Summary of various techniques for CTC detection, including their strengths, limitations, and practical applications in cancer diagnostics and monitoring

Technique for CTC detectionAdvantagesDisadvantagesPractical applications
Chip-based
  • Allows integration of enrichment, detection, and on-chip culture

  • Enables isolation of viable cells

  • Combining biophysical and biochemical properties

  • Closer to the point-of-care device

  • Complex design

  • Not in situ

  • Requires precise fluid control and optimization

  • May be costly

  • Used to detect CTCs in various cancers (gastric, colorectal, breast, lung)

  • Tested for diagnostic and monitoring purposes

Electrochemical biosensors
  • High sensitivity

  • Real-time, label-free detection

  • Compatible with microfluidic integration

  • Electromagnetic interference

  • Limited multiplexing

  • Complex fabrication

  • Used mainly with MCF-7, A549, HeLa cells

  • Tested in PBS, human blood, and clinical samples

  • Applied in prostate, cervical, and liver cancer studies

Optical fiber biosensors
  • High sensitivity

  • Label-free

  • Real-time

  • Biocompatible material

  • Miniature

  • Fragile

  • Limited practical use at low CTC counts

  • Costly (TFBG)

  • Used to detect breast cancer cells (e.g., BT549, MDA-MB-231)

  • Applied to whole blood and serum

CTC: circulating tumor cell