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Global Translational Medicine





                                        REVIEW ARTICLE
                                        Advances in liquid biopsy: Computational and

                                        artificial intelligence approaches in cancer
                                        research



                                        Aurora Maurizio*

                                        Center for Omics Sciences, IRCCS San Raffaele Scientific Institute, Milan, Italy



                                        Abstract

                                        Liquid biopsy analysis has emerged as a promising approach for non-invasive cancer
                                        monitoring and diagnosis. This review provides an overview of the current landscape
                                        and future potential of liquid biopsy in cancer research, with a particular focus on the
                                        computational methodologies and techniques utilized for liquid biopsy data analysis
                                        and interpretation. The challenges and opportunities in extracting meaningful insights
                                        from the vast array of genomic, epigenomic, transcriptomic, and proteomic data
                                        are discussed, as well as the possibilities and current pitfalls of artificial intelligence
                                        approaches. In addition, the benefits and limitations of integrating multimodal
                                        cancer research data are covered, with a focus on advancing precision oncology and
                                        personalized medicine. By providing a critical assessment of the field, this review aims
                                        to foster knowledge about the available computational approaches and facilitate the
                                        choice of the most appropriate methodology for in silico investigation of liquid biopsy
                                        data, ultimately enhancing research endeavors and disease management strategies.
                                        Most of the works discussed in this review have emerged within the past 5 years,
                                        indicating a rapidly growing interest in this technique.
            *Corresponding author:
            Aurora Maurizio
            (maurizio.aurora@hsr.it)
                                        Keywords: Liquid biopsy; Cancer; Circulating tumor cells; Circulating tumor DNA;
            Citation: Maurizio A. Advances in   Machine learning; Omics; Bioinformatics
            liquid biopsy: Computational and
            artificial intelligence approaches
            in cancer research. Global Transl
            Med. 2024:3(3):3063.
            doi: 10.36922/gtm.3063      1. Introduction
            Received: February 29, 2024   The traditional solid-tissue biopsy is the gold standard for tumor detection and
            Accepted: July 3, 2024
            Published Online: September 9,   monitoring, providing both a histological definition and a genomic profile of the
            2024                        specimen.  Indeed, while a solid biopsy is necessary for the initial histological diagnosis
                                                1
            Copyright: © 2024 Author(s).   of a tumor, the scientific community is moving from purely histopathologic cancer
            This is an Open-Access article   diagnosis to molecular-based predictions of disease progression and therapy response.
            distributed under the terms of the
            Creative Commons Attribution   An example of this shift is the WHO classification of central nervous system tumors,
            License, permitting distribution,   which, since 2016, has included molecular parameters in addition to histology to
            and reproduction in any medium,   refine tumor stratification and improve patient management.  Molecular profiling of
                                                                                         2,3
            provided the original work is
                                                                                                            4,5
            properly cited.             gene mutations for prognostic predictions has resulted in great therapeutic advances,
                                        though these are often accompanied by time-limited disease control due to overlooked
            Publisher’s Note: AccScience
            Publishing remains neutral with   clones and the selective pressure for resistant variants induced by cancer treatments. 6
            regard to jurisdictional claims in
            published maps and institutional   Compared to traditional biopsy, liquid biopsy offers several advantages, including
            affiliations.               its non-invasive nature, rapid execution, and ease of repeatability. This technique

            Volume 3 Issue 3 (2024)                         1                               doi: 10.36922/gtm.3063
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