Table 2 Methodology.

From: The utility of ctDNA in detecting minimal residual disease following curative surgery in colorectal cancer: a systematic review and meta-analysis

Author, Year

Timing of post-op liquid biopsy

Limit of detection (VAF)

Cut-off level

Method of detection

Gene panel

Number of genes

Allegretti, 2020

3 months

≄0.2%

Any mutations detected

NextSeq Digital PCR plus validation with dPCR

TruSight Tumour panel

15

Beagan, 2020

2 weeks–3 months

Not stated

Not stated

ddPCR

Variants in metastases VAF ≄ 3%

(48)

BeneŔovÔ, 2019

1 week

0.03–1%

Not stated

PCR and DCE

KRAS, TP53, APC, PIK3CA, BRAF, CTNNB1

6

Boysen, 2020

2 weeks

0.10%

Any mutations detected

ddPCR and MassARRAY

UltraSEEK MA Colon Panel

5

Carpinetti, 2015

Not stated

1 amplifiable copy/mL plasma

3 positive droplets from 10 to 15,000 droplets

Taqman assays

Chromosomal rearrangements from WGS of tumour

(WGS)

Chen, 2021

3–7 days

Not stated

>5% of total tracking variants

Geneseeq Prime

Geneseeq Primeā„¢ 425-gene panel

425

Diehl, 2008

1 day

Not stated

Fraction of beads bound to mutant fragments higher than the negative control, mean mutant DNA fragments plus one standard deviation >1.0

BEAMing

Mutations detected in tumour FFPE sequencing

(4)

He, 2020

Within 7 days

Not stated

Not stated

Capture-based targeted deep sequencing

ColonCore panel NextSeq 500 system (Illumina, Inc.)

41

Huang, 2019

1 month

Not stated

>4 mutant reads in plasma with >1 read on each strand

Illumina NextSeq 500

85 genes

85

Ji, 2021

1 day

Not stated

TMB > 10/ctDNA—any mutations/change in TMB

Illumina HiSeq X-Ten

30 mutation signatures

30

Jin, 2021

1–14 days

0.05% tumour DNA

mqMSP assay: Ī”Cq value >ā€‰āˆ’1. SEPT9 assay: at least one out of three qPCR replicates had a Ct value <45

Methylation-specific quantitative PCR assay (mqMSP)

Septin 9 (SEPT9) gene hypermethylated

NA

Khakoo, 2020

4–12 weeks

not stated

Two mutant-positive droplets present for at least one variant

ddPCR

1–3 variants with highest VAF in tumour

1–3 (6)

Lee, 2021

3–4 weeks

1%

VAF ≄ 1%

Ultra-deep targeted sequencing

Somatic variants identified from primary and metastatic tumour

(50)

Leon Arellano, 2020

3 months

Valid when the ACTB Ct was ≤32.1

SEPT9 Ct <45 cycles

Duplex quantitative PCR, Fast Real-Time PCR

Septin 9 (SEPT9) hypermethylated

1*

Levy, 2012

<1 week

Not stated

5% of mutated alleles

Fluorescently labelled PCR and DCE

Somatic mutations previously found in tumour

(5)

Lindforss, 2005

3 days

Not stated

Not stated

PCR

KRAS

1

López-Rojo, 2020

48 h

Not stated

Concentration compared between samples and wild-type controls using a Z test, p < 0.05 used for positivity

ddPCR

KRAS

1

Mason, 2021

Median 13 months (range 1–45 months)

0.30%

Any mutations detected

Guardant360 CDx

70 genes

70

Murahashi, 2020

12 weeks

Not stated

VAF 0.15%

Amplicon-based deep sequencing

14 genes

14

Murray, 2018

Within 12 months

Not stated

At least one PCR replicate positive for methylation

Triplex real-time qPCR assay

BCAT1 and IKZF1 methylation

2*

Ng, 2017

Within 5 days

0.05%

Positive on a one-tailed exact conditional test of the ratio of two Poisson rates to distinguish from negative controls

Multiplex-PCR amplicon sequencing

Somatic variants identified from the primary tumour

1–14 (799)

Parikh, 2021

11–148 days

Not stated

Any mutations detected

Guardant Reveal test

Not stated

Not stated

Reinert, 2019

30 days

Not stated

At least 2 variants detected

HiSeq 2500 system

16 somatic single-nucleotide variants and short indels based on WES of tumour

16 (WES)

Ryan, 2003

1 week

Not stated

Not stated

PCR

KRAS

1

ScĆøhler, 2017

8 days

0.50%

Any mutations detected

ddPCR

Mutations identified on WES of tumour

Mean 4.2 (WES)

Schou, 2018

3 months

170 ng/mL

Above 75th quartile

Direct fluorescent assay

Not applicable

not applicable

Suzuki, 2020

At the end of hospitalisation

0.02%

NGS: at least one mutated ctDNA

PCR: one copy of mutated ctDNA

Pre op: Oncomine Pan Cancer Cell Free Assay. Post op: ddPCR

Mutations identified pre-surgery in plasma by NGS

((52))

Taieb, 2021

After surgery, before adjuvant chemotherapy

Above limit of blank

Above limit of blank

Multiplex droplet-based digital PCR (ddPCR) and NGS

WIF1 and NPY gene hypermethylation (AmpliSeq Colon and Lung Cancer Panel V2 performed in a subset of patients)

2*+22

Tanaka, 2021

1 day

0.10%

VAF 0.15%

dPCR Taqman assays

BRAF

1

Tarazona, 2019

6–8 weeks

Not stated

VAF 5%

Orthogonal droplet digital PCR

Two mutations with the highest VAF on NGS of tumour

2 (29)

Tie, 2016

4–10 weeks

Not stated

Permutation test comparing mutation frequency between samples and controls

Illumina MiSeq

Somatic mutation with highest VAF in tumour FFPE

1 (15)

Tie, 2019 (1)

4–10 weeks

Not stated

Permutation test comparing mutation frequency between samples and controls

Illumina MiSeq

Mutation with the highest VAF in tissue from surgery

1 (15)

Tie, 2019 (2)

4–10 weeks

Not stated

Permutation test comparing mutation frequency between samples and controls

Safe-SeqS and Illumina MiSeq

Somatic mutation with the highest VAF in tumour tissue

1 (15)

Tie, 2021

4–10 weeks

Not stated

Permutation test comparing mutation frequency between samples and controls

Safe-SeqS

Mutation with the highest VAF in tumour tissue

1 (15)

Yamada, 2016

Within 1 month

<1.00%.

Ratio of 0.1% mutant to 99.9% wild type

Invader Plus assay with peptide nucleic acid clamping method and digital PCR

KRAS

1

Zhou, 2016

1 month

Not stated

VAF > 0

Illumina HiSeq 2500

545 genes

545

Zhou, 2021

Within 1 month

Not stated

At least one mutation in ctDNA also detected in tissue

HiSeq 3000 Sequencing System (Illumina)

1021 genes

1021

Zou, 2020

12 weeks

Not stated

VAF 1%

ddPCR

Somatic mutations from targeted sequencing of FFPE slides

2 (71)

  1. Table shows analysis methods of measurement of ctDNA in post-operative blood samples. *Gene methylation; () genes evaluated in tumour tissue; (()) genes evaluated in pre-op blood samples.
  2. DCE denaturing capillary electrophoresis, VAF variant allele frequency, ddPCR digital droplet PCR, NGS next-generation sequencing, PCR polymerase chain reaction, qPCR quantitative PCR, VAF variant allele frequency, WES whole-exome sequencing, WGS whole-genome sequencing.