A comprehensive overview of minimal residual disease in the management of early-stage and locally advanced non-small cell lung cancer

Abstract Novel therapies have significantly improved survival for non-metastatic non-small cell lung cancer (NSCLC), however recurrence remains a challenge. Current treatment and surveillance strategies rely on imaging and clinical assessments with limited sensitivity in early detection of disease p...

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Main Authors: Aristeidis E. Boukouris, Kleita Michaelidou, Simon A. Joosse, Andriani Charpidou, Dimitrios Mavroudis, Konstantinos N. Syrigos, Sofia Agelaki
Format: Article
Language:English
Published: Nature Portfolio 2025-06-01
Series:npj Precision Oncology
Online Access:https://doi.org/10.1038/s41698-025-00984-9
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author Aristeidis E. Boukouris
Kleita Michaelidou
Simon A. Joosse
Andriani Charpidou
Dimitrios Mavroudis
Konstantinos N. Syrigos
Sofia Agelaki
author_facet Aristeidis E. Boukouris
Kleita Michaelidou
Simon A. Joosse
Andriani Charpidou
Dimitrios Mavroudis
Konstantinos N. Syrigos
Sofia Agelaki
author_sort Aristeidis E. Boukouris
collection DOAJ
description Abstract Novel therapies have significantly improved survival for non-metastatic non-small cell lung cancer (NSCLC), however recurrence remains a challenge. Current treatment and surveillance strategies rely on imaging and clinical assessments with limited sensitivity in early detection of disease progression. Liquid biopsy-mediated detection of minimal residual disease (MRD) allows monitoring of tumor activity at the molecular level before clinical and radiologic progression. Here, we review the current evidence for MRD in the adaptive management and surveillance of non-metastatic NSCLC, focusing on the missing links that prevent its widespread clinical adoption.
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spelling doaj-art-634ebf7063ef438d9758428b45998ef12025-08-20T02:06:23ZengNature Portfolionpj Precision Oncology2397-768X2025-06-019111010.1038/s41698-025-00984-9A comprehensive overview of minimal residual disease in the management of early-stage and locally advanced non-small cell lung cancerAristeidis E. Boukouris0Kleita Michaelidou1Simon A. Joosse2Andriani Charpidou3Dimitrios Mavroudis4Konstantinos N. Syrigos5Sofia Agelaki6Department of Medical Oncology, University General Hospital of HeraklionLaboratory of Translational Oncology, School of Medicine, University of CreteDepartment of Tumor Biology, University Medical Center Hamburg-EppendorfOncology Unit, 3rd Department of Internal Medicine, National and Kapodistrian University of AthensDepartment of Medical Oncology, University General Hospital of HeraklionOncology Unit, 3rd Department of Internal Medicine, National and Kapodistrian University of AthensDepartment of Medical Oncology, University General Hospital of HeraklionAbstract Novel therapies have significantly improved survival for non-metastatic non-small cell lung cancer (NSCLC), however recurrence remains a challenge. Current treatment and surveillance strategies rely on imaging and clinical assessments with limited sensitivity in early detection of disease progression. Liquid biopsy-mediated detection of minimal residual disease (MRD) allows monitoring of tumor activity at the molecular level before clinical and radiologic progression. Here, we review the current evidence for MRD in the adaptive management and surveillance of non-metastatic NSCLC, focusing on the missing links that prevent its widespread clinical adoption.https://doi.org/10.1038/s41698-025-00984-9
spellingShingle Aristeidis E. Boukouris
Kleita Michaelidou
Simon A. Joosse
Andriani Charpidou
Dimitrios Mavroudis
Konstantinos N. Syrigos
Sofia Agelaki
A comprehensive overview of minimal residual disease in the management of early-stage and locally advanced non-small cell lung cancer
npj Precision Oncology
title A comprehensive overview of minimal residual disease in the management of early-stage and locally advanced non-small cell lung cancer
title_full A comprehensive overview of minimal residual disease in the management of early-stage and locally advanced non-small cell lung cancer
title_fullStr A comprehensive overview of minimal residual disease in the management of early-stage and locally advanced non-small cell lung cancer
title_full_unstemmed A comprehensive overview of minimal residual disease in the management of early-stage and locally advanced non-small cell lung cancer
title_short A comprehensive overview of minimal residual disease in the management of early-stage and locally advanced non-small cell lung cancer
title_sort comprehensive overview of minimal residual disease in the management of early stage and locally advanced non small cell lung cancer
url https://doi.org/10.1038/s41698-025-00984-9
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