Endocrine oncology

Detection of driver mutations in plasma cell–free nucleic acids in differentiated thyroid neoplasm

Eur J EndocrinolPublished Diagnostic accuracy study

Authors' conclusion

Plasma might be a viable noninvasive alternative source for detection of driver mutations (8-gene panel) in subjects with differentiated thyroid tumors and may have significant clinical utility.

Study context

Population
Subjects with thyroid nodule, endocrinology clinic; Ultrasonographic (USG) with TIRADS scoring and FNA cytology (FNAC) (Bethesda classification)
Participants
223 subjects
Comparison
Plasma cell-free nucleic acids vs FNAC and histopathology for driver mutations
  • Benignn = 154reference
  • Differentiated thyroid cancern = 69
Outcome
Driver mutations (8-gene panel: BRAF-V600E, RET/PTC3, RET/PTC1, TERT promoter, HRAS, NRAS, KRAS, PAX8-PPARG) in plasma, fine-needle aspiration (FNA) and histopathology material
Methodological detailsproof-of-concept
  • Proof-of-concept

Performance

As reported in the abstract

Driver mutation detected in plasma

Differentiated thyroid cancer

79.71%

55 of 69

Benign

11

events

Original publication

Detection of driver mutations in plasma cell–free nucleic acids in differentiated thyroid neoplasm. Eur J Endocrinol. Published 10 January 2023. doi:10.1093/ejendo/lvac018

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