Peer-Reviewed Publication
J Liq Biopsy2026;14100501.December 1, 2026Journal Article

Minimal residual disease combined with radiological tumor volume as a tool for identification of resected NSCLC patients at high risk of recurrence.

Michela Verzè1,2, Roberta Minari1, Paola Bordi1, Giovanni Bocchialini3, Gianmarco Martines2, Monica Pluchino1,2, Simona D'Agnelli1,2, Letizia Gnetti4, Agnese Cosenza1, Valeria Balestra3, Luca Ampollini2,3, Ludovica Leo2, Gianluca Milanese2,5, Camilla Roberti2,5, Clarissa Gallani2, Jim Hayes6, Umberto Malapelle7, Marcello Tiseo1,2
1Medical Oncology Unit, University Hospital of Parma, Italy.
2Department of Medicine and Surgery, University of Parma, Italy.
3Thoracic Surgery Unit, University Hospital of Parma, Italy.
4Pathology Unit, University Hospital of Parma, Italy.
5Radiological Unit, University Hospital of Parma, Italy.
6Guardant Health, San Francisco, CA, USA.
7Department of Public Health, University of Naples Federico II, Naples, Italy.

Abstract

INTRODUCTION: Circulating tumor DNA (ctDNA) is a valuable tool for assessing minimal residual disease (MRD) and predicting recurrence in resected non-small cell lung cancer (NSCLC) patients. Combining ctDNA-detection with radiological tumor volume may improve risk stratification. METHODS: Patients with stage I-III resectable NSCLC were prospectively enrolled in the RESIDUAL study. Plasma samples…

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