Evidence map›Paper›PMID 40198129›Full record

ArticleClinical cancer research : an official journal of the American Association for Cancer Research2025

Navigating Complexity: Perspectives on Risk Assessment in the Era of New Blood-Based Tests for Early Cancer Detection.

Christina A Clarke, Breeana L Mitchell, Emma Alme, Jonathan P Beer, Tomasz M Beer, Michelle A Beidelschies, Jody Hoyos, Eric A Klein, Peter Kuhn, Nancy Krunic and 12 more

Abstract read
In one paragraph

Article in Clinical cancer research : an official journal of the American Association for Cancer Research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. 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

22 authors.

Christina A Clarke *GRAIL, Inc., Menlo Park, California.ORCID 0000-0002-7515-2549
Breeana L Mitchell *Natera, Austin, Texas.ORCID 0009-0006-6600-6503
Emma AlmeGuardant Health, Redwood City, California.ORCID 0009-0001-9272-4879
Jonathan P BeerBristol Myers Squibb, Princeton, New Jersey.ORCID 0009-0001-0832-9930
Tomasz M BeerExact Sciences, Madison, Wisconsin.ORCID 0000-0001-5600-9993
Michelle A BeidelschiesExact Sciences, Madison, Wisconsin.ORCID 0000-0002-6344-0674
Jody HoyosPrevent Cancer Foundation, Alexandria, Virginia.ORCID 0009-0001-7295-3412
Eric A KleinGRAIL, Inc., Menlo Park, California.ORCID 0009-0009-1443-7549
Peter KuhnUniversity of Southern California, Los Angeles, Los Angeles, California.ORCID 0000-0003-2629-4505
Nancy KrunicNovartis, East Hanover, New Jersey.ORCID 0009-0008-8245-0553
Kathryn LangFormerly with Freenome, San Francisco, California.ORCID 0009-0000-9498-4917
Jerry S H LeeUniversity of Southern California, Los Angeles, Los Angeles, California.ORCID 0000-0003-1515-0952
Dorys Lopez RamosBLOODPAC, Chicago, Illinois.ORCID 0009-0008-1415-3135
David MorgensternDELFI Diagnostics, Baltimore, Maryland.ORCID 0000-0003-0554-3947
Girish PutchaPrecision Medicine & Diagnostics, Los Altos Hills, California.ORCID 0000-0002-6559-620X
Elissa QuinnAstraZeneca, Wilmington, Delaware.ORCID 0000-0001-7952-2562
Victoria M RaymondGuardant Health, Redwood City, California.ORCID 0000-0001-5223-0981
Wendy S RubinsteinDivision of Cancer Prevention, National Institutes of Health, National Cancer Institute, Rockville, Maryland.ORCID 0000-0002-8790-9959
Stephanie A SanchezNatera, Austin, Texas.ORCID 0000-0003-2946-0281
Ryan W SerraQuest Diagnostics, Secaucus, New Jersey.ORCID 0000-0001-8037-0666
Mark D StewartFriends of Cancer Research, Washington, District of Columbia.ORCID 0000-0002-4847-0736
Lauren C LeimanBLOODPAC, Chicago, Illinois.ORCID 0009-0002-4374-7246

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In recent years, there has been a surge in the development of new, blood-based, single- and multi-cancer detection tests (SCD and MCD), which can detect cancer signals prior to the onset of symptoms or clinical diagnosis of cancer. Recognizing the need for consensus definitions and standardized evidence development frameworks for these new types of blood tests, the Early Detection and Screening Working Group of the Blood Profiling Atlas in Cancer Consortium, a collaborative initiative dedicated to advancing standards and best practices, developed and published a lexicon for liquid biopsy-based SCD and MCD tests. During the preparation of the lexicon, the group recognized challenges with regard to the definitions of key terms and concepts describing absolute and RR assessment of intended use populations for cancer screening tests. This article captures the working group's discussions on (i) risk assessment including considerations for adapting historical SCD risk terminology like "average risk" and "elevated risk" to MCD tests, (ii) the implications of this terminology for describing intended use populations, and (iii) the existing gaps in evidence for determination of absolute risks.

Indexed as

Biomarkers, TumorEarly Detection of CancerHematologic TestsNeoplasmsHumansLiquid BiopsyRisk AssessmentBiomarkers, Tumor

Identifiers

PMID40198129
PMCPMC12163593

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.