Completed Cells, Biochemistry & Physiology Cancer

Q-CANCER: development of a sample to result device for low cost, rapid tumour profiling

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A histopathologist will soon be able to press a single button on a desktop device and, within minutes, receive a full genetic profile of a patient’s tumour from a standard tissue sample. Current tumour profiling requires sending samples to central labs, waiting days or weeks for results, and using expensive, multi-step processes. This delay can prolong patient anxiety and delay treatment decisions. The Q-CANCER project aims to eliminate that bottleneck by integrating sample preparation, DNA sequencing, and analysis into one automated, low-cost device. It uses proven microfluidic and nanotechnologies to handle formalin-fixed or fresh tissue, performing multiplex genotyping and tumour staging on the spot. If successful, the device would give pathologists a rapid molecular adjunct to their standard practice, enabling faster, more precise treatment choices. For patients, this means reduced waiting time and anxiety. For the NHS and other healthcare systems, it could cut the cost of treatment programmes by avoiding unnecessary or ineffective therapies. The technology is designed to slot directly into existing clinical workflows, so adoption would not require major infrastructure changes. This is applied engineering with a clear, near-term path to clinical impact.

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This project is concerned with the development of a fully integrated, low test cost, sample to result medical device that will enable a histopathologist (or a technician) to perform multiplex genotyping and tumour staging & profiling, within minutes, from formalin fixed &/or fresh tissue samples, providing a molecular adjunct to a histopathologist's standard practice. The device will automate sample prep & DNA sequencing at the press of a single button, following the introduction of a sample. The tissue sample is processed using a number of novel & innovative but proven microfluidic and nanotechnologies that allow for massive multiplexing potential. The device will enable fast turnaround of high quality genotyping that integrates with established clinical practice . Furthermore, the ability to rapidly profile & stage a tumour or identify genetic mutations will lead to improvements in patient outcomes, reduce patient anxiety & result in cost savings in treatment programmes.

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