Instant Early Stage Disease Detection by Decoding Organic Compound Signatures
20220050074 · 2022-02-17
Inventors
Cpc classification
G01N35/00594
PHYSICS
G01N27/3278
PHYSICS
International classification
G01N27/327
PHYSICS
G01N27/414
PHYSICS
Abstract
The present invention provides a process and method for the early detection and diagnosis of disease by reading and decoding volatile organic compounds (VOCs) for signatures associated with a specific disease. From its outset, each disease begins producing its own unique set of volatile organic compounds. For many diseases, this early-stage detection may be many months or years before noticeable symptoms. The VOC emissions when analyzed, result in a “signature” that identifies and distinguishes the developing, or at later stages, the developed disease. The device assays non-invasively obtained biosamples in real-time to output a VOC based signature that, when correlated with data in a disease signature library, identifies one or more diseases associated with the sample.
Claims
1. An analytical device comprising a detector unit capable of interfacing with an analytical unit, said detector unit comprising a plurality of detection surfaces capable of interacting with an ambient vapor phase; said detector unit comprising an orifice for introducing a sample to be assayed; said detection surface comprising a nano-sensor element (NSE) layer between an input and an output; said input in contact with a base power source; said output in communication with at least one data collector; said NSE layer associated with a selection component with selection specificity for one or more compounds of interest; said selection component when in contact with or in close proximity to a target compound possibly present in said vapor phase selectively altering signal to said output; and a component for collecting said signal from said output.
2. The device of claim 1 wherein a bio-molecular detection cartridge comprises: i) said detection surface; ii) said input; and iii) said output.
3. The device of claim 1 wherein said plurality of detection surfaces comprise a plurality of nanosensor elements distributed amongst a plurality of groups, at least one of said groups under control of a switch, said switch determining availability of said group to alter signal to said output.
4. The device of claim 3 wherein at least one of said groups comprises a plurality of said groups.
5. The device of claim 3 wherein said at least two of said groups are controlled to be at different temperatures.
6. The device of claim 3 wherein said at least two of said groups are controlled to be at different base voltages.
7. The device of claim 3 wherein said at least two of said groups are decorated with different functionalizing compounds.
8. The device of claim 1 wherein said selection specificity comprises at least one of an attractive component and a repulsive component.
9. The device of claim 8 wherein said selection specificity comprises a polymeric composition comprising residues of an aromatic, polyaromatic, or heterocyclic compound.
10. The device of claim 9 wherein said selection specificity comprises a nucleic acid or residue thereof.
11. The device of claim 1 wherein the ambient vapor phase comprises a vacuum or an inert gas.
12. The device of claim 1 wherein the ambient vapor phase is selected for properties selected from the group consisting of: acoustic, mass, analyte transport or carrying function, viscosity, thermal conductivity, ionization potential, electrical, cost, reactivity, specific heat and color.
13. The device of claim 1 wherein said NSE layer comprises a carbon.
14. The device of claim 13 wherein said carbon is configured in a structure selected from the group consisting of: a single wall nanotubular (SWNT) structure and graphene.
15. The device of claim 14 comprising graphene, wherein the graphene is non-planar.
16. The device of claim 14 comprising graphene wherein the graphene has a curved or corrugated structure.
17. The device of claim 15 wherein said graphene has a crumpled or irregular structure.
18. The device of claim 1 further comprising at least one heating element.
19. The device of claim 1 wherein said feeder voltage is variable.
20. The device of claim 1 wherein said input comprises an input electrode said input electrode having a base or feeder voltage between −10 v and +10 v.
21. The device of claim 20 wherein said feeder voltage varies between a minimum and a maximum, said minimum >−0.2 v and said maximum <+0.4 v.
22. The device of claim 21 wherein said feeder voltage is in a range from about 0±50 mV.
23. The device of claim 8 wherein said selection component on a sensor comprises both an attractive component and a repulsive component.
24. The device of claim 1 wherein said vapor phase comprises ambient air.
25. The device of claim 1 further comprising at least one physical component that shields the sensing chamber from undesired physical effects.
26. The device of claim 25 wherein said physical component that shields comprises a shielding component selected from the group consisting of: acoustic shielding, temperature/thermal shielding, electromagnetic shielding, visible light shielding, infrared light shielding, ultraviolet light shielding, radio/micro wave shielding, magnetic shielding, electric shielding, vibration shielding and unauthorized use shielding.
27. The device of claim 26 comprising electromagnetic shielding comprises conductive material.
28. The device of claim 27 wherein said conductive material is selected from the group consisting of: copper, nickel, mu-metal, conductive plastics, conductive paints and conductive inks.
29. The device of claim 27 wherein at least one molecule in said ambient vapor phase has its position under control of at least one force selected from the group consisting of: photo momentum, acoustic, convective gas flow, magnetic, electromagnet, electric, and Lorentz force.
30. The device of claim 1 wherein said vapor phase is controllably changed prior to or following data collection
31. The device of claim 1 wherein said sample orifice accepts a gas or vapor phase sample.
32. The device of claim 1 wherein said sample orifice accepts liquid sample that produces a gas or vapor phase to be allowed contact or close proximity to said NSE.
33. The device of claim 32 wherein said liquid sample is presented in a carrier selected from the group consisting of: a pierceable liquid container, an open top container, a container sporting an access port, a charged gas cartridge or gas cartridge with other ability for expelling a liquid sample to become or to be included in said ambient vapor, a carrier wherein a dried or lyophilized sample is reconstituted, a carrier wherein a frozen sample off-gassed or is thawed before or during off-gassing, and a piston device.
34. The device of claim 1 wherein said sample is delivered manually, or by a machine comprising a component selected from the group consisting of: a machine carousel, a linear feed and a high rate delivering robotic system.
35. The device of claim 1 wherein said NSE has a shape selected from the group consisting of: rectangular, rhomboid, hexagonal, triangular, elliptical, circular, irregular, crumpled and creviced.
36. The device of claim 35 wherein said NSE comprises a graphene layer.
37. The device of claim 36 wherein said graphene layer is crumpled.
38. The device of claim 1 comprising a detector unit capable of interfacing with an analytical unit, said detector unit comprising a plurality of detection surfaces capable of interacting with an ambient vapor phase; said detection surface comprising a Field Effect Transistor nano-sensor element (NSE) layer between an input and an output electrode; said input electrode in contact with a base or feeder voltage source; said output electrode in contact with at least one data collector; said FET layer associated with a selection component with selection specificity for one or more compounds of interest; said selection component when in contact with a target compound possibly present in said vapor phase selectively gating current across said detection surface thereby altering signal to said output electrode; and a component for collecting said signal to said output electrode.
