PMID- 32320527 OWN - NLM STAT- MEDLINE DCOM- 20201118 LR - 20230202 IS - 1934-6638 (Electronic) IS - 1934-662X (Linking) VI - 128 IP - 8 DP - 2020 Aug TI - Identification of circulating tumor cells using 4-color fluorescence in situ hybridization: Validation of a noninvasive aid for ruling out lung cancer in patients with low-dose computed tomography-detected lung nodules. PG - 553-562 LID - 10.1002/cncy.22278 [doi] AB - BACKGROUND: Approximately one third of needle biopsies that are performed to rule out malignancy of indeterminate pulmonary nodules detected radiologically during lung cancer screening are negative, thus exposing cancer-free patients to risks of pneumothorax, bleeding, and infection. A noninvasive confirmatory tool (eg, liquid biopsy) is urgently needed in the lung cancer diagnosis setting to stratify patients who should receive biopsy versus those who should be monitored. METHODS: A novel antigen-independent, 4-color fluorescence in situ hybridization (FISH)-based method was developed to detect circulating tumor cells (CTCs) with abnormalities in gene copy numbers in mononuclear cell-enriched peripheral blood samples from patients with (n = 107) and without (n = 100) lung cancer. RESULTS: Identification of CTCs using FISH probes at 10q22.3/CEP10 and 3p22.1/3q29 detected lung cancer cases with 94.2% accuracy, 89% sensitivity, and 100% specificity compared with biopsy. CONCLUSION: The high accuracy of this liquid biopsy method suggests that it may be used as a noninvasive decision tool to reduce the frequency of unnecessary needle biopsy in patients with benign pulmonary lesions. CI - (c) 2020 American Cancer Society. FAU - Katz, Ruth L AU - Katz RL AD - Department of Pathology, The University of Texas MD Anderson Cancer Center, Houston, Texas. FAU - Zaidi, Tanweer M AU - Zaidi TM AD - Department of Pathology, The University of Texas MD Anderson Cancer Center, Houston, Texas. FAU - Pujara, Deep AU - Pujara D AD - Department of Neurology, McGovern Medical School at The University of Texas Health Science Center at Houston, Houston, Texas. FAU - Shanbhag, Namita D AU - Shanbhag ND AD - Department of Pathology, The University of Texas MD Anderson Cancer Center, Houston, Texas. FAU - Truong, Duy AU - Truong D AD - Department of Pathology, The University of Texas MD Anderson Cancer Center, Houston, Texas. FAU - Patil, Shekhar AU - Patil S AD - Department of Internal Medicine, McGovern Medical School at The University of Texas Health Science Center at Houston, Houston, Texas. FAU - Mehran, Reza J AU - Mehran RJ AD - Department of Pathology, The University of Texas MD Anderson Cancer Center, Houston, Texas. AD - Department of Thoracic and Cardiovascular Surgery, The University of Texas MD Anderson Cancer Center, Houston, Texas. FAU - El-Zein, Randa A AU - El-Zein RA AD - Department of Pathology, The University of Texas MD Anderson Cancer Center, Houston, Texas. AD - Department of Radiology, Houston Methodist Research Institute, Houston, Texas. FAU - Shete, Sanjay S AU - Shete SS AD - Department of Pathology, The University of Texas MD Anderson Cancer Center, Houston, Texas. AD - Department of Biostatistics, The University of Texas MD Anderson Cancer Center, Houston, Texas. FAU - Kuban, Joshua D AU - Kuban JD AD - Department of Pathology, The University of Texas MD Anderson Cancer Center, Houston, Texas. AD - Department of Interventional Radiology, The University of Texas MD Anderson Cancer Center, Houston, Texas. LA - eng PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't PT - Validation Study DEP - 20200422 PL - United States TA - Cancer Cytopathol JT - Cancer cytopathology JID - 101499453 SB - IM CIN - Cancer Cytopathol. 2020 Aug;128(8):518-519. PMID: 32320525 MH - A549 Cells MH - Aged MH - Aneuploidy MH - Diagnosis, Differential MH - Female MH - Humans MH - In Situ Hybridization, Fluorescence/methods MH - Liquid Biopsy MH - Lung Diseases/*diagnosis/diagnostic imaging/genetics MH - Lung Neoplasms/*diagnosis/diagnostic imaging/genetics MH - Male MH - Middle Aged MH - Neoplasm Staging MH - *Neoplastic Cells, Circulating MH - Sensitivity and Specificity MH - Tomography, X-Ray Computed/*methods OTO - NOTNLM OT - CTC OT - FISH OT - LDCT screening OT - indeterminate lung nodules OT - lung cancer EDAT- 2020/04/23 06:00 MHDA- 2020/11/20 06:00 CRDT- 2020/04/23 06:00 PHST- 2019/10/28 00:00 [received] PHST- 2020/01/09 00:00 [revised] PHST- 2020/02/10 00:00 [accepted] PHST- 2020/04/23 06:00 [pubmed] PHST- 2020/11/20 06:00 [medline] PHST- 2020/04/23 06:00 [entrez] AID - 10.1002/cncy.22278 [doi] PST - ppublish SO - Cancer Cytopathol. 2020 Aug;128(8):553-562. doi: 10.1002/cncy.22278. Epub 2020 Apr 22.