Evidence map›Paper›PMID 39289779›Full record

ArticleActa neuropathologica communications2024

Real-world experience with circulating tumor DNA in cerebrospinal fluid from patients with central nervous system tumors.

Richard A Hickman, Alexandra M Miller, Bridget M Holle, Justin Jee, Si-Yang Liu, Dara Ross, Helena Yu, Gregory J Riely, Christina Ombres, Alexandra N Gewirtz and 22 more

Abstract read
In one paragraph

Article in Acta neuropathologica communications, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 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

17 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
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  12. Review
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  14. Review
  15. Cerebrospinal Fluid-Derived Genomic Alterations Tracking Glioma.Journal of molecular neuroscience : MN · 2025
    Article
  16. Neurooncology: 2025 update.Free neuropathology · 2025
    Review
  17. 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

32 authors.

Richard A HickmanHuman Oncology and Pathogenesis Program, Sloan Kettering Institute, New York, NY, 10065, USA.ORCID 0000-0002-8329-6083
Alexandra M MillerDepartment of Neurology, Memorial Sloan Kettering Cancer Center, 1275 York Ave., New York, NY, 10065, USA.
Bridget M HolleHuman Oncology and Pathogenesis Program, Sloan Kettering Institute, New York, NY, 10065, USA.
Justin JeeDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, 10065, USA.
Si-Yang LiuDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, 10065, USA.
Dara RossDepartment of Pathology, Memorial Sloan Kettering Cancer Center, 1275 York Ave., New York, NY, 10065, USA.
Helena YuDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, 10065, USA.
Gregory J RielyDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, 10065, USA.
Christina OmbresDepartment of Pathology, Memorial Sloan Kettering Cancer Center, 1275 York Ave., New York, NY, 10065, USA.
Alexandra N GewirtzDepartment of Neurology, Memorial Sloan Kettering Cancer Center, 1275 York Ave., New York, NY, 10065, USA.
Anne S ReinerDepartment of Epidemiology and Biostatistics, Memorial Sloan Kettering Cancer Center, New York, NY, 10065, USA.
Subhiksha NandakumarHuman Oncology and Pathogenesis Program, Sloan Kettering Institute, New York, NY, 10065, USA.
Adam PriceDepartment of Pathology, Memorial Sloan Kettering Cancer Center, 1275 York Ave., New York, NY, 10065, USA.
Thomas J KaleyDepartment of Neurology, Memorial Sloan Kettering Cancer Center, 1275 York Ave., New York, NY, 10065, USA.
Maya S GrahamDepartment of Neurology, Memorial Sloan Kettering Cancer Center, 1275 York Ave., New York, NY, 10065, USA.
Chad VanderbiltDepartment of Pathology, Memorial Sloan Kettering Cancer Center, 1275 York Ave., New York, NY, 10065, USA.
Satshil RanaDepartment of Pathology, Memorial Sloan Kettering Cancer Center, 1275 York Ave., New York, NY, 10065, USA.
Katherine HillDepartment of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, NY, 10065, USA.
Kiana ChabotHuman Oncology and Pathogenesis Program, Sloan Kettering Institute, New York, NY, 10065, USA.
Carl CamposHuman Oncology and Pathogenesis Program, Sloan Kettering Institute, New York, NY, 10065, USA.
Khedoudja NafaDepartment of Pathology, Memorial Sloan Kettering Cancer Center, 1275 York Ave., New York, NY, 10065, USA.
Neerav ShuklaDepartment of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, NY, 10065, USA.
Matthias KarajannisDepartment of Pediatrics, Memorial Sloan Kettering Cancer Center, New York, NY, 10065, USA.
Bob LiDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY, 10065, USA.
Michael BergerDepartment of Pathology, Memorial Sloan Kettering Cancer Center, 1275 York Ave., New York, NY, 10065, USA.
Marc LadanyiHuman Oncology and Pathogenesis Program, Sloan Kettering Institute, New York, NY, 10065, USA.
Elena PentsovaDepartment of Neurology, Memorial Sloan Kettering Cancer Center, 1275 York Ave., New York, NY, 10065, USA.
Adrienne BoireHuman Oncology and Pathogenesis Program, Sloan Kettering Institute, New York, NY, 10065, USA.
A Rose BrannonDepartment of Pathology, Memorial Sloan Kettering Cancer Center, 1275 York Ave., New York, NY, 10065, USA.
Tejus BaleDepartment of Pathology, Memorial Sloan Kettering Cancer Center, 1275 York Ave., New York, NY, 10065, USA.
Ingo K MellinghoffHuman Oncology and Pathogenesis Program, Sloan Kettering Institute, New York, NY, 10065, USA. mellingi@mskcc.org.
Maria E ArcilaDepartment of Pathology, Memorial Sloan Kettering Cancer Center, 1275 York Ave., New York, NY, 10065, USA. arcilam@mskcc.org.

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
Molecular Mechanisms of Drug Resistance in Primary Brain TumorsR35NS105109 · NINDS · SLOAN-KETTERING INST CAN RESEARCH · PI MELLINGHOFF, INGO K · 2018 to 2025
$4.7M
Defining the Role of Developmental Context in Oncohistone-Driven GliomagenesisK08NS128256 · NINDS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI Maya Srikanth Graham · 2022 to 2026
$978k
NCI NIH HHS P30 CA008748NCI NIH HHS P30-CA008748NINDS NIH HHS K08 NS128256NINDS NIH HHS R35 NS105109NINDS NIH HHS R35 NS105109 03
6 · The paper itself

Abstract

The characterization of genetic alterations in tumor samples has become standard practice for many human cancers to achieve more precise disease classification and guide the selection of targeted therapies. Cerebrospinal fluid (CSF) can serve as a source of tumor DNA in patients with central nervous system (CNS) cancer. We performed comprehensive profiling of CSF circulating tumor DNA (ctDNA) in 711 patients using an FDA-authorized platform (MSK-IMPACT™) in a hospital laboratory. We identified genetic alterations in 489/922 (53.0%) CSF samples with clinically documented CNS tumors. None of 85 CSF samples from patients without CNS tumors had detectable ctDNA. The distribution of clinically actionable somatic alterations was consistent with tumor-type specific alterations across the AACR GENIE cohort. Repeated CSF ctDNA examinations from the same patients identified clonal evolution and emergence of resistance mechanisms. ctDNA detection was associated with shortened overall survival following CSF collection. Next-generation sequencing of CSF, collected through a minimally invasive lumbar puncture in a routine hospital setting, provides clinically actionable cancer genotype information in a large fraction of patients with CNS tumors.

Indexed as

Central Nervous System NeoplasmsCirculating Tumor DNAAdolescentAdultAgedAged, 80 and overBiomarkers, TumorChildFemaleHigh-Throughput Nucleotide SequencingHumansMaleMiddle AgedYoung AdultBiomarkers, TumorCirculating Tumor DNA

Identifiers

PMID39289779
PMCPMC11406943

What OpenQuestion holds

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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.