39. The device of claim 1 further comprising at least one sensor surface capable of interacting with a liquid phase.
40. The device of claim 39 wherein at least one sensor surface capable of interacting with a liquid phase is located in a cartridge used to introduce said sample for analysis in said device.
41. The device of claim 40 wherein said cartridge comprises a temperature control function.
42. The device of claim 40 wherein said at least one sensor surface capable of interacting with a liquid phase comprises a carbon layer.
43. A method for obtaining a data set for aiding diagnosing disease or for providing a disease status or health status of an individual providing a biosample, said method comprising: a) providing a sample to an analytical device in accordance with claim 1; b) analyzing said sample using said device; c) collecting data outputted from sensors within said device; d) maintaining a file of data outputted; e) analyzing, characterizing or storing said data outputted; and f) incorporating said result of e) into a data set.
Description
BRIEF DESCRIPTION OF THE DRAWINGS
[0068]
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[0070]
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[0073]
[0074] In
[0075] In
Operation of the Device
[0076] Depending on delivery method and me of residence in the assay chamber, a sampling rate of less than 1/min is currently achievable. Sampling rates of about 1/sec per sample are possible. Longer sampling periods, perhaps up to 10 to 20 minutes, may be used during optimization of a newer testing protocol. The speed logistics may be impacted by the rate at which samples can be collected and delivered.
[0077] Pressure differential, released gas, vibration and sonication are common formats for physically stimulating and moving a sample. Electromagnetic stimulation may comprise visible or non-visible wavelengths. Laser stimulation allows fine control of intensity and targeting. Physical and/or electromagnetic stimulation may modulate temperature; resistive heat coils, hot plates and liquid radiators are additional options for heating or chilling a sample. Forces including, but not limited to those of: photo momentum, acoustic, gas flow, magnetic, electromagnet, electric, Lorentz force, chip replacement, etc., effects can be used to control movement of sample compounds.
[0078] Stimulation may be constant, may be ramped or may be paused, pulsed or increased in time or intensity as the analysis requires. Changes may be linear or non-linear, and in practice can be programmed to any desired pattern. Multiple stimulation types may be used in parallel or in series and may be pulsed or varied between types with each type independently controlled. In some analyses, stimulation for a desired me/intensity may be employed to flush, for example, high concentration volatile components, from the sample or to fragment or combine sample constituents.
[0079] Temperature may be controlled by a heater in contact or close proximity to the chip or through controlling ambient gas temperature. A heat source, such as a heater plate may be set to a static excitation temperature or may be variable, for example capable of ramping or cycling to control vapor pressure of components in the sample(s). Each element on the chip may be heated or cooled individually when heating or cooling elements are incorporated in or disposed in conjunction with the NSE. A temperature higher than normal ambient or room temperature will often be used on at least a subset of sensor elements. A sensor element, group of sensor elements, group of activated sensor elements, or the entirety of active sensor elements may be heated (or cooled) to a stable or controlled varying temperature in a preferred range from about 4° C. to about 65° C. The elevated temperatures should be selected with consideration for the decorations on the heated sensor. For many applications a more preferred temperature will fall in a range from about 32° C. to 50° C. Temperatures in the range of the axillary or oral human body temperature of about 35° C. to 38° C. will have some advantages given that most relevant VOCs will be stable and volatile at these temperatures. Temperatures about 40° C., 42° C., 45° C., 48° C., up to about 50° C. can produce exemplary results. In a chilling mode, preferred embodiments store, deliver, and potentially assay the sample to decode its VOC signaling at about 2-4° C., especially for retention or storing, up to about ambient or room temperature. an intermediate temperature, especially, but not necessarily, an increasing temperature from about 5° C., 8° C., 10° C., 15° C., 18° C., or a little higher will temper delivery of VOCs for a time dimension analysis and may improve signature reliability. The specific numbers are not to be read as limiting the scope of the invention or claims. These numbers are to provide suggestions within preferred ranges that set as a a practitioner may target. Targets within the suggested ranges, targets between, and targets flanking the suggested values are within the scope of this invention. The skilled artisan will understand that increased temperatures might degrade some decorations or actually decrease the adherence and electronic sharing between decoration and chip. Embodiments may include a chamber to accept a sample and where temperature, electromagnetic stimulation, physical stimulation, chemical stimulation, etc., may augment delivery or or advantageously modify sample product for analysis.
[0080] A chip may be formed in any desired configuration. For example, a 10×10 sensor array on a chip can provide a compact yet exuberant surface. Arrays may be constructed to align with squares or powers of 2 as is common in computation devices and some biological plates. Thus, for some embodiments a 2×2 sensor chip may be sufficient. But more often a greater number of chips will be employed for additional sensitivity and discrimination abilities allowing assay results to be collected on a greater number of analyte chemicals. Thus, a 3×3, 4×4, 5×5, 6×6, 8×8, 10×10, 12×12, 15×15, 16×16, 18×18, 20×20, 25×25, and so on, including intervening squares, mentioned and envisioned here, but not exhaustively incorporated in the text format might be constructed. Other non-square formats are also envisioned. In biology plate sizes based on a power of 2 times 3 are often employed. Thus 48 well, 96, well plates, etc. are common and easily handled by modular software applications. Since binary electronic electronics often increase capacity according to powers of 2, but physical dimensions may not always be supportive of such doubling with each improved version. Software may often be capable of addressing a number in excess of the NSEs on a chip. For example, computations relating to 2.sup.6 may be used with a 7×7, 8×7, or 50 element chip. A 10×10, i.e., a one-hundred element chip may be served by an application designed for up to 2.sup.7 (128) element channels. Higher element chips may thus suggest using applications that have capacity for 2.sup.8, 2.sup.9, 2.sup.10, 2.sup.11, 2.sup.12, 2.sup.13, 2.sup.14, 2.sup.15, 2.sup.16, 2.sup.17, 2.sup.18, 2.sup.19, 2.sup.20, etc., NSE channels. The chip may be configured with one dimension far in excess of the other. For additional capacity or perhaps to consolidate assay functions in between bulk restoration functions, a chip may be configured in a flexible format in the form of a ribbon with a fraction of the length presented at each analysis function. For example, several 12×8, 10×10, 12×12, 20×20, etc. analytical portions might be exposed with the ribbon being advanced for each subsequent analysis round. A mask may be used to expose only a portion of the chip, for example to select a class or classes of decorations for different exposures to sample VOCs. Such mask may be perforated and moveable allowing multiple reads on a portion of the chip without need to restore or advance the chip after each assay or assay condition. A mask with perforations can be made to allow for multiple sensor layers to reside on a chip. For extra high throughput, the ribbon may be advanced in continuous movement where samples are presented at a high rate, perhaps 1/sec. The just used portions of the ribbons may be restored in series with assays by passing through a restoration chamber or may be constructed as a disposable cartridge.
