Feasibility of blood testing combined with PET-CT to screen for cancer and guide intervention

Author:

Lennon Anne Marie123ORCID,Buchanan Adam H.4ORCID,Kinde Isaac5,Warren Andrew56ORCID,Honushefsky Ashley4ORCID,Cohain Ariella T.5ORCID,Ledbetter David H.4ORCID,Sanfilippo Fred7ORCID,Sheridan Kathleen4,Rosica Dillenia4ORCID,Adonizio Christian S.48,Hwang Hee Jung5ORCID,Lahouel Kamel19,Cohen Joshua D.12101112ORCID,Douville Christopher111ORCID,Patel Aalpen A.4ORCID,Hagmann Leonardo N.5,Rolston David D.4ORCID,Malani Nirav5ORCID,Zhou Shibin111ORCID,Bettegowda Chetan11113,Diehl David L.4,Urban Bobbi5ORCID,Still Christopher D.4ORCID,Kann Lisa5ORCID,Woods Julie I.4,Salvati Zachary M.4,Vadakara Joseph4ORCID,Leeming Rosemary4ORCID,Bhattacharya Prianka4,Walter Carroll4ORCID,Parker Alex5ORCID,Lengauer Christoph56,Klein Alison1214ORCID,Tomasetti Cristian1915ORCID,Fishman Elliot K.1216ORCID,Hruban Ralph H.1217ORCID,Kinzler Kenneth W.1211ORCID,Vogelstein Bert121011ORCID,Papadopoulos Nickolas121117ORCID

Affiliation:

1. Department of Oncology, the Sidney Kimmel Cancer Center, Johns Hopkins University School of Medicine, 733 N. Broadway, Baltimore, MD 21205, USA.

2. The Sol Goldman Pancreatic Cancer Research Center, Johns Hopkins University School of Medicine, 733 N. Broadway, Baltimore, MD 21205, USA.

3. Department of Medicine Johns Hopkins University School of Medicine, 733 N. Broadway, Baltimore, MD 21205, USA.

4. Geisinger, 100 N. Academy Avenue Danville, PA 17822, USA.

5. Thrive Earlier Detection Corp., 38 Sidney Street Cambridge, MA 02139, USA.

6. Third Rock Ventures, LLC, 29 Newbury Street Boston, MA 02116, USA.

7. Department of Pathology and Laboratory Medicine, Emory University School of Medicine, 100 Woodruff Circle Atlanta, GA 30322, USA.

8. Geisinger Cancer Institute, 100 N. Academy Avenue Danville, PA 17822, USA.

9. Division of Biostatistics and Bioinformatics, Department of Oncology, Johns Hopkins University School of Medicine, 733 N. Broadway, Baltimore, MD 21205, USA.

10. The Howard Hughes Medical Institute, Johns Hopkins University School of Medicine, 733 N. Broadway, Baltimore, MD 21205, USA.

11. The Ludwig Center, Johns Hopkins University School of Medicine, 733 N. Broadway, Baltimore, MD 21205, USA.

12. Department of Biomedical Engineering, Johns Hopkins University School of Medicine, 733 N. Broadway, Baltimore, MD 21205, USA.

13. Department of Neurosurgery, Johns Hopkins University School of Medicine, 733 N. Broadway, Baltimore, MD 21205, USA.

14. Department of Epidemiology, the Johns Hopkins Bloomberg School of Public Health, 615 N Wolfe Street Baltimore, MD 21205, USA.

15. Department of Biostatistics, the Johns Hopkins Bloomberg School of Public Health, 615 N Wolfe Street Baltimore, MD 21205, USA.

16. Department of Radiology, Johns Hopkins University School of Medicine, 733 N. Broadway, Baltimore, MD, 21205, USA.

17. Department of Pathology, Johns Hopkins University School of Medicine, 733 N. Broadway, Baltimore, MD 21205, USA.

Abstract

A real-time trial of a cancer blood test Cancers diagnosed early are often more responsive to treatment. Blood tests that detect molecular markers of cancer have successfully identified individuals already known to have the disease. Lennon et al. conducted an exploratory study that more closely reflects the way in which such blood tests would be used in the future. They evaluated the feasibility and safety of incorporating a multicancer blood test into the routine clinical care of 10,000 women with no history of cancer. Over a 12-month period, the blood test detected 26 cancers of different types. A combination of the blood test and positron emission tomography–computed tomography (PET-CT) imaging led to surgical removal of nine of these cancers. Use of the blood test did not result in a large number of futile follow-up procedures. Science , this issue p. eabb9601

Funder

National Institutes of Health

Burroughs Wellcome Fund

John Templeton Foundation

Lustgarten Foundation

Virginia and D.K. Ludwig Fund for Cancer Research

Billi and Bernie Marcus Foundation

The Sol Goldman Center for Pancreatic Cancer Research

Susan Wojcicki and Dennis Troper

The Conrad R. Hilton Foundation

The Rolfe Foundation

Publisher

American Association for the Advancement of Science (AAAS)

Subject

Multidisciplinary

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5. Early Detection of Pancreatic Cancer: Opportunities and Challenges

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