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‹ Fri · 22 May 2026
Promising but preliminary

CSF ctDNA analysis guides molecular reclassification of diffuse glioma patients

Tumor DNA in spinal fluid can reclassify brain tumors previously stuck in diagnostic limbo, guiding treatment more accurately.

Using a 600-gene NGS panel on CSF from 43 glioma patients, ctDNA analysis detected pathogenic mutations in 60% of cases and enabled WHO 2021 reclassification in 3 patients who were previously ambiguously classified. This study supports CSF ctDNA as a clinically impactful liquid biopsy approach for glioma, particularly for tumors where tissue biopsy is high-risk.

What the study was

Study design
Prospective cohort, CSF liquid biopsy validation
Population
Diffuse glioma patients at MD Anderson Cancer Center
Sample size
43
Category
Diagnostics
Maturity
Exploratory
Journal
J Neurooncol

Why it surfaced

CSF ctDNA for glioma reclassification addresses high clinical need (surgical biopsy risk); WHO 2021 reclassification impacted by liquid biopsy; from MD Anderson with rigorous NGS approach.

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