AUTHOR=Najim Omar , Papadimitriou Konstantinos , Broeckx Glenn , Huizing Manon , Tjalma Wiebren TITLE=Validation of liquid biopsy for ESR1-mutation analysis in hormone-sensitive breast cancer: a pooled meta-analysis JOURNAL=Frontiers in Oncology VOLUME=Volume 13 - 2023 YEAR=2023 URL=https://www.frontiersin.org/journals/oncology/articles/10.3389/fonc.2023.1221773 DOI=10.3389/fonc.2023.1221773 ISSN=2234-943X ABSTRACT=Several retrospective and prospective studies have shown that genomic alterations in Estrogen-receptor one (ESR1) could be characterized not only on tissue samples but also by sequencing circulating tumor DNA (ctDNA) in liquid biopsy. Therefore, liquid biopsy is considered to be a potential non-invasive surrogate to tissue biopsy. This meta-analysis is designed to validate the diagnostic application of liquid biopsy in testing ESR1-mutation. A Pooled meta-analysis of studies published between January 1 st , 2007 and March 1 st , 2021 was conducted regarding the methodologies used for ESR1 mutation analysis. Liquid biopsy is a valid, inexpensive and attractive non-invasive alternative to tumor biopsies for the identification of ESR1 mutations. Liquid biopsy for ESR 1 analysis would facilitate regular testing, allowing to monitor the sensitivity to ET and guide treatment strategy.