[0081] A restoration or cleansing step associated with each analytical round might involve a continuous cartridge or band, where, for example, the assay is accomplished in the assay chamber and when the band is advanced, it passes through another chamber, possibly with a different ambient gas at a different temperature. The chip temperature might not itself be specifically or self-controlled in this format; the ambient gas could provide the thermal energy releasing the assayed compound from the NSE. An atmosphere different from that in the sampling chamber might be used in the restoration phase. Bulk restoration, for example, at the end of a shift might be desired in some circumstances.
[0082] The ribbon may be a rigid or semi-rigid strip or might be flexible so as to be compactly spooled. As costs of the NSEs decrease, ribbon formats may be desired and permit disposal after use.
[0083] Then NSEs are preferably extremely compact in size to permit high density and smaller device footprint. NSEs on a chip will be separated from neighbors by insulation barricades. Many insulators are known and can be selected during design based on parameters such as appearance, size, cost, assured availability, etc. Polyamides are common inexpensive insulation barricades. Circuit board material (e.g., FR-4, CEM-1, CEM-3, RF-35, halocarbons, fluorocarbons, Teflon®, PTFE, polyimide, etc.) is also a strong candidate for use in high production models. Depending on material and anticipated voltages, an inter-element separation of .sup.˜50 nanometers (nm) is often sufficient. Larger voltages may require greater isolation distance between elements. The elements themselves may be any desired shape, e.g., rectangular, rhomboid, hexagonal, triangular, elliptical, circular, irregular, crumpled, creviced, shredded, perforated, layered, masked, etc. Sizes can be miniature, e.g., .sup.˜40-50 nm thus suggesting the term nano-sensor. Size is a simple design consideration involving, e.g., manufacturing efficiency, device dimensions, density of sensors, surface to volume ratio of NSE, sensitivity of detection, durability, cost, etc. Accordingly, sizes of elements may be in the area of for example, 40 nm, 50 nm, 75 nm, 100 nm, 200 nm, 250 nm, 500 nm, 0.5 μm, 1 μm, 5 μm, 10 μm, 50 μm, 100 μm. Shapes may be planar, essentially flat on the substrate surface, or at an angle disposed off the surface. Shapes may be irregular, e.g., crumpled or creviced. Shapes may be regular, e.g., hexagonal, creviced, etc. A sensor element disposed on and above a substrate surface may be designed as such to increase or maximize surface area to interact with the vapor that may or may not include a VOC of interest to said sensor.
[0084] Although larger elements do not cease to function, the advantages of smaller size generally outweigh advantages attributed to larger element size.
[0085] The elements will generally be supported on a non-conductive substrate like Si.
[0086] VOCs in Contact with the Chip Sensor Elements
[0087] As designed, the NSEs do not contact the sample itself, only vapor or gaseous phase emissions off the sample are available for contact. Vapor constituents, as the vapor flushes through the sampling chamber, will specifically bind to one or more of the decorations on the NSEs. Depending on temperature and possible gas or combination of gases used as ambient atmosphere, the collated NSE data produce a characteristic response for a specific VOC, combination of VOCs, or class of VOCs. A chip generally will be coated with several types of sensor elements whose sensing specificities are distinguished by having different decorations such as nucleic acids attached on their surface. Polyaromatics, heterocyclics, and aromatic peptides, including synthetics, may also be valuable decorations. Differential specificity of a chip element may be exhibited at different temperatures, in different atmospheres and/or in different sequence patterns of exposure.
[0088] Temperature is significant for at least three important reasons. One, at higher temperatures, the molecules will have higher kinetic energy and thus be less likely to sit docilely on a surface. Different VOC compounds will exhibit different specific temperature effects as will different decorations. Two, the actual VOC chemical may tautomerize or morph, perhaps with a higher temperature favoring a different bonding structure than a lower temperature. A compound might then, in some embodiments, be detected on different NSEs at different temperatures. Such assay response may be used to more specifically identify and assay a particular compound. Three, improper temperature management can comprise sample integrity, for example, leading to clumping, particulate contamination or other sample degradation.
[0089] A sample may be introduced into the testing chamber and maintained therein while a change in temperature alters the sensing specificities of the elements on the chip(s). In embodiments where individual sensors have dedicated temperature controls, NSEs with identical decoration, but read at different temperatures can provide the temperature differentiation analysis more rapidly, i.e., without waiting for a temperature change on the entire chip thus aiding in high throughput analysis.
[0090] In general, the interactions between the sensing portions of each sensor and the sensed analyte are low energy bondings or coordination complexes between organic molecules. Bonds do not involve covalent reactions and thus are reversible by changing the conditions in the chamber. Dilution, i.e., simply flushing, in many circumstances will ready the sensor element for its next round. Optionally, a different gas is used for flushing and/or a higher temperature may be used. In addition to thermal or convective restoration processes, any format used to physically move the compounds can be used alone or in concert with others to excite/remove the panoply of complexed VOCs. Forces including, but not limited to those of: photo momentum, acoustic, convective gas flow, magnetic, electromagnet, electric, Lorentz force, chip replacement, etc., effects can be used to prepare for a subsequent sample read. Non-convective restorative forces will be especially advantageous in low pressure, or no added gas embodiments. The broad spectrum of restoration options enables testing of multiple samples types in high throughput operations.
