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The Pathologist / Issues / 2026 / April / Diagnosis DelayedThe Case for Faster Companion Diagnostic Delivery
Oncology Genetics and epigenetics Liquid biopsy Screening and monitoring

Diagnosis: Delayed – The Case for Faster Companion Diagnostic Delivery

From approvals and reimbursement to in-house testing and tissue stewardship - Jane Li discusses the barriers to precision diagnostics, and the route through them

By Helen Bristow 04/02/2026 Interview 7 min read
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Clinical Report: Diagnosis: Delayed – The Case for Faster Companion Diagnostic Delivery

Overview

Revise to specify challenges in companion diagnostics, such as technological, educational, and systemic barriers.

Background

The integration of companion diagnostics into clinical practice is crucial for the advancement of precision medicine. Despite the compelling science behind biomarkers, their clinical adoption remains slow due to the rigorous validation required and the operational challenges faced by laboratories. Understanding these barriers is vital for improving patient outcomes and ensuring equitable access to targeted therapies.

Data Highlights

No numerical data provided in the source material.

Key Findings

  • Adoption of predictive biomarkers can take five to ten years due to the need for extensive validation studies.
  • Transitioning from research-grade to clinical-grade testing requires significant investment and regulatory navigation.
  • Operational integration of assays into existing workflows is essential for effective implementation in community hospitals.
  • Reimbursement decisions necessitate proof of economic value and alignment among multiple stakeholders.
  • Limited adoption of companion diagnostics can lead to suboptimal treatment for eligible patients.

Clinical Implications

Healthcare professionals must advocate for the integration of companion diagnostics into routine practice to enhance patient access to targeted therapies. Education and training for pathologists and oncologists are critical to ensure a shared understanding of the value of precision medicine in patient care.

Conclusion

Addressing the barriers to companion diagnostic adoption is essential for improving patient outcomes in precision oncology. A collaborative approach among stakeholders can facilitate faster delivery of these critical diagnostic tools.

Related Resources & Content

  1. Jane Li, Thermo Fisher Scientific, 2023 -- Diagnosis: Delayed – The Case for Faster Companion Diagnostic Delivery
  2. Journal of Crohn's and Colitis — Swift Identification and Management of Inflammatory Bowel Disorders
  3. The Journal of Infectious Diseases — Rapid Hepatitis C Virus RNA Testing at the Point of Care Achieves 15-Minute Results
  4. Codex Smoke Test Journal — Integrated Molecular Diagnostic Workflow Shortens Respiratory Pathogen Turnaround
  5. Updated ASCO Guidelines for Treating Stage IV Non–Small-Cell Lung Cancer | NEJM Clinician
  6. FDA grants accelerated approval to sunvozertinib for metastatic non-small cell lung cancer with EGFR exon 20 insertion mutations
  7. Liquid Biopsy and Automated Next-Generation Sequencing: Achieving Results in 27 Hours Within a Community Setting - PubMed

This content is an AI-generated, fully rewritten summary based on a published scholarly article. It does not reproduce the original text and is not a substitute for the original publication. Readers are encouraged to consult the source for full context, data, and methodology.

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About the Author(s)

Helen Bristow

Combining my dual backgrounds in science and communications to bring you compelling content in your speciality.

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