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Monitoring of Minimal Residual Disease in Acute Lymphoblastic Leukemia

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Part of the book series: Principles and Practice ((PRINCIPLES))

Abstract

In recent years, significant progress has been achieved in the monitoring of treatment effectiveness in hematological malignancies through the detection of so-called minimal residual disease (MRD). In this chapter, we present the methodological principles of MRD monitoring and its clinical application using acute lymphoblastic leukemia as a model disease. Detection of MRD kinetics during the first months of treatment has high prognostic value and it is currently employed for patient stratification in many treatment protocols. In high-risk patients and relapsed patients the MRD clearance is a prerequisite for effective stem cell transplantation. Therefore, MRD monitoring forms the basis for subsequent treatment intervention.

Tomasz Szczepański and Małgorzata Dawidowska contributed equally.

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Acknowledgments

This chapter was partly supported by the Ministry of Science and Higher Education, grant N N407 311 839.

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Correspondence to Tomasz Szczepański .

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Szczepański, T., Dawidowska, M., Derwich, K. (2012). Monitoring of Minimal Residual Disease in Acute Lymphoblastic Leukemia. In: Witt, M., Dawidowska, M., Szczepanski, T. (eds) Molecular Aspects of Hematologic Malignancies. Principles and Practice. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-29467-9_11

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