Gene |
Exon |
Mutation type |
BRAF |
15 |
V600E |
|
|
V600K |
EGFR |
19 |
Δ E746_A750 (2235_2249del15) |
|
|
Δ E746_A750 (2235_2250del15) |
|
|
Δ E746_S752 ins V |
|
|
Δ L747_A750 ins P |
|
|
Δ L747_T751 |
|
|
Δ L747_P753 ins S |
|
20 |
T790M |
|
21 |
L858R |
KRAS |
2 |
G12S |
|
|
G12R |
|
|
G12C |
|
|
G12D |
|
|
G12A |
|
|
G12V |
|
|
G13D |
PIK3CA |
9 |
E542K |
|
|
E545K |
|
20 |
H1047R |
|
|
H1047L |
Concordance between mutation testing of tumor tissue and cfDNA |
TESTED (N = 137) |
BRAF mutation in tumor |
BRAF wild-type in tumor |
BRAF mutation in cfDNA |
29 |
4 |
BRAF wild-type in cfDNA |
9 |
95 |
Observed agreements |
124 (91%); Kappa 0.75, SE 0.06; 95 CI% 0.63–0.88 |
Sensitivity |
76% (95% CI 0.60–0.89) |
Specificity |
96% (95% CI 0.90–0.99) |
Positive predictive value |
88% (95% CI 0.72–0.97) |
Negative predictive value |
91% (95% CI 0.84–0.96) |
TESTED (N = 79) |
EGFR mutation in tumor |
EGFR wild-type in tumor |
EGFR mutation in cfDNA |
5 |
1 |
EGFR wild-type in cfDNA |
0 |
73 |
Observed agreements |
78 (99%); Kappa 0.90, SE 0.10; 95 CI% 0.71–1.00 |
Sensitivity |
100% (95% CI 0.48–1.00) |
Specificity |
99% (95% CI 0.93–1.00) |
Positive predictive value |
83% (95% CI 0.36–0.97) |
Negative predictive value |
100% (95% CI 0.95–1.00) |
TESTED (N = 121) |
KRAS mutation in tumor |
KRAS wild-type in tumor |
KRAS mutation in cfDNA |
49 |
8 |
KRAS wild-type in cfDNA |
12 |
52 |
Observed agreements |
101 (83%); Kappa 0.67, SE 0.07; 95 CI% 0.54–0.80 |
Sensitivity |
80% (95% CI 0.68–0.89) |
Specificity |
87% (95% CI 0.75–0.94) |
Positive predictive value |
86% (95% CI 0.74–0.94) |
Negative predictive value |
81% (95% CI 0.70–0.90) |
TESTED (N = 107) |
PIK3CA mutation in tumor |
PIK3CA wild-type in tumor |
PIK3CA mutation in cfDNA |
12 |
8 |
PIK3CA wild-type in cfDNA |
2 |
85 |
Observed agreements |
97 (91%); Kappa 0.65, SE 0.10; 95 CI% 0.46–0.85 |
Sensitivity |
86% (95% CI 0.57–0.98) |
Specificity |
91% (95% CI 0.84–0.96) |
Positive predictive value |
60% (95% CI 0.36–0.81) |
Negative predictive value |
98% (95% CI 0.92–1.00) |