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eTumorType,An Algorithm of Discriminating Cancer Types for Circulating Tumor Cells or Cell-free DNAs in Blood
Authors:Jinfeng Zou  Edwin Wang
Institution:1. National Research Council Canada, Montreal, QC H4P 2R2, Canada;2. Department of Experimental Medicine, McGill University, Montreal, QC H3A 2B2, Canada;3. Center for Bioinformatics, McGill University, Montreal, QC H3G 0B1, Canada;4. Center for Health Genomics and Informatics, University of Calgary Cumming School of Medicine, Calgary, AB T2N 4N1, Canada;5. Department of Biochemistry & Molecular Biology, University of Calgary Cumming School of Medicine, Calgary, AB T2N 4N1, Canada;6. Department of Medical Genetics, University of Calgary Cumming School of Medicine, Calgary, AB T2N 4N1, Canada;7. Department of Oncology, University of Calgary Cumming School of Medicine, Calgary, AB T2N 4N1, Canada;8. Alberta Children’s Hospital Research Institute, Calgary, AB T2N 4N1, Canada;9. Arnie Charbonneau Cancer Research Institute, Calgary, AB T2N 4N1, Canada;10. O’Brien Institute for Public Health, Calgary, AB T2N 4N1, Canada
Abstract:With the technology development on detecting circulating tumor cells (CTCs) and cell-free DNAs (cfDNAs) in blood, serum, and plasma, non-invasive diagnosis of cancer becomes promising. A few studies reported good correlations between signals from tumor tissues and CTCs or cfDNAs, making it possible to detect cancers using CTCs and cfDNAs. However, the detection cannot tell which cancer types the person has. To meet these challenges, we developed an algorithm, eTumorType, to identify cancer types based on copy number variations (CNVs) of the cancer founding clone. eTumorType integrates cancer hallmark concepts and a few computational techniques such as stochastic gradient boosting, voting, centroid, and leading patterns. eTumorType has been trained and validated on a large dataset including 18 common cancer types and 5327 tumor samples. eTumorType produced high accuracies (0.86–0.96) and high recall rates (0.79–0.92) for predicting colon, brain, prostate, and kidney cancers. In addition, relatively high accuracies (0.78–0.92) and recall rates (0.58–0.95) have also been achieved for predicting ovarian, breast luminal, lung, endometrial, stomach, head and neck, leukemia, and skin cancers. These results suggest that eTumorType could be used for non-invasive diagnosis to determine cancer types based on CNVs of CTCs and cfDNAs.
Keywords:eTumorType  Founding clone  Copy number variation  Non-invasive detection  Cancer
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