Evidence map›Paper›PMID 34145282›Full record

ArticleNature communications2021

Enhanced specificity of clinical high-sensitivity tumor mutation profiling in cell-free DNA via paired normal sequencing using MSK-ACCESS.

A Rose Brannon, Gowtham Jayakumaran, Monica Diosdado, Juber Patel, Anna Razumova, Yu Hu, Fanli Meng, Mohammad Haque, Justyna Sadowska, Brian J Murphy and 59 more

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 120 papers.

0numbers the graph read from it
0cells of the map it votes in
120citing papers in PubMed
12.2field-weighted citation impact, top 1% 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

120 citing papers in PubMed, 176 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Neoadjuvant Nivolumab with or without Ipilimumab for Cisplatin-Ineligible Patients with Muscle-Invasive Bladder Cancer.Clinical cancer research : an official journal of the American Association for Cancer Research · 2026
    Trial
  4. Phase 2 Study of Amivantamab Plus Lazertinib in Previously Treated Patients With EGFR-Mutant Lung Cancers With Brain and Leptomeningeal Metastases.Journal of thoracic oncology : official publication of the International Association for the Study of Lung Cancer · 2026
    Trial
  5. Trial
  6. ctDNA as a Molecular Biomarker in the Phase II Trial of Imatinib plus Binimetinib in Patients with Advanced Gastrointestinal Stromal Tumor.Clinical cancer research : an official journal of the American Association for Cancer Research · 2025
    Trial
  7. Trial
  8. Trial
  9. Serial Cell-Free DNA Sequencing inJCO precision oncology · 2024
    Trial
  10. Trial
  11. Trial
  12. Article
  13. Review
  14. Molecular and Clinical Determinants of Targeted Therapy Treatment in Biliary Tract Cancer.Clinical cancer research : an official journal of the American Association for Cancer Research · 2026
    Article
  15. Clinical Responses to Tarlatamab Among Patients With Pulmonary Carcinoid.Journal of thoracic oncology : official publication of the International Association for the Study of Lung Cancer · 2026
    Article
  16. Interpretable deep learning model of circulating genomics for quantitative survival prediction in advanced non-small cell lung cancer.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Article
  17. Article
  18. Article
  19. Article
  20. Review

60 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

69 authors at 1 institution in 1 country.

