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Updated: Jun 19, 2025

Next Generation Sequencing for the Detection of Actionable Mutations in Solid and Liquid Tumors
Published on: September 20, 2016
Next-generation sequencing impact on cancer care: applications, challenges, and future directions
Mariano Zalis1,2, Gilson Gabriel Viana Veloso1,3, Pedro Nazareth Aguiar1,4
1Oncoclínicas&Co/MedSir, Rio de Janeiro, Brazil.
Abstract:
Fundamentally precision oncology illustrates the path in which molecular profiling of tumors can illuminate their biological behavior, diversity, and likely outcomes by identifying distinct genetic mutations, protein levels, and other biomarkers that underpin cancer progression. Next-generation sequencing became an indispensable diagnostic tool for diagnosis and treatment guidance in current clinical practice. Nowadays, tissue analysis benefits from further support through methods like comprehensive genomic profiling and liquid biopsies. However, precision medicine in the field of oncology presents specific hurdles, such as the cost-benefit balance and widespread accessibility, particularly in countries with low- and middle-income. A key issue is how to effectively extend next-generation sequencing to all cancer patients, thus empowering treatment decision-making. Concerns also extend to the quality and preservation of tissue samples, as well as the evaluation of health technologies. Moreover, as technology advances, novel next-generation sequencing assessments are being developed, including the study of Fragmentomics. Therefore, our objective was to delineate the primary uses of next-generation sequencing, discussing its' applications, limitations, and prospective paths forward in Oncology.
Insights
Precision oncology uses molecular profiling, including next-generation sequencing (NGS), to guide cancer treatment. Challenges remain in making NGS accessible and ensuring sample quality for all patients.
Area of Science:
- Oncology
- Genomics
- Molecular Biology
Background:
- Precision oncology leverages tumor molecular profiling to understand cancer biology and predict outcomes.
- Next-generation sequencing (NGS) is a crucial diagnostic tool for cancer treatment guidance.
- Advanced techniques like comprehensive genomic profiling and liquid biopsies enhance tissue analysis.
Purpose of the Study:
- To outline the primary applications of next-generation sequencing in oncology.
- To discuss the limitations and challenges associated with NGS implementation.
- To explore future directions for NGS in cancer care.
Main Methods:
- Review of current applications of next-generation sequencing in clinical oncology.
- Analysis of challenges including cost, accessibility, and sample quality.
- Exploration of emerging NGS technologies and methodologies like Fragmentomics.
Main Results:
- NGS enables detailed molecular profiling of tumors, identifying key biomarkers for personalized treatment.
- Significant hurdles exist in equitable access to NGS, particularly in low- and middle-income countries.
- Ongoing technological advancements are expanding the scope and utility of NGS in cancer diagnostics.
Conclusions:
- Next-generation sequencing is fundamental to precision oncology, offering insights into tumor behavior and treatment response.
- Addressing accessibility, cost, and sample quality is critical for widespread NGS adoption in cancer care.
- Future research should focus on novel NGS applications and integrating new technologies like Fragmentomics for enhanced oncology outcomes.
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