Evidence map›Paper›PMID 37046633›Full record

ArticleCancers2023

Simultaneous Ultra-Sensitive Detection of Structural and Single Nucleotide Variants Using Multiplex Droplet Digital PCR in Liquid Biopsies from Children with Medulloblastoma.

Cecilia Arthur, Cecilia Jylhä, Teresita Díaz de Ståhl, Alia Shamikh, Johanna Sandgren, Richard Rosenquist, Magnus Nordenskjöld, Arja Harila, Gisela Barbany, Ulrika Sandvik and 1 more

Open access · goldAbstract read
In one paragraph

Article in Cancers, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
3.8field-weighted citation impact, top 7% 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

13 citing papers in PubMed, 16 citations in OpenAlex.

  1. Review
  2. Article
  3. Review
  4. Review
  5. Article
  6. Article
  7. Review
  8. Article
  9. Review
  10. Review
  11. Article
  12. Review
  13. 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 3 institutions in 1 country.

Cecilia ArthurClinical Genetics, Karolinska University Hospital, 171 76 Stockholm, Sweden.ORCID 0000-0002-0645-6530
Cecilia JylhäClinical Genetics, Karolinska University Hospital, 171 76 Stockholm, Sweden.
Teresita Díaz de StåhlDepartment of Oncology-Pathology, Karolinska Institutet, 171 77 Stockholm, Sweden.ORCID 0000-0001-5933-6623
Alia ShamikhClinical Pathology and Cancer Diagnostics, Karolinska University Hospital, 171 76 Stockholm, Sweden.
Johanna SandgrenDepartment of Oncology-Pathology, Karolinska Institutet, 171 77 Stockholm, Sweden.
Richard RosenquistClinical Genetics, Karolinska University Hospital, 171 76 Stockholm, Sweden.
Magnus NordenskjöldClinical Genetics, Karolinska University Hospital, 171 76 Stockholm, Sweden.
Arja HarilaDepartment of Women's and Children's Health, Uppsala University, 751 85 Uppsala, Sweden.
Gisela BarbanyClinical Genetics, Karolinska University Hospital, 171 76 Stockholm, Sweden.ORCID 0000-0003-3185-2962
Ulrika SandvikDepartment of Clinical Neuroscience, Division of Neurosurgery, Karolinska Institutet, 171 77 Stockholm, Sweden.ORCID 0000-0002-9273-2158
Emma ThamClinical Genetics, Karolinska University Hospital, 171 76 Stockholm, Sweden.ORCID 0000-0001-6079-164X
Karolinska University Hospital · SEKarolinska Institutet · SEUppsala University · SE

Funding

ALF/Region Stockholm FoUI-961732, SLL500306, SLL20180046.Barncancerfonden KP2021-0017, KP2018-0009, TJ2021-0125, TJ2018-0054, TJ2018-0012
6 · The paper itself

Abstract

Medulloblastoma is a malignant embryonal tumor of the central nervous system (CNS) that mainly affects infants and children. Prognosis is highly variable, and molecular biomarkers for measurable residual disease (MRD) detection are lacking. Analysis of cell-free DNA (cfDNA) in cerebrospinal fluid (CSF) using broad genomic approaches, such as low-coverage whole-genome sequencing, has shown promising prognostic value. However, more sensitive methods are needed for MRD analysis. Here, we show the technical feasibility of capturing medulloblastoma-associated structural variants and point mutations simultaneously in cfDNA using multiplexed droplet digital PCR (ddPCR). Assay sensitivity was assessed with a dilution series of tumor in normal genomic DNA, and the limit of detection was below 100 pg of input DNA for all assays. False positive rates were zero for structural variant assays. Liquid biopsies (CSF and plasma, n = 47) were analyzed from 12 children with medulloblastoma, all with negative CSF cytology. MRD was detected in 75% (9/12) of patients overall. In CSF samples taken before or within 21 days of surgery, MRD was detected in 88% (7/8) of patients with localized disease and in one patient with the metastasized disease. Our results suggest that this approach could expand the utility of ddPCR and complement broader analyses of cfDNA for MRD detection.

Indexed as

biomarkercell free DNAcerebrospinal fluidddPCRliquid biopsymedulloblastomaMRDplasma

Identifiers

PMID37046633
PMCPMC10092983
OpenAlexW4361009198

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.