Evidence map›Paper›PMID 37190044›Full record

ArticleCells2023

Gene Fusion Detection in NSCLC Routine Clinical Practice: Targeted-NGS or FISH?

Lorenza Pecciarini, Emanuela Brunetto, Greta Grassini, Valeria De Pascali, Francesca Rita Ogliari, Anna Talarico, Giovanna Marra, Gilda Magliacane, Miriam Redegalli, Gianluigi Arrigoni and 5 more

Abstract read
In one paragraph

Article in Cells, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
15citing 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

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

  1. Diagnostic accuracy of next-generation sequencing (NGS) for identifying actionable mutations in advanced non-small cell lung cancer: Systematic Review and Meta-Analysis.Clinical & translational oncology : official publication of the Federation of Spanish Oncology Societies and of the National Cancer Institute of Mexico · 2026
    Pooled it
  2. Article
  3. Article
  4. Article
  5. Gene fusions in melanocytic lesions: an updated comprehensive review.Journal of pathology and translational medicine · 2026
    Article
  6. Article
  7. Article
  8. Article
  9. Oncogenic gene fusions in cancer: from biology to therapy.Signal transduction and targeted therapy · 2025
    Review
  10. The Fusion Genes and Their Relation with Genetic Variants in Egyptian AML Patients.Asian Pacific journal of cancer prevention : APJCP · 2025
    Article
  11. Article
  12. Review
  13. JTO clinical and research reports · 2024
    Article
  14. Article
  15. 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

15 authors.

Lorenza PecciariniPathology Unit, IRCCS San Raffaele Scientific Institute, 20132 Milan, Italy.
Emanuela BrunettoPathology Unit, IRCCS San Raffaele Scientific Institute, 20132 Milan, Italy.
Greta GrassiniPathology Unit, IRCCS San Raffaele Scientific Institute, 20132 Milan, Italy.
Valeria De PascaliPathology Unit, IRCCS San Raffaele Scientific Institute, 20132 Milan, Italy.
Francesca Rita OgliariDepartment of Oncology, IRCCS San Raffaele Scientific Institute, 20132 Milan, Italy.
Anna TalaricoPathology Unit, IRCCS San Raffaele Scientific Institute, 20132 Milan, Italy.
Giovanna MarraPathology Unit, IRCCS San Raffaele Scientific Institute, 20132 Milan, Italy.
Gilda MagliacanePathology Unit, IRCCS San Raffaele Scientific Institute, 20132 Milan, Italy.
Miriam RedegalliPathology Unit, IRCCS San Raffaele Scientific Institute, 20132 Milan, Italy.ORCID 0000-0002-5308-280X
Gianluigi ArrigoniPathology Unit, IRCCS San Raffaele Scientific Institute, 20132 Milan, Italy.
Chiara LazzariCandiolo Cancer Institute, FPO-IRCCS, 10060 Turin, Italy.
Vanesa GregorcCandiolo Cancer Institute, FPO-IRCCS, 10060 Turin, Italy.
Alessandra BulottaDepartment of Oncology, IRCCS San Raffaele Scientific Institute, 20132 Milan, Italy.
Claudio DoglioniPathology Unit, IRCCS San Raffaele Scientific Institute, 20132 Milan, Italy.
Maria Giulia CangiPathology Unit, IRCCS San Raffaele Scientific Institute, 20132 Milan, Italy.ORCID 0000-0002-9472-0935

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The ability to identify the broadest range of targetable gene fusions is crucial to facilitate personalized therapy selection for advanced lung adenocarcinoma (LuADs) patients harboring targetable receptor tyrosine kinase (RTK) genomic alterations. In order to evaluate the most effective testing approach for LuAD targetable gene fusion detection, we analyzed 210 NSCLC selected clinical samples, comparing in situ (Fluorescence In Situ Hybridization, FISH, and ImmunoHistoChemistry, IHC) and molecular (targeted RNA Next-Generation Sequencing, NGS, and RealTime-PCR, RT-PCR) approaches. The overall concordance among these methods was high (>90%), and targeted RNA NGS was confirmed to be the most efficient technique for gene fusion identification in clinical practice, allowing the simultaneous analysis of a large set of genomic rearrangements at the RNA level. However, we observed that FISH was useful to detect targetable fusions in those samples with inadequate tissue material for molecular testing as well as in those few cases whose fusions were not identified by the RNA NGS panel. We conclude that the targeted RNA NGS analysis of LuADs allows accurate RTK fusion detection; nevertheless, standard methods such as FISH should not be dismissed, as they can crucially contribute to the completion of the molecular characterization of LuADs and, most importantly, the identification of patients as candidates for targeted therapies.

Indexed as

Adenocarcinoma of LungCarcinoma, Non-Small-Cell LungLung NeoplasmsAnaplastic Lymphoma KinaseGene FusionHumansIn Situ Hybridization, FluorescenceReceptor Protein-Tyrosine KinasesRNAAnaplastic Lymphoma KinaseReceptor Protein-Tyrosine KinasesRNAALKFISHfusionlung cancermolecular testingNGSNSCLCNTRKRETROS1

Identifiers

PMID37190044
PMCPMC10137127

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.