Potential impact of ctDNA-based liquid biopsy on multimodal management of cancers

Potential impact of ctDNA-based liquid biopsy on multimodal management of cancers

Circulating tumor DNA (ctDNA) has emerged as a groundbreaking biomarker in the field of oncology. The development of liquid biopsies that can detect and quantify ctDNA presents a transformative approach to cancer management. This non-invasive diagnostic tool is changing the paradigm from traditional tissue biopsies and imaging to a more dynamic, patient-friendly approach.


Current Management Challenges in Oncology

Cancer management traditionally relies on a combination of screening, diagnosis, therapy, and surveillance. However, each stage comes with its own set of challenges. Screening lacks effective non-invasive tests, diagnosis often requires CT scans and invasive procedures, therapies can be morbid with uncertain outcomes, and surveillance typically depends on traditional biomarkers and imaging techniques.


The Rise of ctDNA-based Liquid Biopsy

Liquid biopsy technology, specifically ctDNA-based testing, has the potential to address these challenges head-on. By analyzing fragments of DNA shed by tumors into the bloodstream, ctDNA-based tests can offer insights into the genetic landscape of a patient's cancer in real-time.


Impact on Cancer Screening

The use of ctDNA for screening could usher in a new era of population-level, noninvasive screening protocols. This has the potential to dramatically increase early detection rates, particularly for cancers that currently lack effective screening methods.


Advancements in Diagnosis

With ctDNA, we can anticipate a significant reduction in invasive diagnostic procedures. Detecting genetic changes associated with cancer through a simple blood draw allows for a more comfortable patient experience and quicker diagnosis, which is crucial for effective treatment planning.


Tailored Therapeutic Interventions

Therapeutically, ctDNA provides a pathway to personalized medicine. By identifying specific genetic mutations, treatments can be tailored to the individual, potentially increasing efficacy and reducing unnecessary exposure to toxic chemotherapy.


Improved Surveillance Techniques

In the surveillance phase, ctDNA can detect tumor recurrence much earlier than traditional methods. This early detection allows for timely intervention, which is often critical for patient outcomes.


Conclusion

ctDNA-based liquid biopsy represents a seismic shift in cancer management. It holds the promise of improved patient quality of life through less invasive testing, faster and more accurate diagnosis, more effective and personalized treatments, and earlier detection of recurrence. As the technology continues to develop, it will be essential for oncologists, researchers, and healthcare providers to stay informed and prepared to integrate these advances into clinical practice.


Testing

CancerScreenDx? Multi-Cancer Early Detection

LiquidDx? Circulating Tumour DNA (ctDNA) Liquid Biopsy

CancerTRACE? Liquid Biopsy for Cancer Recurrence Monitoring


Sample Preparation Instructions

All clinical materials should be collected with approved methods to avoid contamination and cross contamination. A sterile environment must be maintained when collecting samples. Our sample preparation requirements are detailed in the table below:

  • Blood: ≥ 20mL blood collected in EDTA or Streck tubes, no Heparin tubes allowed.
  • Plasma: Plasma samples should be collected and separated within 2 hours of collection, if possible, as longer times impact degradation and downstream sequencing success. Double spun plasma is also acceptable.
  • Frozen plasma: 5 - 10 mL plasma frozen at -80°C with no signs of haemolysis.


Sample Transport

EDTA Blood can be sent via regular mail at room temperature. Plasma must be sent via refrigerated shipping. Frozen plasma must be sent via frozen shipping (with dry ice).


Shipping Instructions

Sample should be sent to:

AGTC Genomics Sdn Bhd (1428365-D) J2-1, Pusat Perdagangan Bukit Jalil, Jalan Persiaran Jalil 1, Bukit Jalil, 57000 Kuala Lumpur, Malaysia


Performance information

  • Analytic time: 7 to 14 days
  • Day(s) and time(s) performed: Monday through Friday

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