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. Author manuscript; available in PMC: 2020 Sep 16.
Published in final edited form as: Gastrointest Endosc. 2018 Apr 27;88(3):413–426. doi: 10.1016/j.gie.2018.04.2352

Table 4:

Non-endoscopic screening methods and characteristics

Screening Method Author (year) Study Size (N) Dysplasia and ESCC (N) Assay method Sensitivity Specificity
Direct Sampling Techniques
Inflatable Balloon Roth (1997)63 439 123 (28%) esophageal squamous dysplasia
16 (4%) ESCC
Cytology only 47% esophageal squamous dysplasia+ 81% esophageal squamous dysplasia+
Inflatable Balloon Pan (2008) 62 725 232 (32%) esophageal squamous dysplasia + Cytology only 46% esophageal squamous dysplasia+ 84% esophageal squamous dysplasia+
Mechanical Balloon Pan (2008)62 725 232 (32%) esophageal squamous dysplasia+ Cytology only 39% esophageal squamous dysplasia+ 85% esophageal squamous dysplasia+
Sponge Roth (1997)63 439 123 (28%) esophageal squamous dysplasia
16 (4%) ESCC
Cytology only 24% esophageal squamous dysplasia+ 92% esophageal squamous dysplasia+
Inflatable Balloon Adams (2008)58 147 72 esophageal squamous dysplasia (25 mild, 26 moderate, 21 severe) Cytology + Panel of Methylated DNA markers* 50% HGD+ 28% HGD+
Sponge Roshandel (2014)64 301 18 esophageal squamous dysplasia, (4 with HGD) Cytology + p53 22% esophageal squamous dysplasia+_
100% HGD+
97% HGD+
Breath Markers
Volatile Organic Compounds Zou (2016)68 86 29 esophageal cancers (not specified) 7 ions analyzed on a home-made breath mass spectrometer—PTR-MS apparatus (Ion Sniffer 2020Q). 86.2% for Esophageal cancer 89.5% for Esophageal cancer
Blood Markers
Autoantibodies Zhou (2014)94 567 65 esophageal squamous dysplasia
88 ESCC
6 marker panel^ 64% (for ESCC)
38% for esophageal squamous dysplasia+
94% (for ESCC)
Autoantibodies Xu (2014)71 513 237 ESCC 6 marker panel~ 45% for ESCC 95% for ESCC
miRNA Zhang 201095 430 290 ESCC 7 miRNA panel# 80% for ESCC 90% for ESCC
Circulating tumor cells and mRNA Cao (2009)96 182 108 ESCC Survivin mRNA expressing circulating tumor cells 47.2% for ESCC 100% for ESCC
*

AHRR, p16INK4a, MT1G, and CLDN3

^

P53, IMP1, P16, cyclin B1, P62, and C-myc

~

p53, NY-ESO-1, MMP-7, Hsp70, Prx VI, and BMI-1

#

miR-10a, miR-22, miR-100, miR-148b, miR-223, miR-133a, and miR-127–3p