Volatile organic compounds in exhaled breath: Applications in cancer diagnosis and predicting treatment efficacy
Peer-Reviewed Publication
Updates every hour. Last Updated: 26-Dec-2025 06:11 ET (26-Dec-2025 11:11 GMT/UTC)
This review synthesizes the utility of exhaled volatile organic compounds (VOCs) in cancer diagnosis, treatment efficacy prediction, and recurrence monitoring. As endogenous metabolic byproducts, VOCs enable noninvasive detection via technologies like gas chromatography-mass
spectrometry (GC-MS), electronic noses, selected ion flow tube mass spectrometry (SIFT-MS), and high-pressure photonionization time-of-flight mass spectrometry (HPPI-TOFMS).
Key findings include strong diagnostic performance (e.g., lung cancer AUC=0.95, hepatocellular carcinoma VOC sensitivity outperforming AFP),accurate prediction of anti-PD-1/PD-L1 therapy response (AUC=0.89–0.97), and utility in colorectal cancer postoperative recurrence surveillance. Innovatively, it links VOC alterations to mechanisms (oxidative stress, CYP450 overexpression) and compares detection technologies’ strengths/limitations.
Clinical implications: VOCs address gaps of traditional biomarkers (low sensitivity/specificity), while highlighting needs for standardized sampling/analysis protocols and improved device stability to advance clinical translation.
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