Evidence map›Paper›PMID 37004022›Full record

ArticleBMC cancer2023

Plasma ctDNA increases tissue NGS-based detection of therapeutically targetable mutations in lung cancers.

Jianjiang Xie, Weishen Yao, Lingxiu Chen, Wenjun Zhu, Qiang Liu, Geng Geng, Jing Fang, Yang Zhao, Li Xiao, Zhenhua Huang and 1 more

Open access · goldAbstract read
In one paragraph

Article in BMC cancer, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed, 1 pooled it
8.1field-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.

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

19 citing papers in PubMed, 1 synthesis or guideline pooled it, 32 citations in OpenAlex.

  1. Pooled it
  2. Trial
  3. Pharmacogenomics in oncology: mutation-targeted therapy and biomarker integration in 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
    Review
  4. Article
  5. Article
  6. Article
  7. Review
  8. Round-Robin Comparison of RET Rearrangement Detection in ctDNA: A Novel Method for Limited Clinical Samples.Clinical cancer research : an official journal of the American Association for Cancer Research · 2025
    Article
  9. Clinical Utility of ctDNA Analysis in Lung Cancer-A Review.Advances in respiratory medicine · 2025
    Review
  10. Article
  11. Article
  12. Smart nanoplatforms for early detection and immune modulation in lung cancer.Frontiers in bioengineering and biotechnology · 2025
    Review
  13. Review
  14. Article
  15. Article
  16. Review
  17. Liquid biopsy techniques and lung cancer: diagnosis, monitoring and evaluation.Journal of experimental & clinical cancer research : CR · 2024
    Review
  18. Article
  19. Article
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

11 authors at 9 institutions in 1 country.

Jianjiang Xie *Department of Thoracic surgery, School of Medicine, Guangzhou First People's Hospital, South China University of Technology, Guangzhou, 510180, China.
Weishen Yao *Department of Cardiothoracic Surgery, Nanhai District People's Hospital of Foshan, Foshan, 528200, China.
Lingxiu Chen *Department of Pulmonary and Critical Care Medicine, Three Gorges Hospital of Chongqing University, Chongqing, 404000, China.
Wenjun ZhuDepartment of Oncology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, P.R. China.
Qiang LiuShenyang Chest Hospital & Tenth People's Hospital, Shenyang, Liaoning, 110044, China.
Geng GengDepartment of Thoracic and Cardiac Surgery, WuHu Hospital, East China Normal University, Wuhu, Anhui, 241000, China.
Jing FangDepartment of Oncology, School of Medicine, Zhongshan Hospital of Xiamen University, Xiamen, 361004, China.
Yang ZhaoDepartment of Thoracic Surgery, Shanghai Chest Hospital, Shanghai Jiao Tong University, Shanghai, 200030, China.
Li XiaoDepartment of Oncology, School of Medicine, Zhongshan Hospital of Xiamen University, Xiamen, 361004, China. XiaoLi20210304@163.com.
Zhenhua HuangDepartment of Oncology, Nanfang Hospital of Southern Medical University, Guangzhou, 510515, China. Welstan7@163.com.
Jing ZhaoDepartment of Oncology, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, 430030, P.R. China. jzhao@tjh.tjmu.edu.cn.
Huazhong University of Science and Technology · CNZhongshan Hospital of Xiamen University · CNAnhui Normal University · CNChongqing University · CNFoshan Second People's Hospital · CNGuangzhou First People's Hospital · CNNanfang Hospital · CNShanghai Jiao Tong University · CNShenyang Ninth People's Hospital · CN

Funding

the Natural Science Foundation of Guangdong Province 2020A1515011290
6 · The paper itself

Abstract

backgroundCirculating tumor DNA (ctDNA) has been becoming a novel convenient and noninvasive method for dynamically monitoring landscape of genomic information to guild personalized cancer treatment. In this study we comprehensively evaluated the additional value of plasma ctDNA to routine tissue next generation sequencing (NGS) of therapeutically targetable mutations in lung cancers.

methodsThe tumor tissues and peripheral blood samples from 423 cases of patients with lung cancer were subjected to NGS of mutations in oncodrivers (EGFR, ERBB2, ALK, ROS1, C-MET, KRAS, BRAF, RET, BRCA1 and BRCA2).

resultsOne hundred and ninety-seven cases showed both plasma and tissue positive and 96 showed both negative. The concordance for tissue and blood detection was 69.27% (293/423). 83 (19.62%) cases showed positive by tissue NGS alone and 47 (11.11%) positive by plasma ctDNA alone. The sensitivity of tissue and plasma detection was 85.63%, and 74.62%, respectively. Plasma had lower detection and sensitivity than tissue, but plasma additionally detected some important mutations which were omitted by tissue NGS. Plasma plus tissue increased the detection rate of 66.19% by tissue alone to 77.30% as well as the sensitivity of 85.63-100%. Similar results were also observed when the cases were classified into subpopulations according to different stages (IV vs. III vs. I-II), grades (low vs. middle grade) and metastatic status (metastasis vs. no metastasis).

conclusionPlasma ctDNA shares a high concordance with tissue NGS, and plasma plus tissue enhances the detection rate and sensitivity by tissue alone, implying that the tissue and plasma detection should be mutually complementary in the clinical application.

Indexed as

Circulating Tumor DNALung NeoplasmsBiomarkers, TumorHigh-Throughput Nucleotide SequencingHumansMutationProto-Oncogene ProteinsBiomarkers, TumorCirculating Tumor DNAProto-Oncogene ProteinsCirculating tumor DNALung cancerNext generation sequencingPlasma

Identifiers

PMID37004022
PMCPMC10063947
OpenAlexW4362523870

What OpenQuestion holds

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LicenceCC BY
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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.