Reporting of molecular test results from cell-free DNA analyses: expert consensus recommendations from the 2023 European Liquid Biopsy Society ctDNA Workshop.

Publication date: Mar 22, 2025

The implementation of circulating tumor DNA (ctDNA) in the diagnostic routine may enable non-invasive predictive biomarker testing and treatment optimization in patients who lack a suitable tumor specimen, have failed previous molecular analysis or are clinically ineligible for (re-)biopsy procedures. As the interpretation and reporting are more complex for ctDNA than conventional tissue-based NGS, there is a need for specific guidelines. These will offer support for the reporting of ctDNA test results and will facilitate optimal communication of liquid biopsy findings between diagnostic laboratories and the medical oncology team. Aiming to generate guidelines based on real-world experiences and broad perspectives, we organized a European Liquid Biopsy Society (ELBS) ctDNA workshop, in which forty-four experts and key stakeholders from different molecular diagnostics laboratories, oncology and pathology departments, as well as an IVDR specialist, convened to address significant challenges associated with the reporting of liquid biopsy test results. This report delineates the resulting consensus recommendations for ctDNA test reporting with underlying rationale and background information.

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Concepts Keywords
Biomarker ctDNA test reporting
European Expert consensus recommendations
Expert Liquid biopsy
Failed
Tumor

Semantics

Type Source Name
disease MESH tumor
drug DRUGBANK Coenzyme M
disease MESH lung cancer
disease MESH breast cancer
pathway KEGG Breast cancer
disease MESH colorectal cancer
pathway KEGG Colorectal cancer
disease IDO process
disease IDO cell
disease MESH clinical relevance
disease IDO history
disease IDO assay
disease MESH clonal hematopoiesis
drug DRUGBANK Pentaerythritol tetranitrate
disease MESH incidental findings
drug DRUGBANK Methionine
disease MESH abnormalities
disease MESH hemolysis
drug DRUGBANK Aspartame
disease MESH uncertainty
disease IDO susceptibility
disease IDO blood
disease MESH metastases
disease MESH infections
disease MESH diabetes mellitus
disease MESH sepsis
pathway REACTOME Release
drug DRUGBANK Cysteamine
drug DRUGBANK Naproxen
disease MESH oncogenesis
disease MESH confusion
drug DRUGBANK Trestolone
disease MESH clinical progression
disease MESH myelodysplastic syndrome
disease MESH relapse
drug DRUGBANK Rasagiline
disease MESH Bile duct cancer
disease MESH Aneuploidy
disease IDO role
drug DRUGBANK Clarithromycin
disease MESH Covid 19
disease MESH cholangiocarcinoma
disease MESH small cell lung cancer
pathway KEGG Small cell lung cancer
disease MESH lung adenocarcinoma
disease MESH diffuse large B cell lymphoma
disease MESH squamous carcinoma
disease MESH gastrointestinal cancers
disease MESH colon cancer
drug DRUGBANK Bisoprolol
drug DRUGBANK Pembrolizumab
drug DRUGBANK Atezolizumab

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