Skip to main content
. 2017 Jun 9;130(4):440–452. doi: 10.1182/blood-2017-03-735639

Table 2.

Clinical impact of noninvasive disease detection at distinct disease milestones in myeloid malignancies

Diagnosis Precancerous condition Diagnosis/pretreatment During therapy Posttreatment/surveillance Relapse/progression
AML Healthy PBMC: harbor age-dependent aberrations associated with overt AML/MDS138-142 CTC or malignant BM cell: genotyping defines molecular prognostic factors150,151; genotyping might identify therapeutic targets (eg, FLT3)151,152 CTC or malignant BM cell: positivity and kinetics during therapy predict risk of relapse155,157 CTC or malignant BM cell: positivity postinduction and postconsolidation predicts clinical outcome156,157,161,164 CTC or malignant BM cell: profiling identifies emergent clones at relapse163; profiling identifies relapse161
CML CTC or malignant BM cell: BCR-ABL1 levels predict clinical outcome168-170; profiling identifies resistance mutations176,177,180,181 CTC or malignant BM cell: rising BCR-ABL1 levels indicate progression178
MPN CTC or malignant BM cell: genotyping is part of diagnostic criteria189 CTC or malignant BM cell: levels predict clinical outcome190,191

Role of PBMC, CTC, ctDNA, and BM cell profiling for detection of premalignant states in healthy individuals, identification of clinically relevant biomarkers, and prediction of outcome in myeloid malignancies at distinct disease milestones.