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. 2021 Mar 18;16(3):309–324. doi: 10.1007/s11523-021-00795-5

Fig. 2.

Fig. 2

Clonal tracking with liquid biopsy (LB) in patients with metastatic colorectal cancer (mCRC) receiving active treatment. After mCRC diagnosis (1), the collection of blood samples for LB (2,3) allows the detection of circulating tumor DNA (ctDNA) and circulating tumor cells (CTCs) (4). Their analysis provides useful information for molecular profiling and treatment selection; additionally, CTCs can be employed for culturing and xenografting, thus adding relevant data of tumor sensitivity to the selected treatment (5). Given the high feasibility of LB, new blood samples are then collected during active treatment, to monitor the emergence of resistance through clonal tracking (6). Created with BioRender.com