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Table 2 Clinical application of CTCs in PC in recent years

From: Liquid biopsy techniques and pancreatic cancer: diagnosis, monitoring, and evaluation

 

Factors

Sensitivity

Specificity

AUC

Number of patients

Findings

Year of report

Ref

Diagnosis

CTCs + CA19-9

  

0.95

80

the combination of CTCs and CA19-9 improves the diagnosis of pancreatic cancer

2022

[85]

CTCs + Folate receptors + CA19-9

0.978

0.833

0.944

46

folate receptors (+) CTCs, especially when combined with CA19‐9, have the potential as a biomarker for diagnosing pancreatic cancer

2020

[86]

CTCs + EVs GPC1

1

0.8

 

22

combining CTCs and GPC1-positive-exosome detection displayed 100% sensitivity and 80% specificity in PDAC

2019

[87]

CTCs

0.75

0.964

0.867

72

CTCs as a biomarker for diagnosis and staging in pancreatic cancer

2016

[88]

CTCs + CA19-9

0.67

0.8

 

52

CA19-9, combined with CTCs analysis, may represent an efficient method for diagnosing pancreatic adenocarcinoma in patients with of solid pancreatic tumours

2017

[89]

Prognosis

CTCs + KLF8 + vimentin

   

40

CTCs expressing Krüppel-like factor 8 and vimentin predict prognosis in pancreatic cancer

2021

[90]

CTCs

  

0.8

100

CTCs correctly identified patients with occult metastatic disease preoperatively

2018

[91]

Recurrence

CTCs + TIC markers

   

60

CTCs expressing markers of tumour-initiating cells predict survival and recurrence in PDAC

2017

[92]

CTCs + vimentin + cytokeratin

   

50

CTCs expressing vimentin and cytokeratin predict the recurrence of PDAC

2016

[93]

CTCs

   

36

the presence or absence of CTCs in the blood of patients with PDAC could help predict the recurrence pattern after surgery

2021

[94]

Therapy

CTCs + vimentin + CA19-9

   

100

significantly reduced CTCs counts were observed after chemotherapy in subjects that responded to treatment

2019

[95]

CTCs

0.82

0.85

0.871

200

CTCs as a biomarker for 1-year recurrence for chemo-naive PDAC patients

2018

[96]