For optimal pancreatic cancer treatment, early and accurate diagnosis is vital. Blood-derived biomarkers and genetic predispositions can contribute to early diagnosis, but they often have limited accuracy or applicability. Here, we seek to exploit the synergy between them by combining the biomarker CA19-9 with RNA-based variants. We use deep sequencing and deep learning to improve differentiating pancreatic cancer and chronic pancreatitis. We obtained samples of nucleated cells found in peripheral blood from 268 patients suffering from resectable, non-resectable pancreatic cancer, and chronic pancreatitis. We sequenced RNA with high coverage and obtained millions of variants. The high-quality variants served as input together with CA19-9 values to deep learning models. Our model achieved an area under the curve (AUC) of 96\% in differentiating resectable cancer from pancreatitis using a test cohort. Moreover, we identified variants to estimate survival in resectable cancer. We show that the blood transcriptome harbours variants, which can substantially improve noninvasive clinical diagnosis.
%0 Journal Article
%1 Al-Fatlawi2021-no
%A Al-Fatlawi, Ali
%A Malekian, Negin
%A Garc\'ıa, Sebastián
%A Henschel, Andreas
%A Kim, Ilwook
%A Dahl, Andreas
%A Jahnke, Beatrix
%A Bailey, Peter
%A Bolz, Sarah Naomi
%A Poetsch, Anna R
%A Mahler, Sandra
%A Grützmann, Robert
%A Pilarsky, Christian
%A Schroeder, Michael
%D 2021
%I MDPI AG
%J Cancers (Basel)
%K association cancer; chronic deep learning; pancreatic pancreatitis; study topic_lifescience transcriptome-wide
%N 11
%P 2654
%T Deep learning improves pancreatic cancer diagnosis using RNA-based variants
%V 13
%X For optimal pancreatic cancer treatment, early and accurate diagnosis is vital. Blood-derived biomarkers and genetic predispositions can contribute to early diagnosis, but they often have limited accuracy or applicability. Here, we seek to exploit the synergy between them by combining the biomarker CA19-9 with RNA-based variants. We use deep sequencing and deep learning to improve differentiating pancreatic cancer and chronic pancreatitis. We obtained samples of nucleated cells found in peripheral blood from 268 patients suffering from resectable, non-resectable pancreatic cancer, and chronic pancreatitis. We sequenced RNA with high coverage and obtained millions of variants. The high-quality variants served as input together with CA19-9 values to deep learning models. Our model achieved an area under the curve (AUC) of 96\% in differentiating resectable cancer from pancreatitis using a test cohort. Moreover, we identified variants to estimate survival in resectable cancer. We show that the blood transcriptome harbours variants, which can substantially improve noninvasive clinical diagnosis.
@article{Al-Fatlawi2021-no,
abstract = {For optimal pancreatic cancer treatment, early and accurate diagnosis is vital. Blood-derived biomarkers and genetic predispositions can contribute to early diagnosis, but they often have limited accuracy or applicability. Here, we seek to exploit the synergy between them by combining the biomarker CA19-9 with RNA-based variants. We use deep sequencing and deep learning to improve differentiating pancreatic cancer and chronic pancreatitis. We obtained samples of nucleated cells found in peripheral blood from 268 patients suffering from resectable, non-resectable pancreatic cancer, and chronic pancreatitis. We sequenced RNA with high coverage and obtained millions of variants. The high-quality variants served as input together with CA19-9 values to deep learning models. Our model achieved an area under the curve (AUC) of 96\% in differentiating resectable cancer from pancreatitis using a test cohort. Moreover, we identified variants to estimate survival in resectable cancer. We show that the blood transcriptome harbours variants, which can substantially improve noninvasive clinical diagnosis.},
added-at = {2024-09-10T11:54:51.000+0200},
author = {Al-Fatlawi, Ali and Malekian, Negin and Garc{\'\i}a, Sebasti{\'a}n and Henschel, Andreas and Kim, Ilwook and Dahl, Andreas and Jahnke, Beatrix and Bailey, Peter and Bolz, Sarah Naomi and Poetsch, Anna R and Mahler, Sandra and Gr{\"u}tzmann, Robert and Pilarsky, Christian and Schroeder, Michael},
biburl = {https://puma.scadsai.uni-leipzig.de/bibtex/2c4048e8479d89435af2a33e7a125576f/scadsfct},
copyright = {https://creativecommons.org/licenses/by/4.0/},
interhash = {f0993cf1b4e2be3bda42420e2679f6b3},
intrahash = {c4048e8479d89435af2a33e7a125576f},
journal = {Cancers (Basel)},
keywords = {association cancer; chronic deep learning; pancreatic pancreatitis; study topic_lifescience transcriptome-wide},
language = {en},
month = may,
number = 11,
pages = 2654,
publisher = {MDPI AG},
timestamp = {2024-09-10T12:00:15.000+0200},
title = {Deep learning improves pancreatic cancer diagnosis using {RNA-based} variants},
volume = 13,
year = 2021
}