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Table 2 Commonly used technologies to analyze cell-free DNA

From: Circulating DNA as biomarker in breast cancer

Technique

Advantages

Limitations

Quantitative PCR

High sensitivity and specificity

Quantification of only annotated sequences

High dynamic range

BEAMing, PAP, COBRA, etc.

Higher sensitivity and specificity than quantitative PCR

Analyses of only predetermined sequences

Detection of at least 0.01 % altered alleles

Microarray

High throughput

Not suitable for accurate quantification

Relatively low cost

Low dynamic range

Detection of only annotated DNA

High signal-to-noise ratio

Cross-hybridization between similar sequences

Next-generation sequencing

High sensitivity and specificity

High cost

Detection of novel and rare alterations

Need for special equipment and bioinformatics

Ability to distinguish similar sequences

Relatively high amounts of starting material

Sequence-specific bias

  1. PCR polymerase chain reaction, BEAMing beads, emulsion, amplification and magnetics, PAP pyrophosphorolysis-activated polymerization, COBRA combined bisulfite restriction analysis