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Updated: Sep 29, 2025

Real-time Breath Analysis by Using Secondary Nanoelectrospray Ionization Coupled to High Resolution Mass Spectrometry
Published on: March 9, 2018
Post-COVID syndrome screening through breath analysis using electronic nose technology.
Nidheesh V R1, Aswini Kumar Mohapatra2, Unnikrishnan V K1
1Centre of Excellence for Biophotonics, Department of Atomic and Molecular Physics, Manipal Academy of Higher Education, Manipal, Karnataka, India, 576104.
An electronic nose accurately diagnosed post-coronavirus disease syndrome (PCS) in a pilot study. This non-invasive breath test shows promise for point-of-care screening of PCS, distinguishing it from asthma and COPD.
Area of Science:
- Biomedical Engineering
- Respiratory Medicine
- Analytical Chemistry
Background:
- Post-Coronavirus Disease Syndrome (PCS) presents diagnostic challenges, often mimicking symptoms of asthma and COPD.
- Undetected COVID-19 cases complicate accurate diagnosis and management of long-term respiratory conditions.
- Non-invasive breath analysis offers a promising avenue for early disease detection and screening.
Purpose of the Study:
- To evaluate the efficacy of electronic (E-) nose technology for diagnosing Post-Coronavirus Disease Syndrome (PCS).
- To assess the E-nose's ability to differentiate PCS from asthma and control subjects using breath volatile organic compounds (VOCs).
- To establish a reliable, point-of-care diagnostic tool for PCS.
Main Methods:
- A pilot study utilized an E-nose device to analyze breath samples from patients with PCS, asthma, and healthy controls.
- Volatile Organic Compounds (VOCs) in exhaled breath were analyzed to identify disease-specific signatures.
- Machine learning algorithms, including k-nearest neighbors (k-NN), were employed for diagnostic classification.
Main Results:
- The E-nose prediction model achieved 100% sensitivity and 100% specificity for PCS diagnosis.
- Receiver Operating Characteristic (ROC) analysis yielded an Area Under the Curve (AUC) of 1, indicating perfect discrimination.
- The E-nose successfully differentiated between PCS, asthma, and control cohorts based on breath VOC profiles.
Conclusions:
- Electronic nose technology demonstrates high accuracy and reliability for diagnosing Post-Coronavirus Disease Syndrome (PCS).
- Breath analysis using E-nose can serve as an effective non-invasive, point-of-care diagnostic method for PCS.
- This technology holds potential for early screening and management of PCS, especially in primary healthcare settings.
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