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. 2025 Oct 8;16:1834. doi: 10.1007/s12672-025-03569-x

Table 2.

Application scenarios and recommended detection technologies

Clinical needs Preferred technology Auxiliary technology Examples of target biomarkers
Initial screening of drug resistance mechanisms NGS (tissue/ctDNA) FISH/IHC KRAS secondary mutation, RTK amplification, co-mutation (KEAP1/TP53)
Low-frequency mutation tracking ddPCR (ctDNA) Single-cell sequencing KRAS subclone, MET amplification
Evaluation of the activation status of the pathway IHC Phosphoproteomics PI3K-AKT-mTOR, RAS-RAF-MEK-ERK
Microenvironment analysis mIF Spatial transcriptomics PD-L1/CD8 co-localization
Dynamic efficacy evaluation ctDNA(NGS + ddPCR) Radiomics Frequency of KRAS mutation alleles, novel variants