Evidence map›Paper›PMID 32648179›Full record

ArticleAnnals of surgical oncology2020

Peritoneal Cell-Free Tumor DNA as Biomarker for Peritoneal Surface Malignancies.

Katie M Leick, Austin G Kazarian, Maheen Rajput, Ann Tomanek-Chalkley, Ann Miller, Hannah R Shrader, Ashley McCarthy, Kristen L Coleman, Pashtoon M Kasi, Carlos H F Chan

Abstract read
In one paragraph

Article in Annals of surgical oncology, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

17 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Review
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  5. Article
  6. The Landscape of ctDNA in Appendiceal Adenocarcinoma.Clinical cancer research : an official journal of the American Association for Cancer Research · 2025
    Article
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  8. Article
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  10. Article
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  12. Circulating tumour DNA - looking beyond the blood.Nature reviews. Clinical oncology · 2022
    Review
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  16. Article
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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

10 authors.

Katie M Leick *Department of Surgery, University of Iowa, Iowa City, IA, USA.
Austin G Kazarian *Department of Surgery, University of Iowa, Iowa City, IA, USA.
Maheen RajputDepartment of Radiology, University of Iowa, Iowa City, IA, USA.
Ann Tomanek-ChalkleyDepartment of Surgery, University of Iowa, Iowa City, IA, USA.
Ann MillerDepartment of Surgery, University of Iowa, Iowa City, IA, USA.
Hannah R ShraderDepartment of Surgery, University of Iowa, Iowa City, IA, USA.
Ashley McCarthyHolden Comprehensive Cancer Center, University of Iowa, Iowa City, IA, USA.
Kristen L ColemanHolden Comprehensive Cancer Center, University of Iowa, Iowa City, IA, USA.
Pashtoon M KasiHolden Comprehensive Cancer Center, University of Iowa, Iowa City, IA, USA.
Carlos H F ChanDepartment of Surgery, University of Iowa, Iowa City, IA, USA. carloshfchan@gmail.com.

Funding

Viral VectorP30CA086862 · NCI · UNIVERSITY OF IOWA · PI Douglas Robert Spitz · 2000 to 2026
$70.0M
TRAINING PROGRAM IN FREE RADICAL AND RADIATION BIOLOGYT32CA078586 · NCI · UNIVERSITY OF IOWA · PI SPITZ, DOUGLAS ROBERT · 1999 to 2024
$5.7M
SHORT-TERM TRAINING: STUDENTS IN HEALTH PROF. SCHOOLST35HL007485 · NHLBI · UNIVERSITY OF IOWA · PI ROGHAIR, ROBERT D · 1985 to 2019
$4.3M
NCI NIH HHS P30 CA086862NCI NIH HHS T32 CA078586NHLBI NIH HHS T35 HL007485NIH HHS T32 CA078586
6 · The paper itself

Abstract

backgroundDisease burden in patients with peritoneal carcinomatosis (PC) is difficult to estimate. We evaluate whether peritoneal cell-free tumor DNA can be used as a measure of disease burden. PATIENTS AND

methodsMalignant ascites or peritoneal lavage fluids were collected from patients with PC under approved IRB protocol. Cell-free DNA was extracted from peritoneal fluid. Droplet digital PCR (ddPCR) was performed using a commercially available KRAS G12/G13 screening kit. Mutant allele frequency (MAF) was calculated based on the numbers of KRAS wild-type and mutant droplets. Clinicopathological, treatment and outcome data were abstracted and correlated with MAF of cell-free KRAS mutant DNA.

resultsCell-free KRAS mutant DNA was detected in 15/37 (40%) malignant peritoneal fluids with a MAF of 0.1% to 26.2%. While peritoneal cell-free KRAS mutant DNA was detected in all the patients with KRAS mutant tumors (N = 10), 3/16 (19%) patients with KRAS wild-type tumors also had peritoneal cell-free KRAS mutant DNA. We also found that 71% (5/7) of patients with disease amenable to cytoreductive surgery (CRS) had a MAF of < 1% (median: 0.5%, range: 0.1-4.7%), while 75% (6/8) of patients with unresectable disease had a MAF of > 1% (median: 4.4%, range: 0.1-26.2%).

conclusionsThis pilot proof-of-principle study suggests that peritoneal cell-free tumor DNA detected by ddPCR may enable prediction of disease burden and a measure of disease amenable to CRS in patients with PC.

Indexed as

Peritoneal NeoplasmsBiomarkers, TumorCirculating Tumor DNAHumansPolymerase Chain ReactionBiomarkers, TumorCirculating Tumor DNA

Identifiers

PMID32648179
PMCPMC9731140

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Registered trials

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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.