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‹ Wed · 27 May 2026
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Technical recommendations from a large-scale French Delphi consensus: A step toward European harmonization of ctDNA analysis

Detailed technical standards from high-volume labs harmonize blood cancer DNA testing across Europe, reducing false results and improving reliability.

A Delphi consensus involving 39 French high-volume ctDNA platforms produced 37 technical recommendations with ≥80% agreement covering the full ctDNA analysis workflow, including mandatory UMI implementation, double centrifugation, CHIP evaluation protocols, and comprehensive reporting requirements. These complement existing international guidelines with operationally prescriptive guidance to reduce inter-laboratory variability and enable European ctDNA harmonization.

What the study was

Study design
Delphi consensus process
Population
39 high-volume French molecular oncology platforms (71% response rate)
Sample size
39
Category
Diagnostics
Maturity
Validated
Journal
European Journal of Cancer

Why it surfaced

Largest European ctDNA technical consensus to date (39 platforms); addresses real-world reproducibility gaps critical for ctDNA clinical adoption; practical EU harmonization framework; Eur J Cancer publication

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