EXAMPLES
[0091] On a chip, a simple configuration in binary format comprises an element grid arranged in a 16×16 (2.sup.4×2.sup.4) pattern, i.e., 216 (2.sup.8) elements. Larger chips generally but not necessarily may follow a continuing binary pattern, i.e., 16×16 (256), 32×32 (1024 or 2.sup.10), 64×64 (4096 or 2.sup.12), 128×128 (16,384 or 2.sup.14), 256×256 (65,536 or 2.sup.16), etc. A chip need not be square, e.g., 4×16, 4×32, 8×16, 8×32, 8×20, 4×5, 5×17, etc., etc., etc., are discretionary choices. A chip may be oblong or radial, triangular, etc. For example, a first row of sensors may be a single sensor, subsequent rows may be 3, 5, 7, 9, 11, 13, etc., respectively. A first row may have x sensors, with subsequent rows having, for example, about 1.5x. 1.5x, 3x, 3x, 1.5x, 1.5x, 1x. The pattern of sensors on a chip is at the discretion of the designer. A temperature higher than normal ambient or room temperature. A temperature higher than normal ambient or room temperature will often be used on at least a subset of sensors. Embodiments may use temperature, electromagnetic stimulation, physical stimulation, chemical stimulation, etc. to deliver or modify sample product for analysis.
[0092] A chip may not use all elements as active NSEs. Some may be inactive, some may be held in reserve, some may serve as controls or calibration elements, etc. The chips are functionalized or “decorated” single wall nanotubules (SWNTs). Nucleic acid molecules are inexpensive decorations that can be made with thousands of options. Using non-natural, i.e., nucleic acids not in the human genome or RNA repertoire, many more specificities can be addressed. Synthetic polymers mimicking the DNA decorations may be selected without attention to avoiding toxicity. In fact, toxicity of a ring or ring family may be favored as this suggests bioactivity, i.e., ability to bind organic compounds. Heteroaromatics that may be incorporated into decorations as, e.g., substitutes for natural purine (guanine, adenine) or pyrimidine (thymine, uracil, cytosine) in a polymeric functionalizing group include but are not limited to: 4, 5, 6, 7, 8, 9, 10, or higher member rings, also including polycyclic structures. Thousands of heterocyclic compounds are known in the art. Decoration compounds comprising residues of molecules including but not limited to: furan, tetrahydrofuran, pyran, dioxanes, oxepane, xanthene, dibenzofuran, strychnine, tetrodotoxin, pyridoxine, biotin, thiamine, folic acid, riboflavin, aflatoxin, acridine, pyridazine, pyrazine. pyridine, indole, isoindole, carbazole, indolizine, quinoline, isoquinoline, azecine, azonane, azocine, azocane, oxazole, isoxazole, thionin, oxathiolanes (e.g., 1,2-oxathiolane)silole), pyrrole, trimethylene sulfide, etc., are available for functionalization. Such residues may be incorporated in or attached to nucleic acid decorations. Amino acids with ringed structures can also be incorporated as functional coordinating binders. Thus, specificities of NSEs are tuned to the desired conditions. Sometimes the identical decoration will display different specificity as temperatures change.
[0093] A base voltage of generally is in a relatively low, i.e., non-arcing or insulator damaging range for example in an order of magnitude around 10.sup.0 pV, 10.sup.1 pV, 10.sup.2 pV, 10.sup.0 nV, 10.sup.1 nV, 10.sup.2 nV, 10.sup.0 μV, 10.sup.1 μV, 10.sup.2 μV, 10.sup.0 mV, 10.sup.1 mV, 10.sup.2 mV, 10.sup.−2 V, 10.sup.−1 V, 1 V, 10 V, but up to 20 V, 50 V, even 100 V, when care is taken to prevent arcing, is applied to an input electrode of a sensing element. 10.sup.−18 amp is a minimum amount sensitivity with 0.4 fA being characteristic some current implementations. The voltage provides an electric field that may attract or repel portions of a VOC and thereby determine the length of time and phases of association between a VOC and the proximate sensor. The electric field may orient or reorient the VOC as it approaches, interacts with, and leaves the sensing zone. Reorienting, i.e., twisting or bending responses of the VOC will help to distinguish it from other VOCs. A sampling rate adapting to these interactions is thus preferred. Samples about every 5, 10, 20, 50, 100 μsec thus offer a advantageous distinguishing ability over slower sampling rates. Sampling frequencies in the kHz range, for example, about: 200 kHz, 120 kHz, 100 kHz, 80 kHz, 60 kHz, 50 kHz, 40 kHz, 30 kHz, 25 kHz, 20 kHz, 18 kHz, 15 kHz, 12 kHz, 10 kHz, 8 kHz, 5 kHz, 2 kHz, 1 kHz, 0.8 kHz, 0.5 kHz are within a preferred range. An interactive controller, for example, increasing sampling rates for elements sensing a change (i.e., approaching or proximate VOC) increases efficiencies of the supportive hardware and signal processing.
[0094] The voltage may be static or oscillate (either deterministically or stochastically). Oscillation may include ranging from positive to negative voltages, may include simple on-off switching or other square wave pattern, saw tooth pattern, triangle pattern, stochastic, etc. Voltages may be stepped through a range or introduced in a ramping or cyclic (e.g., sinusoidal) pattern or stochastic perturbation. Voltage may be sent to each sensing element individually or the same voltage may be applied to several sensors, including circumstances where all sensors are fed identical input.
[0095] In the NSE, current is or is not delivered from an input electrode to a corresponding output electrode through a field effect transistor carbon layer. In one set of examples the carbon layer is formed as a single walled carbon nanotube (SWNT) layer. In the on mode, the SWNT carbon conducts a current through to an output electrode. When the field effect transistor is in the off mode, the current does not conduct. Several such elements are attached to form a nano-sensor chip. The conductance of the SWNTs on the elemental surface is perturbed by close association with a target compound, for example a volatile organic compound. Binding of such target compound modifies conductance of the SWNTs in such a fashion that the coordination binding acts as a transistor switch turning the gate on or off. In some instances, the coordination will be probabilistic with rapid gating as different portions of the target compound may bind to the SWNT, perhaps at slightly different coordinating atoms. Such probabilistic binding may be temperature or voltage dependent or may vary with the delivering gas. In other instances, the binding may be more constant, simply gating for a range of temperatures/voltages with large zones of on or off signaling.
