Evidence map›Paper›PMID 40299851›Full record

ArticleCancer discovery2025

Integrating ctDNA Analysis and Radiomics for Dynamic Risk Assessment in Localized Lung Cancer.

Everett J Moding, Mohammad Shahrokh Esfahani, Cheng Jin, Angela B Hui, Barzin Y Nabet, Yufei Liu, Jacob J Chabon, Michael S Binkley, David M Kurtz, Emily G Hamilton and 24 more

Abstract read
In one paragraph

Article in Cancer discovery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers.

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

15 citing papers in PubMed.

  1. Trial
  2. Minimal Residual Disease Enhances Prognostic Stratification beyond Pathologic Response in Resectable Non-Small Cell Lung Cancer.Clinical cancer research : an official journal of the American Association for Cancer Research · 2026
    Trial
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
  8. Article
  9. Review
  10. The Five-Decade Journey of Small Cell Lung Cancer.Cancer communications (London, England) · 2026
    Review
  11. Review
  12. Review
  13. Review
  14. Article
  15. Review
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

34 authors.

Everett J ModingDepartment of Radiation Oncology, Stanford University, Stanford, California.ORCID 0000-0001-7913-5351
Mohammad Shahrokh EsfahaniStanford Cancer Institute, Stanford University, Stanford, California.ORCID 0000-0002-0950-3937
Cheng JinDepartment of Radiation Oncology, Stanford University, Stanford, California.ORCID 0009-0003-7579-0035
Angela B HuiDepartment of Radiation Oncology, Stanford University, Stanford, California.ORCID 0000-0002-5471-1428
Barzin Y NabetStanford Cancer Institute, Stanford University, Stanford, California.ORCID 0000-0002-4824-3533
Yufei LiuDepartment of Radiation Oncology, University of Texas MD Anderson Cancer Center, Houston, Texas.ORCID 0000-0003-3501-5790
Jacob J ChabonStanford Cancer Institute, Stanford University, Stanford, California.ORCID 0000-0003-1820-9737
Michael S BinkleyDepartment of Radiation Oncology, Stanford University, Stanford, California.ORCID 0000-0002-2640-5255
David M KurtzDivision of Oncology, Department of Medicine, Stanford University, Stanford, California.ORCID 0000-0002-6382-4651
Emily G HamiltonStanford Cancer Institute, Stanford University, Stanford, California.ORCID 0000-0001-7955-6244
Aadel A ChaudhuriDepartment of Radiation Oncology, Mayo Clinic, Rochester, Minnesota.ORCID 0000-0003-3115-3061
Chih Long LiuDivision of Oncology, Department of Medicine, Stanford University, Stanford, California.ORCID 0000-0002-6577-5427
Zhe LiDepartment of Radiation Oncology, Stanford University, Stanford, California.ORCID 0000-0002-0105-6351
Rene F BonillaDepartment of Radiation Oncology, Stanford University, Stanford, California.ORCID 0009-0000-9366-1331
Alice L JiangDepartment of Radiation Oncology, Stanford University, Stanford, California.ORCID 0000-0002-1857-0680
Brianna C LauDepartment of Radiation Oncology, Stanford University, Stanford, California.ORCID 0000-0003-1195-6596
Pablo LopezDepartment of Radiation Oncology, University of Texas MD Anderson Cancer Center, Houston, Texas.ORCID 0000-0002-4282-3123
Jianzhong HeDepartment of Radiation Oncology, University of Texas MD Anderson Cancer Center, Houston, Texas.ORCID 0009-0002-0298-7462
Yawei QiaoDepartment of Radiation Oncology, University of Texas MD Anderson Cancer Center, Houston, Texas.ORCID 0009-0000-0817-7386
Ting XuDepartment of Radiation Oncology, University of Texas MD Anderson Cancer Center, Houston, Texas.ORCID 0000-0002-7851-3389
Luyang YaoDepartment of Radiation Oncology, University of Texas MD Anderson Cancer Center, Houston, Texas.ORCID 0009-0005-3917-0749
Saumil GandhiDepartment of Radiation Oncology, University of Texas MD Anderson Cancer Center, Houston, Texas.ORCID 0000-0002-3349-3521
Zhongxing LiaoDepartment of Radiation Oncology, University of Texas MD Anderson Cancer Center, Houston, Texas.ORCID 0000-0002-2224-9478
Millie DasDivision of Oncology, Department of Medicine, Stanford University, Stanford, California.ORCID 0000-0001-6678-9743
Kavitha J RamchandranDivision of Oncology, Department of Medicine, Stanford University, Stanford, California.ORCID 0000-0002-9033-819X
Sukhmani K PaddaDivision of Oncology, Department of Medicine, Stanford University, Stanford, California.ORCID 0000-0002-8691-7754
Joel W NealDivision of Oncology, Department of Medicine, Stanford University, Stanford, California.ORCID 0000-0003-3119-9334
Heather A WakeleeDivision of Oncology, Department of Medicine, Stanford University, Stanford, California.ORCID 0000-0003-1136-980X
Michael F GensheimerDepartment of Radiation Oncology, Stanford University, Stanford, California.ORCID 0000-0002-4897-3843
Billy W LooDepartment of Radiation Oncology, Stanford University, Stanford, California.ORCID 0000-0002-2521-0544
Ruijiang LiDepartment of Radiation Oncology, Stanford University, Stanford, California.ORCID 0000-0002-0232-5998
Steven H LinDepartment of Radiation Oncology, University of Texas MD Anderson Cancer Center, Houston, Texas.ORCID 0000-0003-4411-0634
Ash A AlizadehStanford Cancer Institute, Stanford University, Stanford, California.ORCID 0000-0002-5153-5625
Maximilian DiehnDepartment of Radiation Oncology, Stanford University, Stanford, California.ORCID 0000-0003-2032-0581

