Evidence map›Paper›PMID 34211039›Full record

ArticleScientific reports2021

Identification of germline cancer predisposition variants during clinical ctDNA testing.

Leigh Anne Stout, Nawal Kassem, Cynthia Hunter, Santosh Philips, Milan Radovich, Bryan P Schneider

Open access · goldAbstract read
In one paragraph

Article in Scientific reports, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed, 1 pooled it
2.2field-weighted citation impact, top 12% 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

24 citing papers in PubMed, 1 synthesis or guideline pooled it, 34 citations in OpenAlex.

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  6. Advances in laboratory medicine · 2025
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  17. The utility of liquid biopsy in clinical genetic diagnosis of cancer and monogenic mosaic disorders.Medizinische Genetik : Mitteilungsblatt des Berufsverbandes Medizinische Genetik e.V · 2023
    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

6 authors at 3 institutions in 1 country.

Leigh Anne StoutIndiana University School of Medicine, 1030 W. Michigan St., Suite 3307, Indianapolis, IN, 46202, USA.
Nawal KassemIndiana University School of Medicine, 1030 W. Michigan St., Suite 3307, Indianapolis, IN, 46202, USA.
Cynthia HunterIndiana University School of Medicine, 1030 W. Michigan St., Suite 3307, Indianapolis, IN, 46202, USA.
Santosh PhilipsIndiana University School of Medicine, 1030 W. Michigan St., Suite 3307, Indianapolis, IN, 46202, USA.
Milan RadovichIndiana University School of Medicine, 1030 W. Michigan St., Suite 3307, Indianapolis, IN, 46202, USA.
Bryan P SchneiderIndiana University School of Medicine, 1030 W. Michigan St., Suite 3307, Indianapolis, IN, 46202, USA. bpschnei@iu.edu.
Indiana University Health · USIndiana University – Purdue University Indianapolis · USIndiana University School of Medicine

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Next-generation sequencing of circulating tumor DNA (ctDNA) is a non-invasive method to guide therapy selection for cancer patients. ctDNA variant allele frequency (VAF) is commonly reported and may aid in discerning whether a variant is germline or somatic. We report on the fidelity of VAF in ctDNA as a predictor for germline variant carriage. Two patient cohorts were studied. Cohort 1 included patients with known germline variants. Cohort 2 included patients with any variant detected by the ctDNA assay with VAF of 40-60%. In cohort 1, 36 of 91 (40%) known germline variants were identified through ctDNA analysis with a VAF of 39-87.6%. In cohort 2, 111 of 160 (69%) variants identified by ctDNA analysis with a VAF between 40 and 60% were found to be germline. Therefore, variants with a VAF between 40 and 60% should induce suspicion for germline status but should not be used as a replacement for germline testing.

Indexed as

AdultAgedBiomarkers, TumorCirculating Tumor DNAFemaleGene FrequencyGenetic TestingGerm-Line MutationHumansMaleMiddle AgedNeoplasmsBiomarkers, TumorCirculating Tumor DNA

Identifiers

PMID34211039
PMCPMC8249601
OpenAlexW3030093552

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.