%0 Journal Article %T Effects of Collection and Processing Procedures on Plasma Circulating Cell-Free DNA from Cancer Patients %A Andrea Ruiz-Valdepenas Martin de Almagro %A Anna Piskorz %A Bente Risberg %A Carlos Caldas %A Charlotte Hodgkin %A Christine Parkinson %A Dana W.Y. Tsui %A Davina Gale %A Dineika Chandrananda %A Elizabeth Moore %A Francesco Marass %A Heather Biggs %A James D. Brenton %A James Morris %A Linda Jones %A Nitzan Rosenfeld %A Sarah-Jane Dawson %A Vincent Plagnol %J The Journal of Molecular Diagnostics %D 2018 %R 10.1016/j.jmoldx.2018.07.005 %X Circulating tumor DNA (ctDNA) offers new opportunities for noninvasive cancer management. Detecting ctDNA in plasma is challenging because it constitutes only a minor fraction of the total cell-free DNA (cfDNA). Pre-analytical factors affect cfDNA levels contributed from leukocyte lysis, hence the ability to detect low-frequency mutant alleles. This study investigates the effects of the delay in processing, storage temperatures, different blood collection tubes, centrifugation protocols, and sample shipment on cfDNA levels. %U https://jmd.amjpathol.org/article/S1525-1578(17)30625-6/fulltext