Funding

Translational Biology CoreP01CA257907 · NCI · STANFORD UNIVERSITY · PI Edward E. Graves · 2022 to 2026
$12.0M
Molecularly-based outcome and toxicity prediction after radiotherapy for lung cancerR01CA254179 · NCI · STANFORD UNIVERSITY · PI ALIZADEH, ASH ARASH, DIEHN, MAXIMILIAN · 2020 to 2024
$3.1M
Analysis of urine tumor nucleic acids for detection and personalized surveillance of bladder cancerR01CA244526 · NCI · STANFORD UNIVERSITY · PI ALIZADEH, ASH ARASH, DIEHN, MAXIMILIAN · 2020 to 2024
$3.0M
Imaging and circulating DNA markers to assess early response and predict treatment failure patterns in lung cancerR01CA233578 · NCI · STANFORD UNIVERSITY · PI DIEHN, MAXIMILIAN, LI, RUIJIANG · 2019 to 2023
$2.7M
Developing a genomic approach for cancer screeningDP2CA186569 · NCI · STANFORD UNIVERSITY · PI DIEHN, MAXIMILIAN · 2013 to 2013
$2.4M
Noninvasive monitoring of lung cancer patients treated with radiotherapyR01CA188298 · NCI · STANFORD UNIVERSITY · PI ALIZADEH, ASH ARASH, DIEHN, MAXIMILIAN · 2015 to 2019
$1.8M
American Society for Radiation Oncology (ASTR) n/aBakewell Foundation (The Bakewell Foundation) n/aConquer Cancer Foundation (CCF) n/aCRK Faculty Scholar Fund n/aNational Cancer Institute (NCI) R01CA188298National Cancer Institute (NCI) R01CA233578National Cancer Institute (NCI) R01CA244526National Cancer Institute (NCI) R01CA254179NCI NIH HHS DP2 CA186569NCI NIH HHS P01 CA257907NCI NIH HHS R01 CA188298NCI NIH HHS R01 CA233578NCI NIH HHS R01 CA244526NCI NIH HHS R01 CA254179Radiological Society of North America (RSNA) n/aSDW/DT Family Foundation n/aShanahan Family Foundation n/aVirginia and D.K. Ludwig Fund for Cancer Research (D.K. Ludwig Fund) n/a
6 · The paper itself

Abstract

The complementarity and clinical utility of combining liquid biopsies and radiomic image analysis has not been demonstrated. ctDNA minimal residual disease after chemoradiotherapy (CRT) for non-small cell lung cancer (NSCLC) is highly prognostic, but on-treatment biomarkers are needed to enable response-adapted therapies. In this study, we analyzed 418 patients with NSCLC undergoing CRT to develop and validate a novel dynamic risk model that accurately predicts ultimate progression-free survival during treatment. We optimize tissue-free variant calling from plasma samples to facilitate ctDNA monitoring and demonstrate the importance of accounting for persistent clonal hematopoiesis variants. We show that mid-CRT ctDNA concentration is prognostic for disease progression and integrate additional pre-CRT risk factors, including radiomics, into a combined model that improves outcome prediction. Our results suggest that tumor features, radiomics, and mid-CRT ctDNA analysis are complementary and can identify patients at high and low risk of progression to potentially enable response-adapted therapies. SIGNIFICANCE: This study demonstrates that combining tumor features, radiomics, and ctDNA analysis improves outcome prediction in NSCLC treated with CRT therapy. Our integrated model could enable personalized and response-adapted therapies to reduce toxicity and improve outcomes in patients. See related commentary by Anagnostou and Aggarwal, p. 1534.

Indexed as

Biomarkers, TumorCarcinoma, Non-Small-Cell LungCirculating Tumor DNALung NeoplasmsAgedChemoradiotherapyFemaleHumansLiquid BiopsyMaleMiddle AgedPrognosisRadiomicsRisk AssessmentBiomarkers, TumorCirculating Tumor DNA

Identifiers

PMID40299851
PMCPMC12324966

What OpenQuestion holds

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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.