After subtracting room air absorption and ordering each measured spectrum by increasing wavelength, missing values were imputed using spline interpolation. The absorption spectra were then normalized using one of four techniques: min-max, vector, peak or standard normal variate normalization. The first derivatives of the normalized absorption coefficients (187 values in total) were then used as features for discriminating samples from subjects with breast cancer and controls. The most useful features were selected based on minimum redundancy and maximum relevance (mRMR) and were used to train a linear support vector machine (SVM) classifier. Performance of classification models was estimated based on two data splitting configurations, non-nested leave-one-out cross-validation (LOOCV) and nested LOOCV. These approaches provide upper and lower bounds of expected model performance. Classification performance was used for tuning the number of features included in each model. Results: The analysis of this study is based on the spectra obtained from 70 participants (38 breast cancer and 32 controls), collected at the Saint John Regional Hospital in New Brunswick, Canada. Table below shows the non-nested and nested performance characteristics of classifiers with the best performing normalization technique. The number of features given for the nested model is not an integer as it indicates an average across the cross-validation folds. Conclusions: These results suggest that the classification of alveolar breath using IR-CRDS is a promising technique for the detection of breast cancer. Performance of classification models. AUC is the area under the receiver operator characteristics curve.[Table: see text]