[0096] Specificity
[0097] Specificity of coordination is provided by functionalizing or decorating the carbon gate electrode. For example, many sequences of nucleic acid such as DNA or RNA will stringently coordinate or bind with the SWNT structure. These nucleic acids may be naturally occurring or synthetic. The ringed structures of the nucleic acids or other molecules such as peptides containing a large fraction of ringed structures (broadly referred to as aromatic polypeptides) associate strongly with the nanotubular structures and organic compounds. These functionalizing or decorating additions to the SWNTs serve to selectively capture (i.e., slow or stop the movement of) proximal molecules by association using intermolecular forces, e.g., dipole-dipole, induced dipole, Van der Waals, and sometimes ion-dipole interactions. When the chemical (electron distribution) geometry is thus changed, the gating characteristic of the associated carbon bridging the input and output electrodes is modulated. A single element may be associated with a single sequence or a plurality of functionalizing sequences. Different decorations themselves will have attractive proclivities for a set of VOCs different from those associated with other decorations. A plurality of decoration compounds is advantageous for differentiating between different VOCs. Other means of changing sensor-compound interactions, e.g., temperature or voltage of the sensor element, may be employed as alternative differentiation tools, but preferably are used in conjunction with a chip comprising a plurality of decorations. The differentiated sensor elements may be arranged in zones on a chip. For example a first decoration may be present in a 4×16 zone on a chip. A second decoration may appear on the chip linearly at the end of the first decoration. A third, fifth, seventh, ninth, eleventh, thirteenth, and fifteenth may appear in subsequent 4×16 columns adjacent to the first decoration. A fourth, sixth, eighth, tenth, twelfth, fourteenth and sixteenth may appear in 4×16 columns across from the second decoration. In an exemplary embodiment, rows 1-4, 9-12, 17-20, and 25-28 are controlled to be at temperature A; while rows 5-8, 13-16, 21-24, and 29-32 are controlled to be at temperature B. In this example with 16 different decorations on the sensor elements, 32 different recognition formats between VOC and sensor are present with 32 occurrences of each format. As a refinement to this example, the odd columns are set with a base voltage Y; while the even columns are set with a base voltage Z. In this refinement 64 recognition formats are available with 16 occurrences of each. The multiple occurrences improve the likelihood of a VOC molecule associating with that sensor element type. The number of different decorations can be modified as a design choice. rather than a 2.sup.5×2.sup.5 chip size the practitioner may elect a size in accordance with preference or designed specifications. A 2.sup.4×2.sup.4, 2.sup.6×2.sup.6, 2.sup.x×2.sup.x, 2.sup.x×2.sup.y, or other configurations are arbitrarily selected in design to comport with desires or limitations for the device. While powers of two are chosen for ease in describing these examples, the device is not limited to chips having these architectures. Where the above examples illustrated two temperatures and two voltages, the device may have, e.g., 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, or more different temperatures or voltages in a static operational mode. In a dynamic mode, the temperatures or voltages may vary in accordance with a predetermined, operator determined, or algorithmically determined pattern.
[0098] Output characteristics of gating in response to one or more gaseous compounds, e.g., VOCs are then collated into a data library. When that NSE responds in the same manner, presence of the VOC is confirmed. Stringent selection of element functionalizations, and subsequent application of the controllable assay variables can optimize certainty of VOC identification at a desired level, for example, increasing manipulation of the variable parameters can achieve certainty of 99+%. In special circumstances, for example to develop rapid profiling of a new VOC signature (i.e., pathogen), a simplified screening protocol or developmental process may begin with a lower level of certainty, e.g., 85%, 95%, etc. Subsequent refinements then could be applied to raise the level of certainty until reaching a mathematical and chemical sensitivity to an acceptable level, e.g., a 99+% certainty.
[0099] A single element may be capable of indicating the presence of more than one compound. For example, similar compounds may not be distinguished in their association/coordination with the element surface and therefore may in certain circumstances produce indistinguishable signals on their own. But the single element may, for example, in conjunction with one or more other elements provide definitive results with respect to the VOCs that may interact with any one element. Alternatively, the single element when operated at a different temperature, voltage or other variable may distinguish between the different compounds binding the element under static conditions. The discussion above describing the variable inputs and input patterns and different resulting outputs relates to such differentiation capabilities.
[0100] Fast Tracked Testing and Reading
[0101] One embodiment may include a simplified assay, perhaps a chip with fewer component element or element types, e.g., using only a fraction of the DNA species on the general use chip. In simplified embodiments fewer parameters may be manipulated, perhaps a static system where one or more variables, such as, voltage, temperature, etc. have a reduced range or remain constant. When Al identifies, for example, a simplified signature for a specific set of diseases or a specific disease, such as a new virus or strain of virus, the device may be instructed to operate in a simple detection mode similar to that of a +/− strip test. Chips may thus be made specific for different preferred assays or a regular chip may be used with simplified readings.
[0102] A simplified data analysis may be inherent in the chip. For example, a circuit can be built with specific sensors in series and/or in parallel. When the circuit produces the right gating, a positive result would be output. A side circuit on the chip possibly sharing portions of the positive negative circuitry may be included as a control. In some embodiments a completed control circuit with an incomplete or open positive circuit may produce a “negative” signal. The chip itself may contain a coded instruction for the machine to operate in the designated mode, e.g., an optical patch, physically slotting, an RFID, actual machine readable code, etc., may instruct the machine to operate in the preferred program manner. Such a streamlined approach can enable extremely high throughput analysis of targeted profiles.
[0103] Shielding
[0104] As sensitivity is heightened, machine stability becomes more important. Therefore, depending on output sensitivity targets, formats of samples, formats of delivering the samples, etc., shielding is considered a major design consideration. For example, if acoustics are used to advance, modify, present, or to remove samples, acoustic shielding in the relevant wavelengths and consideration of harmonics of the structural hardware, should be taken into account during design and installation. Passive, e.g., sound insulation, or active, e.g., sound cancellation shieldings are compatible with such shielding requirements. Electromagnetic shielding can be any suitable format, e.g., conductive material such as copper, nickel, mu-metal, conductive plastics, conductive paints/inks, etc. In general, the device should be protected or shielded from any influences, that interfere with performance including, but not limited to: acoustic, temperature/thermal, electromagnetic, visible, infrared, ultraviolet, radio/micro waves, magnetic, electric, etc. For particular environments, including, but not limited to: space travel, zero or low gravity, proximity severe weather events, deep sea or deep underground, high altitude, atmosphere, where the device is to be used, additional shielding, e.g., from heat, ultraviolet light, solar wind, ionizing radiation, high velocity transit, constrained environments, densely populated locations, proximity to nuclear power plants or engines, vibration, etc., is a desired design feature. While general ambient conditions for most of the device's intended uses will be relatively standard. When a device is designed for use in any extreme environment, additional relevant shieldings should be studied and applied where appropriate for example when designed for use for a long duration space flight.