A Rose Brannon *Department of Pathology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.ORCID 0000-0003-4610-0149
Gowtham Jayakumaran *Department of Pathology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Monica DiosdadoDepartment of Pathology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.ORCID 0000-0002-3475-9985
Juber PatelKravis Center for Molecular Oncology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Anna RazumovaDepartment of Pathology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Yu HuDepartment of Pathology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Fanli MengKravis Center for Molecular Oncology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Mohammad HaqueDepartment of Pathology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Justyna SadowskaDepartment of Pathology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Brian J MurphyDepartment of Pathology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Tessara BaldiDepartment of Pathology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Ian JohnsonKravis Center for Molecular Oncology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.ORCID 0000-0002-0353-1195
Ryan PtashkinDepartment of Pathology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Maysun HasanKravis Center for Molecular Oncology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.ORCID 0000-0002-6496-4752
Preethi SrinivasanKravis Center for Molecular Oncology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Anoop Balakrishnan RemaDepartment of Pathology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.ORCID 0000-0001-6104-5665
Ivelise RijoDepartment of Pathology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Aaron AgarunovDepartment of Pathology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Helen WonKravis Center for Molecular Oncology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Dilmi PereraKravis Center for Molecular Oncology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
David N BrownKravis Center for Molecular Oncology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Aliaksandra SamoilaDepartment of Laboratory Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Xiaohong JingKravis Center for Molecular Oncology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Erika GedvilaiteDepartment of Pathology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.ORCID 0000-0003-1749-0045
Julie L YangKravis Center for Molecular Oncology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.ORCID 0000-0003-4747-6391
Dennis P StephensKravis Center for Molecular Oncology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Jenna-Marie DixDepartment of Pathology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.ORCID 0000-0001-8822-4049
Nicole DeGroatDepartment of Pathology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Khedoudja NafaDepartment of Pathology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Aijazuddin SyedDepartment of Pathology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Alan LiKravis Center for Molecular Oncology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Emily S LebowDepartment of Radiation Oncology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Anita S BowmanDepartment of Pathology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.ORCID 0000-0002-8651-5317
Donna C FergusonDepartment of Pathology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Ying LiuDepartment of Pathology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Douglas A MataDepartment of Pathology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Rohit SharmaDepartment of Pathology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Soo-Ryum YangDepartment of Pathology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Tejus BaleDepartment of Pathology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Jamal K BenhamidaDepartment of Pathology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.ORCID 0000-0001-5542-9857
Jason C ChangDepartment of Pathology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Snjezana DoganDepartment of Pathology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Meera R HameedDepartment of Pathology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Jaclyn F HechtmanDepartment of Pathology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Christine MoungDepartment of Pathology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Dara S RossDepartment of Pathology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Efsevia VakianiDepartment of Pathology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Chad M VanderbiltDepartment of Pathology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.ORCID 0000-0002-8114-0237
JinJuan YaoDepartment of Pathology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Pedram RazaviDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA.ORCID 0000-0003-4236-0576
Lillian M SmythDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA.ORCID 0000-0002-0986-9285
Sarat ChandarlapatyDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA.ORCID 0000-0003-4532-8053
Gopa IyerDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA.ORCID 0000-0002-5093-6099
Wassim AbidaDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
James J HardingDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Benjamin KrantzDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Eileen O'ReillyDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA.ORCID 0000-0002-8076-9199
Helena A YuDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Bob T LiDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA.ORCID 0000-0001-6661-8733
Charles M RudinDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA.ORCID 0000-0001-5204-3465
Luis DiazDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, USA.ORCID 0000-0002-7079-8914
David B SolitKravis Center for Molecular Oncology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.ORCID 0000-0002-6614-802X
Maria E ArcilaDepartment of Pathology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Marc LadanyiDepartment of Pathology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Brian LoomisKravis Center for Molecular Oncology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.ORCID 0000-0002-1863-1199
Dana TsuiDepartment of Pathology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Michael F BergerDepartment of Pathology, Memorial Sloan Kettering Cancer Center, New York, NY, USA.ORCID 0000-0003-3882-5000
Ahmet ZehirDepartment of Pathology, Memorial Sloan Kettering Cancer Center, New York, NY, USA. zehira@mskcc.org.ORCID 0000-0001-5406-4104
Ryma BenayedDepartment of Pathology, Memorial Sloan Kettering Cancer Center, New York, NY, USA. benayedr@mskcc.org.ORCID 0000-0002-3754-0321
Memorial Sloan Kettering Cancer Center · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Nicholas D Socci · 1985 to 2026
$347.4M
SPORE in Bladder CancerP50CA221745 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI OSTROVNAYA, IRINA · 2018 to 2024
$11.8M
The Impact of DNA Damage Repair Abnormalities in Prostate CancerP01CA228696 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI KANTOFF, PHILIP W · 2019 to 2024
$8.7M
Defining mechanisms of resistance to hormonal therapy in breast cancerR01CA234361 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI CHANDARLAPATY, SARAT, SOLIT, DAVID B. · 2019 to 2023
$2.0M
NCI NIH HHS P01 CA228696NCI NIH HHS P30 CA008748NCI NIH HHS P50 CA221745NCI NIH HHS R01 CA234361
6 · The paper itself

Abstract

Circulating cell-free DNA from blood plasma of cancer patients can be used to non-invasively interrogate somatic tumor alterations. Here we develop MSK-ACCESS (Memorial Sloan Kettering - Analysis of Circulating cfDNA to Examine Somatic Status), an NGS assay for detection of very low frequency somatic alterations in 129 genes. Analytical validation demonstrated 92% sensitivity in de-novo mutation calling down to 0.5% allele frequency and 99% for a priori mutation profiling. To evaluate the performance of MSK-ACCESS, we report results from 681 prospective blood samples that underwent clinical analysis to guide patient management. Somatic alterations are detected in 73% of the samples, 56% of which have clinically actionable alterations. The utilization of matched normal sequencing allows retention of somatic alterations while removing over 10,000 germline and clonal hematopoiesis variants. Our experience illustrates the importance of analyzing matched normal samples when interpreting cfDNA results and highlights the importance of cfDNA as a genomic profiling source for cancer patients.

Indexed as

Biomarkers, TumorCirculating Tumor DNADNA Mutational AnalysisGene FrequencyGenetic MarkersHigh-Throughput Nucleotide SequencingHumansMutationNeoplasmsBiomarkers, TumorCirculating Tumor DNAGenetic Markers

Identifiers

PMID34145282
PMCPMC8213710
OpenAlexW3168693194

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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.