State of the Art: Toward Improving Outcomes of Lung and Liver Tumor Biopsies in Clinical Trials-A Multidisciplinary Approach
03/2020
Journal Article
Authors:
Levy, E. B.;
Fiel, M. I.;
Hamilton, S. R.;
Kleiner, D. E.;
McCall, S. J.;
Schirmacher, P.;
Travis, W.;
Kuo, M. D.;
Suh, R. D.;
Tam, A. L.;
Islam, S. U.;
Ferry-Galow, K.;
Enos, R. A.;
Doroshow, J. H.;
Makhlouf, H. R.
Volume:
38
Pagination:
1633-1640
Issue:
14
Journal:
J Clin Oncol
PMID:
32134701
URL:
https://www.ncbi.nlm.nih.gov/pubmed/32134701
Keywords:
Biopsy/*methods Clinical Trials as Topic/*methods Humans Liver Neoplasms/*surgery Lung Neoplasms/*surgery National Cancer Institute (U.S.) Treatment Outcome United States
Abstract:
PURPOSE: National Cancer Institute (NCI)-sponsored clinical trial network studies frequently require biopsy specimens for pharmacodynamic and molecular biomarker analyses, including paired pre- and post-treatment samples. The purpose of this meeting of NCI-sponsored investigators was to identify local institutional standard procedures found to ensure quantitative and qualitative specimen adequacy. METHODS: NCI convened a conference on best biopsy practices, focusing on the clinical research community. Topics discussed were (1) criteria for specimen adequacy in the personalized medicine era, (2) team-based approaches to ensure specimen adequacy and quality control, and (3) risk considerations relevant to academic and community practitioners and their patients. RESULTS AND RECOMMENDATIONS: Key recommendations from the convened consensus panel included (1) establishment of infrastructure for multidisciplinary biopsy teams with a formalized information capture process, (2) maintenance of standard operating procedures with regular team review, (3) optimization of tissue collection and yield methodology, (4) incorporation of needle aspiration and other newer techniques, and (5) commitment of stakeholders to use of guideline documents to increase awareness of best biopsy practices, with the goal of universally improving tumor biopsy practices.