[0105] Data Storage and Analysis
[0106] Raw data may be stored in a library linked to the sample source with any other relevant information including, but not limited to: disease diagnosed, disease status, nourishment history, time of collection, volume of sample, volume analyzed, medical history, preparation steps before analysis, storage and/or chain of custody conditions, medications, gender, age, etc. Such library may be stored or transmitted in any available format and process taking safety, privacy, consent, cost, relevant laws, legal jurisdiction, storage density, transit speed, etc. into account with a goal of interfacing groups of machines in a knowledge base where each device teaches and learns from others. Portions of the library may be stored in diverse locations including any available format, e.g., single encrypted, double encrypted, or block-chain coded.
[0107] Files in such library may be compiled and analyzed by knowledgeable humans, but more preferably using machine learning and/or artificial intelligence in any combination. Such processing, analysis and comparing multiple samples with associated information will then be useful for continuous expansion of the disease repertoire and the improvement of diagnostic accuracy and quality of the output data.
[0108] Early Warning System
[0109] One especially poignant application of this device and technology relates to infection by a virus. Viruses are often specific to a small population of cell types at a particular state of development. For example, in the case of a corona virus such as the SARS-CoV-2 virus that is responsible for the COVID-19 pandemic, the “spike” or S-protein binds to Angiotensin-Converting Enzyme 2 (ACE2) found on human cells. The spike protein also acts in conjunction with another cell surface protein, TMPRSS2, to initiate cell processes causing viral entry. ACE-2 is found on multiple cell types in the human body, including, but not limited to: endothelial cells of the circulatory system, enterocytes of the small intestine an in especially high numbers on Type II alveolar cells in the lung. Type II cells are the cells that secrete surfactant coating the air sac surfaces. Surfactant lowers the surface tension of the fluid coating the alveoli and thus helps to keep air sacs in an open, rather than a collapsed state. When the alveolar cells are targeted and eventually killed to release new virus, breathing becomes more difficult as the air sacs lose air exchange surface area and increase amount of fluid in the lung. This diminished lung function can be diminished further as the immune system gears up to fight off the virus. The immune responses can further fill lungs with fluid and pus and severely compromise breathing. In this example, the type II cells are known for high contents of dipalmitoylphos-phatidylcholine, ethanolamine, cholesterol and many trace organics.
[0110] Certain adaptations of ACE2 bearing cells resulting to their adaptations to stresses from obesity, renal disease, cardiac stress, etc. apparently makes these cells better targets for the virus. Lung cells die in high numbers and release contents upon cell lysis and death. Some content is expired in the breath, but most is transported by the blood for processing and removal. When the blood is filtered by the kidneys, VOCs released during cell lysis will be delivered into the urine. The appearance of VOCs in patterns relating to a type II cell origination provides evidence of attack on these cells. Knowing which pathogens are in circulation can increase the certainty that the source is from the SARS-CoV-2 actively pandemic virus. The human, artificial intelligence, and/or machine learning can be more certain when more information is available. For example, persons with the adapted and compromised cells mentioned above will also exhibit breakdown products from these cells in their urine. Assays indicating breakdown products from the non-lung compromised cells can provide stronger certainty that the SARS-CoV-2 is the actual culprit.
[0111] Identification of Emerging Biothreats
[0112] However, even before a virus is identified, distinct patterns associated with an unknown disease may appear in several samples and be concentrated in one or more locations. This information may help to characterize or identify the unknown pathogen because, when cells are attacked and become infected, they start producing and releasing abnormal VOCs and abnormal levels of other VOCs characteristic of the cell type. Therefore, a network of devices deployed in hospitals (and military installations, factories, airports, laboratories, points of entry, etc.) can act as an early warning system of new emerging viral threats whether natural on man-made. A network and early warning system such as the one described herein can rapidly identify and provide a VOC profile of the new pathogen suitable for use in identification of healthy or infected individuals even before genetically decoded and named. The present invention eliminates the need for genetic decoding testing and development, manufacture and distribution of new testing kits. The device of the present invention does not require special chemical analytical reagents or specially trained laboratory personnel and can be self-administered. When the preferred analyte, urine, is used, only minimal chemical or biolab protective gear is necessary. Therefore, massive scalable testing is enabled using urine (a sterile sample medium without intact pathogens) does not emit particles into the ambient environment.
[0113] Each active infective virus will induce specialized responses in the target cell thereby producing a signature pattern of cell metabolism that results in a VOC population highly associatable with the specific virus, sometimes even a specific strain of virus. Each virus requires a receptive cell to endocytose the viral genome and generate copies of new virus. To gain access the virus must bind to a particular portion on a cell. Viruses are thus unique in the cell type or cells types they attack. The pattern of cells and the responses to the attack will be unique to each new virus. So when devices of the invention are interfaced with each other and share data, an early warning wake-up call can identify a potential health risk long before it becomes a crisis or would be recognized following current practice. Through relation to previous data, the algorithms can identify the targeted cells and therefore potential anomalies and treatments related to the cells under attack.
[0114] Containment of Emerging Biothreats
[0115] Urine samples assayed using the present device can deliver a unique signature profile associated with the viral infection within seconds or minutes of sample introduction. Because the renal system filters blood from all body organs, urine contains metabolic products produced in each organ and therefore will contain VOCs characteristic of the cells under attack. This can help to identify the pathogen in some circumstances, but with new pathogens, by identifying the cells that the viruses use for replication can suggest who is at greater risk and can help in rapidly developing treatment protocols. The rapid identification and recognition of an emerging biothreat combined with massive scalable testing as provided for in the present (networked) invention will enable rapid containment of a geographically designated containment zone greatly reducing the virus' ability to continue its transmission.
