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Table 1 Enrichment methods for CTCs in biological fluids.

From: Detection of Circulating Tumor Cells in Prostate Cancer Patients: Methodological Pitfalls and Clinical Relevance

Methods

Benefits

Pitfalls

Density-gradient centrifugation

Simple, fast process

Poor sensitivity (potential loss of tumor cells)

Filtration

Isolation by size, do not require cell lysis

Low number of collected CTCs

Immunomagnetic selection

Enhanced sensitivity, enhanced specificity, intact cells

Costly and time-consuming process, false positives, false negatives