Evidence map›Paper›PMID 29067216›Full record

ArticleESMO open2017

Genotyping tumour DNA in cerebrospinal fluid and plasma of a HER2-positive breast cancer patient with brain metastases.

Giulia Siravegna, Elena Geuna, Benedetta Mussolin, Giovanni Crisafulli, Alice Bartolini, Danilo Galizia, Laura Casorzo, Ivana Sarotto, Maurizio Scaltriti, Anna Sapino and 2 more

Open access · goldAbstract read
In one paragraph

Article in ESMO open, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed, 4 pooled it
2.8field-weighted citation impact, top 8% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

49 citing papers in PubMed, 4 syntheses or guidelines pooled it, 68 citations in OpenAlex.

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  9. Biological profile of breast cancer brain metastasis.Acta neuropathologica communications · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors at 3 institutions in 2 countries.

Giulia SiravegnaCandiolo Cancer Institute-FPO, IRCCS, Candiolo, Italy.
Elena GeunaInvestigative Clinical Oncology (INCO), Candiolo Cancer Institute-FPO, IRCCS, Candiolo, Italy.
Benedetta MussolinCandiolo Cancer Institute-FPO, IRCCS, Candiolo, Italy.
Giovanni CrisafulliCandiolo Cancer Institute-FPO, IRCCS, Candiolo, Italy.
Alice BartoliniCandiolo Cancer Institute-FPO, IRCCS, Candiolo, Italy.
Danilo GaliziaInvestigative Clinical Oncology (INCO), Candiolo Cancer Institute-FPO, IRCCS, Candiolo, Italy.
Laura CasorzoCandiolo Cancer Institute-FPO, IRCCS, Candiolo, Italy.
Ivana SarottoCandiolo Cancer Institute-FPO, IRCCS, Candiolo, Italy.
Maurizio ScaltritiHuman Oncology and Pathogenesis Program, Memorial Sloan Kettering Cancer Center, New York, New Jersey, USA.
Anna SapinoCandiolo Cancer Institute-FPO, IRCCS, Candiolo, Italy.
Alberto BardelliCandiolo Cancer Institute-FPO, IRCCS, Candiolo, Italy.
Filippo MontemurroInvestigative Clinical Oncology (INCO), Candiolo Cancer Institute-FPO, IRCCS, Candiolo, Italy.
Istituti di Ricovero e Cura a Carattere Scientifico · ITCandiolo Cancer Institute · ITMemorial Sloan Kettering Cancer Center · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
The possible role of the novel Akt 3 R247C mutation in opposing to anti-HER2 therR03CA187094 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI SCALTRITI, MAURIZIO · 2014 to 2015
$176k
NCI NIH HHS P30 CA008748NCI NIH HHS R03 CA187094
6 · The paper itself

Abstract

backgroundCentral nervous system (CNS) involvement contributes to significant morbidity and mortality in patients with human epidermal growth factor receptor 2 (HER2)-positive metastatic breast cancer (mBC) and represents a major challenge for clinicians. Liquid biopsy of cerebrospinal fluid (CSF)-derived circulating tumour DNA (ctDNA) harbours clinically relevant genomic alterations in patients with CNS metastases and could be effective in tracking tumour evolution.

methodsIn a HER2-positive mBC patient with brain metastases, we applied droplet digital PCR (ddPCR) and next-generation whole exome sequencing (WES) analysis to measure ctDNA dynamic changes in CSF and plasma collected during treatment.

resultsBaseline CSF-derived ctDNA analysis revealed DISCUSSION: Analysis of ctDNA in the CSF of HER2-positive mBC is feasible and could represent a useful companion for clinical management of brain metastases.

Indexed as

breast cancercerebrospinal fluidHER2 positiveheterogeneityliquid biopsy

Identifiers

PMID29067216
PMCPMC5640139
OpenAlexW2764128275

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.