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Updated: Sep 15, 2025

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A Standardized Liquid Biopsy Preanalytical Protocol for Downstream Circulating-Free DNA Applications
Published on: September 16, 2022
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Smaller, cheaper, faster: where next for liquid biopsies?
Valerio Gristina1, Francesco Pepe2, Francesca Rita Ogliari3
1Department of Precision Medicine in Medical, Surgical and Critical Care (Me.Pre.C.C.), University of Palermo, Palermo, Italy.
Expert Review of Molecular Diagnostics
|July 14, 2025
Summary
Liquid biopsy (LB) offers a minimally invasive alternative to tissue biopsy (TB) for cancer molecular profiling. Advanced platforms enhance LB efficiency and cost-effectiveness, improving patient outcomes and healthcare spending.
Area of Science:
- Oncology
- Molecular Diagnostics
- Genomics
Background:
- Liquid biopsy (LB) provides a minimally invasive method for cancer diagnosis and monitoring.
- Next-generation sequencing (NGS) enhances LB accuracy and clinical validity.
- Tissue biopsy (TB) remains the gold standard but is limited by sample inadequacy.
Purpose of the Study:
- To evaluate LB as a complementary approach to TB for molecular profiling.
- To assess the cost-effectiveness of LB in clinical settings.
- To explore the potential of advanced platforms to improve LB efficiency and scalability.
Main Methods:
- Review of current literature on LB and TB.
- Analysis of cost-effectiveness data for LB implementation.
- Discussion of emerging technologies for LB analysis.
Main Results:
- LB effectively addresses limitations of TB, providing accessible nucleic acid sources.
- Cost-effectiveness analyses indicate optimized healthcare spending with appropriate LB application.
- Advanced liquid handling platforms promise improved LB efficiency, reduced costs, and higher throughput.
Conclusions:
- LB is a valuable tool in cancer care, complementing TB and improving molecular profiling.
- Strategic implementation of LB can enhance healthcare economics and patient quality-adjusted life years.
- Technological advancements in LB platforms are crucial for its broader clinical adoption and impact.

