Evidence map›Paper›PMID 30941670›Full record

ReviewMolecular diagnosis & therapy2019

Detection of Solid Tumor Molecular Residual Disease (MRD) Using Circulating Tumor DNA (ctDNA).

Re-I Chin, Kevin Chen, Abul Usmani, Chanelle Chua, Peter K Harris, Michael S Binkley, Tej D Azad, Jonathan C Dudley, Aadel A Chaudhuri

Registry-linked trialOpen access · greenAbstract readReview
In one paragraph

Review in Molecular diagnosis & therapy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05167604 (Utility of ctDNA In Predicting Whether Giving Adjuvant Chemotherapy In Patients With Stage IB-IIA Resected Non-small Cell Lung Cancer), which is not on this map. Cited by 128 papers, 3 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
128citing papers in PubMed, 3 pooled it
6.3field-weighted citation impact, top 2% 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.

NCT05167604 unknown statusnot on this mapstarted 2021, after this paper: background citation

Utility of ctDNA In Predicting Whether Giving Adjuvant Chemotherapy In Patients With Stage IB-IIA Resected Non-small Cell Lung Cancer: A Prospective Cohort Study

Typeobservational_patient_registrySponsorTang-Du HospitalRan2021 to 2024Enrolled150ConditionsCarcinoma, Non-Small-Cell Lung, Next-Generation Sequencing, Chemotherapy, Adjuvant, Neoplasm, ResidualArmsAdjuvants, Pharmaceutic
3 · Its place in the literature

Who cites it

128 citing papers in PubMed, 3 syntheses or guidelines pooled it, 181 citations in OpenAlex.

  1. Circulating tumor DNA as a predictive biomarker for colorectal cancer postsurgical recurrence: a systematic review and meta-analysis.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
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  6. Circulating tumor DNA-based detection of molecular residual disease in isocitrate dehydrogenase-mutant cholangiocarcinoma for biomarker-guided therapy.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
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68 more citing papers are in PubMed but not listed here.

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

9 authors at 3 institutions in 1 country.

Re-I ChinDepartment of Radiation Oncology, Washington University School of Medicine, St. Louis, MO, USA.
Kevin ChenDepartment of Radiation Oncology, Washington University School of Medicine, St. Louis, MO, USA.
Abul UsmaniDepartment of Radiation Oncology, Washington University School of Medicine, St. Louis, MO, USA.
Chanelle ChuaDepartment of Radiation Oncology, Washington University School of Medicine, St. Louis, MO, USA.
Peter K HarrisDepartment of Radiation Oncology, Washington University School of Medicine, St. Louis, MO, USA.
Michael S BinkleyDepartment of Radiation Oncology, Stanford University School of Medicine, Stanford, CA, USA.
Tej D AzadDepartment of Radiation Oncology, Stanford University School of Medicine, Stanford, CA, USA.
Jonathan C DudleyDepartment of Pathology, Johns Hopkins University School of Medicine, Baltimore, MD, USA.
Aadel A ChaudhuriDepartment of Radiation Oncology, Washington University School of Medicine, St. Louis, MO, USA. aadel@wustl.edu.ORCID 0000-0003-3115-3061
Washington University in St. Louis · USStanford University · USJohns Hopkins University · US

Funding

Washington University SPORE in Pancreatic CancerP50CA196510 · NCI · WASHINGTON UNIVERSITY · PI WANG-GILLAM, ANDREA · 2016 to 2020
$10.9M
Cell-Free Nucleic Acids for Early Treatment Response Assessment of Hepatocellular CancerK08CA238711 · NCI · WASHINGTON UNIVERSITY · PI CHAUDHURI, AADEL · 2019 to 2021
$647k
American Society of Clinical Oncology Young Investigator AwardNCI NIH HHS K08 CA238711NCI NIH HHS P50 CA196510Takeda Pharmaceuticals U.S.A. Young Investigator AwardWashington University SPORE in Pancreatic Cancer Career Enhancement Program
6 · The paper itself

Abstract

Circulating tumor DNA (ctDNA) is a component of cell-free DNA that is shed by malignant tumors into the bloodstream and other bodily fluids. Levels of ctDNA are typically low, particularly in patients with localized disease, requiring highly sophisticated methods for detection and quantification. Multiple liquid biopsy methods have been developed for ctDNA analysis in solid tumor malignancies and are now enabling detection and assessment of earlier stages of disease, post-treatment molecular residual disease (MRD), resistance to targeted systemic therapy, and tumor mutational burden. Understanding ctDNA biology, mechanisms of release, and clearance and size characteristics, in conjunction with the application of molecular barcoding and targeted error correction, have increased the sensitivity and specificity of ctDNA detection techniques. Combinatorial approaches including integration of ctDNA data with circulating protein biomarkers may further improve assay sensitivity and broaden the scope of ctDNA applications. Circulating viral DNA may be utilized to monitor disease in some virally induced malignancies. In spite of increasingly accurate methods of ctDNA detection, results need to be interpreted with caution given that somatic mosaicisms such as clonal hematopoiesis of indeterminate potential (CHIP) may give rise to genetic variants in the bloodstream unrelated to solid tumors, and the limited concordance observed between different commercial platforms. Overall, highly precise ctDNA detection and quantification methods have the potential to transform clinical practice via non-invasive monitoring of solid tumor malignancies, residual disease detection at earlier timepoints than standard clinical and/or imaging surveillance, and treatment personalization based on real-time assessment of the tumor genomic landscape.

Indexed as

Biomarkers, TumorCirculating Tumor DNAGenomicsHigh-Throughput Nucleotide SequencingHumansLiquid BiopsyMolecular Diagnostic TechniquesNeoplasm, ResidualNeoplasmsBiomarkers, TumorCirculating Tumor DNA

Identifiers

PMID30941670
PMCPMC6561896
OpenAlexW2929863582

What OpenQuestion holds

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Registered trials

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.