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. 2021 Sep 11;11(9):618. doi: 10.3390/metabo11090618

Table 3.

Summary of the papers that examined cirrhosis/CLD patients against healthy cohorts. The arrows show the VOC abundance in the CLD group compared to the healthy group in the study design.

Author/Year Study Design Analytical Method VOCs Identified as Significant Discriminatory Performance
Friedman et al.
1994
24 cirrhotic CLD vs. 24 healthy GC-MS Hydrogen-sulphide ↑
Limonene ↑
Not reported
Van den Velde et al.
2008
52 cirrhotic CLD vs. 50 healthy GC-MS Acetone ↑
Dimethyl-sulphide ↑
2-butanone ↑
2-pentanone ↑
Indole ↓
Dimethyl-selenide ↓
100% sensitivity
70% specificity
Dadamio et al.
2012
35 cirrhotic CLD vs. 49 healthy GC-MS Dimethyl-sulphide ↑
Acetone ↑
2-butanone ↑
2-pentanone ↑
Indole ↓
Phenol ↓
Dimethyl-selenide ↓
Isoprene ↑
Ethane ↑
Pentane ↑
83% sensitivity
100% specificity
Morisco et al.
2013
12 cirrhotic CLD vs. 14 healthy PTR-MS Heptadienol ↑
Methanol ↑
2-butanone ↑
3-pentone ↑
2-octanone ↑
2-nonanone ↑
Monoterpene ↑
P-cymene ↑
83% sensitivity
86% specificity
Del Rio et al.
2015
31 cirrhotic CLD vs. 30 healthy PTR-MS Methanol ↑
2-butanone ↑
Carbon-sulphide ↑
2-pentanone ↑
Limonene ↑
97% sensitivity
70% specificity
Pijls et al.
2016
34 cirrhotic CLD vs. 87 non-cirrhotic CLD GC-MS Dimethyl-sulphide ↑
Terpene (limonene) ↑
2-methyl-butanal ↓
Propanoic acid ↑
Octane ↑
Terpenoid ↑
3-carene ↑
1-hexadecanol ↓
C16H34 ↓
83% sensitivity
87% specificity
De Vincentis et al.
2016
65 cirrhotic CLD vs. 39 non-cirrhotic CLD E-nose Not available 86.2% sensitivity
98.2% specificity
Eng et al.
2015
49 cirrhotic CLD children vs. 55 healthy children SIFT-MS 1-decene ↑
1-heptene ↑
1-octene ↑
3-methyl-hexane ↑
1-nonene ↓
(E)-2-nonene ↓
Dimethyl-sulphide ↓
0.97 AUC