[0116] Assays under the present invention can recognize a new appearance of previously known signatures or appearance of a previously unknown signature. Geographic location, possibly to a single town, lab, hospital, metropolitan area, zip code etc., will allow instant designation of proposed containment zones. In these zones, rapid testing of associated individuals and contact tracing where relevant can be initiated and accomplished before the numbers of afflicted persons become burdensome or overwhelming. An outbreak, even from a previously unknown pathogen, can therefore be identified and stopped long before reaching epidemic status and hence prevent an epidemic event expanding into a pandemic. In conjunction with the identification and partitioned follow-up of the disease making a first appearance, the disease can be characterized as to source, afflicted cells, possible treatments and/or preventions, etc. Depending on the size and population (and density) of the containment zone, the device of the present invention is modularized to achieve massive scalability from a single unit having a capacity to assay .sup.˜500 samples/day to a modularized assortment of networked units with capacity in excess of 1,000,000/day. Rapid deployment to meet the needs of a nationwide emergency or to relieve local infrastructure from being overwhelmed during surge demand is available using prefabricated high throughput assay laboratories outfitted with devices and automated sample management facilities. These automated self-contained VOC assay factories are designed and built to be transportable, e.g., using standard, e.g., ISO sized shipping containers (e.g., 20 or 40 ft, HQ or normal height.). Each of the prefabricated facilities can be deployed using normal transport, e.g., rail, truck, boat, cargo plane or helicopter, to a location in need. The container, depending on circumstance, can be equipped with an electrical generator and supplied with a dedicated accompanying fuel source to supply the generator when warranted, for example, in disaster circumstances. However, the preferred embodiment is to be delivered to and actuated to meet surge demand, for example at a postal facility, a parking lot, a stadium, an open field, on the back of a trailer truck, etc., i.e., wherever is advantageous for optimizing throughput.
[0117] In the Covid19 pandemic, to date, urine itself has not been shown to contain functioning virions. SARS-CoV-2RNA assayed in saliva samples is the accepted positive indicator of infection. Less than 10 percent of SARS-CoV-2 positive patients had detectable viral RNA in the urine. So robust genetic tracing of the virus is not possible in urine. Since urine is so commonly available for many bioassays including the presently discussed VOC assays, use of urine as a diagnostic sample and assaying urine VOCs becomes the rational diagnostic/screening method. Fine-tuning signature sensitivity and protocols can be indicative of which patients need more critical care and which may be getting sicker or recovering. A decrease in viral disease signature may be taken as a sign that the host has or has not resolved the infection.
[0118] Historically zoonoses, like COVID, have proved difficult to manage. The Spanish flu at the end of World War I apparently jumped from an avian source to humans, likely though a porcine intermediate, in China between 1915 and 1917. This flu was probably carried to Europe by Chinese workers hired to fill in for needed troops. This disease is estimated to have killed between 3 and 5 percent of the human population. Estimates are that as many as one tenth of those infected died from this flu.
[0119] Ebola, a viral genus with six recognized species, five of which are infectious in humans, kills between one-quarter and nine-tenths of those infected, depending on species, health of the infected people, and availability of health care. Although Ebola was a known disease, in 2014 the US saw at least a dozen cases, two in health care workers treating an infected patient.
[0120] AIDS was a turning point in viral epidemiology. HIV, the virus causing AIDS had low low prevalence in the United States at least dating to the mid 1960s. In the late 1970s and early 1980s the disease skyrocketed amongst sexually active gay men before spreading to others through contaminated needles and blood products. Studies relating to HIV became a starting point for understanding viral sciences in general. The research relating to AIDS or HIV flowed over into other retroviruses and viral disease in general, including the immune responses to these attacks. At first, the disease was not well understood with some theories attributing AIDS to inhalation of nitrous oxide (N.sub.2O) whose use was gaining popularity in the San Francisco gay population as AIDS took off. HIV appears to be a zoonotic from a simian source.
[0121] SARS, MERS, avian flu, swine flu, represent recent occurrences of zoonotic jumps to humans. These and earlier zoonoses can present with rapid emergence causing severe stress to health care systems (and morgues) with a flux of cases requiring management, preferably including a rapid diagnosis to distinguish the new affect from other diseases and to suggest proper isolations and treatments for those infected. The present invention with a score of cases or fewer can provide a working test profile where those with the disease signature VOCs can be decoded and identified in seconds or minutes. The disease need not be comprehensively or conventionally identified. For example, when a patient presents with symptoms which may be associated with a plurality of diseases, a quick test of breath, urine, off-gas from a hand, armpit, forehead, etc., can categorize the disease as common, perhaps a cold, or as a more serious, potentially pandemic, pathogen.
[0122] PREDICT, an epidemiological research program funded by the United States has identified in excess of 1,200 viruses with the potential to cause human diseases and pandemics. These are just the ones “identified”. In a Jun. 1, 2018 web posting Andrea Yeager cites: D. Carroll et al., “The global virome project,” Science, 359:872-74, 2018 for its reported estimation that 631,000 to 827,000 unidentified viruses exist that have zoonotic potential. This is a large unidentified pathogenic reservoir. The “unidentified” qualification suggests that a specific PCR, antigen, or antibody test cannot be readily prepared. The instant invention is capable of recognizing novel VOC signatures in routine screens, e.g., in a general physical exam, a screen for entry to a facility, a banked blood check, a screen for a pathogen of interest, etc. A few, even less than a dozen, aberrant but matching VOC profiles, especially multiples from a local region or zone can guide officials on applying appropriate screening and control measures.
[0123] Cancer
[0124] The systems of the present invention are ideally suited for detecting, diagnosing and evaluating cancers. Cancers do not involve all the cells in the body but originate within a specific cell population. As the metabolic activity in the cancer cells is altered, their VOC production changes. Some metabolic changes are common to many cancers. So in some embodiments a signature may be taken as indication of a class of cancers, e.g., epithelial cell cancer. But as signature information is refined the evidence appears to show that even different breast cancers can be distinguished. It is well known that some cancers' responses to hormones is different from other cancers'.
[0125] Autoimmune Disease
[0126] There is evidence to support that many autoimmune diseases are suitable target for analysis using systems of this invention. In general, a signature immune response underlies the autoimmune cascade. When the attacked cells respond, their metabolisms are particular to the attacked cell type, cell age, location and the like. The specialized metabolisms of the altered cells will produce their particular signature VOC outputs. Thus, VOC analysis in accordance with this invention will be expected to assist in diagnosing various autoimmune diseases.
[0127] Microbiome
[0128] Another exemplary application is understanding of a person's microbiome. Surface microbes generally emit only trace amounts of VOCs and thus are not yet prime targets for analysis. But ambient gases surrounding an organism may be analyzed to obtain signature information emitted from the skin, whether from the organism or its associated microbiome. In a related set of analyses, since the gut microbiome directly feeds into the bloodstream for filtration by the kidneys this information can be more concentrated and provide a stronger signal. VOCs produced by the organism and the gut microbiome will therefore be present in general analysis. Thus, this microbiome status can be monitored in accordance with the present invention.
