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Inertia based microfluidic capture and characterisation of circulating tumour cells for the diagnosis of lung cancer

  
@article{ATM12941,
	author = {Dimple Y. Chudasama and Daria V. Freydina and Maxim B. Freidin and Maria Leung and Angeles Montero Fernandez and Alexandra Rice and Andrew G. Nicholson and Emmanouil Karteris and Vladimir Anikin and Eric Lim},
	title = {Inertia based microfluidic capture and characterisation of circulating tumour cells for the diagnosis of lung cancer},
	journal = {Annals of Translational Medicine},
	volume = {4},
	number = {24},
	year = {2016},
	keywords = {},
	abstract = {Background: Routine clinical application of circulating tumour cells (CTCs) for blood based diagnostics is yet to be established. Despite growing evidence of their clinical utility for diagnosis, prognosis and treatment monitoring, the efficacy of a robust platform and universally accepted diagnostic criteria remain uncertain. We evaluate the diagnostic performance of a microfluidic CTC isolation platform using cytomorphologic criteria in patients undergoing lung cancer surgery. 
Methods: Blood was processed from 51 patients undergoing surgery for known or suspected lung cancer using the ClearBridge ClearCell FX systemTM (ClearBridge Biomedics, Singapore). Captured cells were stained on slides with haematoxylin and eosin (H&E) and independently assessed by two pathologist teams. Diagnostic performance was evaluated against the pathologists reported diagnosis of cancer from surgically obtained specimens. 
Results: Cancer was diagnosed in 43.1% and 54.9% of all cases. In early stage primary lung cancer, between the two reporting teams, a positive diagnosis of CTCs was made for 50% and 66.7% of patients. The agreement between the reporting teams was 80.4%, corresponding to a kappa-statistic of 0.61±0.11 (P},
	issn = {2305-5847},	url = {http://atm.amegroups.com/article/view/12941}
}