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Johns Hopkins CSF-BAM Detects Brain Cancers With High Accuracy

Peer-reviewed results point to a minimally invasive option that could guide biopsy decisions in challenging cases.

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Overview

  • The multi-analyte assay analyzes chromosomal aneuploidy, tumor-specific mutations, and T and B cell receptor sequences from small cerebrospinal fluid samples.
  • In a validation cohort, the combined markers delivered more than 80% sensitivity with 100% specificity, yielding no false positives among noncancer cases.
  • Researchers evaluated 206 CSF specimens spanning high-grade gliomas, medulloblastomas, brain metastases, and central nervous system lymphomas.
  • Immune repertoire profiling differentiated cancer from noncancer samples, providing biological context that may aid complex diagnostic scenarios.
  • The findings were published Aug. 25 in Cancer Discovery with National Institutes of Health support, and broader prospective testing is needed before routine clinical use.