RGCC Q&A
Welcome to the RGCC Q&A Hub. This resource is designed to answer commonly asked questions about our RGCC tests.
Whether you’re new to these tests or seeking more technical insight for your clinical practice, the questions below offer concise, evidence-informed answers to help guide patient care decisions.
Why is Oncotrace not suitable for cancer screening?
Oncotrace is intended for monitoring patients with a confirmed cancer diagnosis or reactive Onco-D-Clare results. It is not designed as a general screening tool, as prior cancer-specific information is required for accurate test performance.
What makes Oncotrace an effective follow-up tool?
It provides a detailed profile of circulating tumour cells (CTCs), including their phenotype and stemness characteristics, using both negative and positive selection. This allows clinicians to evaluate disease progression and response to treatment with precision.
Why is Onco-D-Clare required before Oncotrace?
Onco-D-Clare identifies gene expression patterns related to specific cancer types. This information helps the lab choose appropriate CTC culture media, enhancing the diagnostic reliability of Oncotrace.
How does RGCC isolate CTCs differently from other tests?
Unlike standard tests that only use EpCAM-based positive selection, RGCC also applies negative selection to exclude non-cancerous cells. This dual approach improves the detection of diverse CTC populations, including those undergoing epithelial-to-mesenchymal transition (EMT).
Why is different culture media used for each cancer type?
CTCs from different cancer types have unique biological behaviors and growth needs. Onco-D-Clare’s profiling enables RGCC to use tailored media, ensuring better culture success and analysis accuracy.
What are the accuracy levels of Onco-D-Clare and Oncotrace?
- Onco-D-Clare: 92.4% sensitivity and 94.78% specificity
- Oncotrace: 86.2% sensitivity and 83.9% specificity
These figures are based on real patient data, not artificially spiked samples.
What does a reactive Onco-D-Clare result indicate?
It signals the presence of gene expression patterns commonly associated with malignancy. However, it is not diagnostic and should be followed up with confirmatory testing like Oncotrace or imaging.
Can inflammation or stress affect Onco-D-Clare results?
The test uses robust machine learning to differentiate cancer signals from those caused by inflammation, infection, or immune system activation—enhancing its reliability.
Why does RGCC avoid “spiked” samples in sensitivity studies?
RGCC uses real patient samples to measure test sensitivity and specificity, providing results that more accurately reflect clinical conditions compared to tests based on artificially spiked samples.
What are the pre-requisites before ordering Oncotrace?
- A confirmed diagnosis of cancer, OR
- A reactive Onco-D-Clare test result
These prerequisites ensure the test is used in the right clinical context for optimal results.
What are the advantages of using Oncotrace in monitoring?
- Detects microscopic recurrence before symptoms arise
- Allows dynamic, personalized treatment adjustments
- Enables non-invasive, repeated monitoring via blood tests
Is Onco-D-Clare a cancer diagnosis tool?
No. It is a high-level risk assessment tool. A reactive result should prompt further investigations to confirm malignancy, such as CTC testing or imaging.
What accreditations does RGCC hold?
- CAP (College of American Pathologists)
- CLIA (Clinical Laboratory Improvement Amendments, USA)
- IAS (International Accreditation Service)
These accreditations confirm RGCC’s commitment to clinical quality, laboratory excellence, and itional standards.
Have More Questions?
If you have any further questions, please contact us