[The clinical potential of measurable residual disease in hematological malignancies]
Tamás László1, Anna Lili Kenéz1, Gabriella Szepesi1
1Patológiai és Kísérleti Rákkutató Intézet, Semmelweis Egyetem, HCEMM-SE Molekuláris Onkohematológiai Kutatócsoport, Budapest, Hungary. laszlo.tamas@stud.semmelweis.hu.
Abstract:
In recent years, there have been remarkable improvements in the treatment of hematological malignancies with the introduction of novel therapeutic modalities. The advent of these therapies has made it feasible to significantly and permanently decrease (possibly eradicate) tumor cells in the body. Evaluating the effectiveness of these treatments required the development of a new diagnostic method. Currently, the most appropriate approach for assessing the objective response is through the measurement of "measurable residual disease" (MRD). MRD refers to the presence of malignant cells in a patient's body after receiving treatment, even in the absence of apparent signs or symptoms. Several techniques can be employed to detect MRD, including multiparametric flow cytometry, RQ-PCR as well as more recent approaches including digital PCR or next generation sequencing. This review offers an in-depth overview of the different techniques used to estimate measurable residual disease and their current applications in hematological malignancies.
Insights
New treatments for blood cancers are effective, but detecting tiny amounts of remaining cancer cells, known as measurable residual disease (MRD), is crucial. This review covers methods for measuring MRD in hematological malignancies.
Area of Science:
- Hematology
- Oncology
- Molecular Diagnostics
Background:
- Novel therapies have significantly improved outcomes for hematological malignancies.
- Assessing treatment effectiveness requires sensitive methods to detect minimal tumor burden.
Purpose of the Study:
- To provide a comprehensive overview of measurable residual disease (MRD) detection techniques.
- To discuss the current applications of MRD assessment in hematological malignancies.
Main Methods:
- Review of established and emerging MRD detection technologies.
- Comparison of multiparametric flow cytometry, RQ-PCR, digital PCR, and next-generation sequencing.
Main Results:
- MRD measurement is the gold standard for assessing objective response in hematological malignancies.
- Various techniques offer different sensitivities and specificities for MRD detection.
Conclusions:
- Accurate MRD assessment is vital for guiding treatment decisions in hematological cancers.
- The choice of MRD technique depends on the specific malignancy and clinical context.
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