Detecting urine metabolites of bladder cancer by surface-enhanced Raman spectroscopy.

• With the help of SERS, urine can largely reflect the metabolic status of the body. • Co-analysis of supernatant and sediment makes the diagnosis more accurate. • The present results suggest high potential for SERS to detect BCa from urine. Metabolites present in urine reflect the current phenotype of the cancer state. Surface-enhanced Raman spectroscopy (SERS) can be used in urine supernatant or sediment to largely reflect the metabolic status of the body. Materials & methods: SERS was performed to detect bladder cancer (BCa) and predict tumour grade from urine supernatant, which contains various system metabolites, as well as from urine sediment, which contains exfoliated tumour cells. Results & discussion: Upon combining the urinary supernatant and sediment results, the total diagnostic sensitivity and specificity of SERS were 100% and 98.85%, respectively, for high-grade tumours and 97.53% and 90.80%, respectively, for low-grade tumours. Conclusion: The present results suggest high potential for SERS to detect BCa from urine, especially when combining both urinary supernatant and sediment results. [ABSTRACT FROM AUTHOR]