[0129] Sample Alternatives to Urine
[0130] This brings up an alternative application of the present invention. While initial development focused on urine analysis, urine being available non-invasively and in decent volumes; persons also are used to providing sterile urine samples so sample collection is not a confounding issue, the inventor has become aware that inventive technologies are broadly applicable with only minor adjustments. Off-gassing of stool samples can be directly measured. Solid tissue biopsies can be stored and allowed to off-gas into a head space for analysis. The solid sample may be disrupted and liquefied to provide a liquid sample closer to those samples originally conceived. Blood, plasma, lymph, saliva and mucous, though not as readily available as urine are easily obtained samples that are suitable VOC sources for introduction into the device of this invention.
[0131] Specialized Applications
[0132] Low or Zero Gravity
[0133] The device of the invention will be engineered for specific applications. For example, in a weightless or low gravity environment, the random movements of molecules in the vapors will offer significant advantages over devices that assay liquid samples. Collection, storage and feeding of samples into the device will consider the effect or non-effect of gravity, but within the assay chamber and on the chip gravitational effects on the vapor and molecular attraction will be negligible.
[0134] The devices and methods of the present invention may serve as a component part of a larger device or larger method. The device is not required to operate in isolation. Data obtained using assays of the present invention may be intercalated with other data, e.g., medical history, age, residence, etc. Additional information may be obtained using the sample being assayed in the primary device of the invention. For example, in an enhanced machine, a capillary analysis system, in series or less preferably in parallel, might be used as one variable or parameter in the data processing to guide analysis along a preferred branch or if used in parallel confirm or question results from the VOC analysis structures.
[0135] In another embodiment, a FET or similar sensor system as known in the art to assay components in a liquid phase may be associated with the vapor phase analysis of the present invention. Large biomolecules such as proteins are not found in VOC off-gas. Assays of antibody and many antigenic larger molecules can add to the assay information obtained using the base system of the present invention. Such information, especially IgM or IgG status can help delineate a patient's historical experience with a disease. Such information can also be helpful in determining the efficacy of immunizations and/or the frequency of recommended booster immunizations. SWNT-based biosensor diagnostic devices in contact with an analyte containing liquid have emerged the current millennium as effective high sensitivity detectors for medical, industrial, environmental, toxicological, quality control, pharmaceutical development, etc., applications. Neutral and ionic compounds in aqueous solutions including, but not limited to: insulin, human chorionic gonadotropin, human growth hormone, prolactin, glucose, fructose, galactose, hormones, neurotransmitters, drugs, amino acids, peptides, proteins, products of micro-organisms—including pathogens and microbiome members, cancer indicative nucleic acids and proteins, etc. have been investigated using such technologies. In a recent review article, electrical, optical, electrochemical, outputs were characterized as sensed signals. Szunerits, S., & Boukherroub, R. (2018). Graphene-based biosensors. Interface focus, 8(3), 20160132. https://doi.org/10.1098/rsfs.2016.0132. Optical properties include light transmission (transparency), light changing (fluorescence), reflecting, and absorbing properties of graphene in various formats. Antigen-antibody complexes are detectable.
[0136] Such add-on device could be advantageous when the presence of a large (non-volatile) molecule might be important information. Accordingly, an embodiment of the present invention may incorporate a liquid phase detection component to augment data obtained in the vapor phase.
[0137] As an illustrative example of a multi-analysis device, would be one in which two or more types of chips are used. The first type of chip is that of the base device described above to produce the VOC signature. The second type is a chip that analyzes a wet or liquid phase sample. While many alternative form factors may be used, a cartridge (e.g., containing a liquid to off gas the vapors for assay by the first chip) can be configured to incorporate a second type chip that includes sensors for e.g., viral nucleic acid, antigen and or antibodies or other non-volatile compounds of interest. Other configurations may optionally deliver samples to such a liquid phase analysis chip in parallel to delivering vapors to the gas phase sensors. Thus, data from multi-analysis procedures on the same sample can be collated and analyzed together.
[0138] Another illustrative example embodies a relatively large protein attached to or in close proximity to the liquid-based NSE(s). Such protein may be a protein with affinity for the molecule in question. When binding said molecule and thus changing its 3-D structure a signal can result in detection of the molecule in question. Such sensor component might be selected to provide immune status, e.g., presence of one or more classes of antibodies or target of the antibody. Enzymes, hormones, hormone receptors, neuro active compounds and receptors are examples of large molecules or proteins that might be assayed in such liquid phase analysis. In some embodiments of the invention the liquid phase and vapor phase may be assaying different components of the same event, such as an antibody active in the lung that might bind SARS-CoV-2 or the liquid phase sensor might sense a VOC that can be assayed in the vapor phase thereby helping to increase confidence in the results. This dual phase multi-analytical system is an advance over existing systems in that it provides, from a single sample, a detailed understanding of an individual's health status.
[0139] The ambient vapor phase may be controllably changed in content previous to, during, and post assay operation. The pressure may be changed, e.g., by increasing molecular kinetic energy, changing the amount or mix of a flushing, diluting or supporting gas around the sensing elements, and/or by compressing or reducing total volume. The pressure may be controlled in a predetermined manner or in response to algorithmic or operator input. A preferred mix of gases surrounding the sensor elements contains the sample gas or the sample gas diluted with a known controlled non-reactive gas.
[0140] The sensing chip may comprise a single layer or a plurality of layers. A mask may control access of specific gases (VOCs) to a portion or a layer or to a second, third, or subsequent layer. Control may use size, chemical attraction, electrostatic attraction or other filtering means to control access to a portion or the sensor chip and/or to a layer or a part of a layer in a multilayered sensing device.
[0141] The chip itself may be heated by contact, resistance, convective, radiance or other means. Gases entering the chamber may be heated prior to introduction with possible effect on sensor temperature. Sensors may be constructed with heating and/or cooling circuitry. Temperatures in the chamber, on a group of sensors or on individual sensors may remain static or may be adjusted during sample, e.g., in a predetermined manner or under algorithmic control.
CONCLUSION
[0142] The present invention provides a process and method for assaying volatile organic compounds (VOCs) from a non-invasively obtained biosample. The invention further provides a device that optimizes the capture, decoding, classification, and pattern recognition necessary for identifying a unique VOC signature from VOCs in that biosample. This invention enables signature recognition for presence of a disease at the earliest onset point of that disease, the point where symptoms are starting to rise, but where the person may appear asymptomatic. The invention disclosed herein improves patient experience and outcomes, reduces the number and extent of invasive medical procedures and reduces medical treatment costs through the early identification and detection of disease. In general, this invention increases both survivability and quality of life of patients.