Evidence map›Paper›PMID 39096189›Full record

ReviewThe oncologist2024

High sensitivity ctDNA assays in genitourinary malignancies: current evidence and future directions.

Kartik R Patel, Soroush Rais-Bahrami, Arnab Basu

Abstract readReview
In one paragraph

Review in The oncologist, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers.

0numbers the graph read from it
0cells of the map it votes in
16citing papers in PubMed
–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

16 citing papers in PubMed.

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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

3 authors.

Kartik R PatelDepartment of Urology, University of Alabama at Birmingham, Heersink School of Medicine, Birmingham, AL 35233, United States.
Soroush Rais-BahramiDepartment of Urology, University of Alabama at Birmingham, Heersink School of Medicine, Birmingham, AL 35233, United States.
Arnab BasuO'Neal Comprehensive Cancer Center, University of Alabama at Birmingham, Heersink School of Medicine, Birmingham, AL 35233, United States.ORCID 0000-0002-8678-3880

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In the recent decade, analysis of circulating tumor DNA (ctDNA) has improved cancer care by allowing for rapid detection of actionable molecular targets. A new generation of circulating DNA tests is now becoming available commercially. These tests are characterized by a superior limit of detection of 0.01% vaF or better, allowing for the detection of radiologically occult molecular residual disease (MRD). MRD tests have the potential to revolutionize neoadjuvant and adjuvant treatment. In addition, these tests can be used as tumor markers to assess disease response. We reviewed the current evidence for the use of high-sensitivity MRD assays with particular focus on the genitourinary tumors. Multiple studies have now been reported in urothelial, renal, and recently testicular carcinoma. We find that the sensitivity varies across tumor types in the adjuvant setting and may reach a high of 100% in urothelial cancer. Specificity in tumor-informed MRD appears to be preserved across tumor types (98%-100%). Several trials are now prospectively validating MRD testing in biomarker integral studies, mainly in urothelial carcinoma.

Indexed as

Biomarkers, TumorCirculating Tumor DNAUrogenital NeoplasmsHumansMaleNeoplasm, ResidualSensitivity and SpecificityBiomarkers, TumorCirculating Tumor DNAcirculating tumor DNAminimal residual diseasemolecular residual diseaseprostate cancerrenal cell carcinomaurothelial carcinoma

Identifiers

PMID39096189
PMCPMC11379638

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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.