Background: Effective screening for colorectal cancer can reduce mortality by early detection of tumours and colonic polyps. An altered pattern of volatile organic compounds (VOCs) in exhaled breath has been proposed as a potential non-invasive diagnostic tool for detection of cancer. The aim of this study was to evaluate the reliability of breath-testing for colorectal cancer screening and early diagnosis using an advanced breath sampler. Methods: The exhaled breath of patients with colorectal cancer and non-cancer controls with negative findings on colonoscopy was collected using the ReCIVA ® Breath Sampler. This portable device is able to capture the alveolar breath fraction without environmental contamination. VOCs were desorbed thermally and analysed by gas chromatography-mass spectrometry. The discriminatory ability of VOCs in detecting colorectal cancer was evaluated by receiver operating characteristic (ROC) curve analysis for each VOC, followed by cross-validation by the leave-one-out method, and by applying stepwise logistic regression analysis. Results: The study included 83 patients with colorectal cancer and 90 non-cancer controls. Fourteen VOCs were found to have significant discriminatory ability in detecting patients with colorectal cancer. The model with the diagnosis of cancer versus no cancer resulted in a statistically significant likelihood of discrimination of 173⋅45 (P < 0⋅001), with an area under the ROC curve of 0⋅979. Cross-validation of the model resulted in a true predictive value for colorectal cancer of 93 per cent overall. Reliability of the breath analysis was maintained irrespective of cancer stage. Conclusion: This study demonstrated that analysis of exhaled VOCs can discriminate patients with colorectal cancer from those without. This finding may eventually lead to the creation of a smart online sensory device, capable of providing a binary answer (cancer/no cancer) and directing to further screening.
Carbonaceous materials, in the form of flat graphite slabs and carbon black granules, are surface-modified in radio frequency (RF, 13.56 MHz) glow discharges fed with NH3/O-2 mixtures at different power values, in order to graft oxygen-containing and/or nitrogen-containing chemical groups. In this way, it is possible to adjust the acid/base character of the material surfaces in a predictable way, as a function of the feed composition and of the power. A plasma reactor equipped with a rotating vacuum chamber and internal glass wings is used to keep the granular materials homogeneously stirred and to modify the surface of both graphite slabs and carbon black granules. The chemical modifications have been evaluated using X-ray photoelectron spectroscopy. Water contact angle measurements have been carried out on flat graphite, with water solutions at different pH, in order to study the acid/base character imparted to the functionalized surface. Scanning electron microscopy analysis has been performed to check the effects of plasma treatments on the morphology of the substrates
Fabrics obtained from cellulose spinning were coated with TiO2 film, through the low pressure plasma sputtering technique, in order to get antibacterial activity.
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