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 |