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ctdna-dynamics-mrd-agent

Maintainer FreedomIntelligence · Last updated April 1, 2026

Track ctDNA dynamics for minimal residual disease detection and treatment monitoring.

OpenClawNanoClawAnalysisReproductionctdna-dynamics-mrd-agent🧠 bioos extended suiteoncology & precision medicine agentstrack

Original source

FreedomIntelligence/OpenClaw-Medical-Skills

https://github.com/FreedomIntelligence/OpenClaw-Medical-Skills/tree/main/skills/ctdna-dynamics-mrd-agent

Maintainer
FreedomIntelligence
License
MIT
Last updated
April 1, 2026

Skill Snapshot

Key Details From SKILL.md

2 min

Key Notes

  • The ctDNA Dynamics MRD Agent provides comprehensive analysis of circulating tumor DNA dynamics for molecular residual disease (MRD) detection, treatment response monitoring, and early relapse prediction. It integrates tumor-informed and tumor-naive approaches with temporal modeling for longitudinal ctDNA analysis.
  • When monitoring minimal/molecular residual disease post-treatment.
  • For tracking treatment response through ctDNA kinetics.
  • To predict relapse before clinical/radiological detection.
  • When assessing tumor burden dynamics during therapy.

Source Doc

Excerpt From SKILL.md

Core Capabilities

  1. MRD Detection: Ultra-sensitive detection of residual disease (LOD 0.001% VAF).

  2. Kinetic Modeling: Model ctDNA clearance and doubling time.

  3. Response Prediction: Predict treatment response from early ctDNA dynamics.

  4. Relapse Prediction: Identify molecular relapse months before imaging.

  5. Resistance Monitoring: Track emergence of resistance mutations.

  6. Multi-Timepoint Integration: Analyze longitudinal ctDNA trajectories.

Detection Approaches

ApproachMethodLODBest Use Case
Tumor-InformedTrack known mutations0.001%Post-surgical MRD
Tumor-NaivePanel-based detection0.1%Screening, unknown primary
WGS-BasedFragmentomics + mutations0.01%Comprehensive profiling
MethylationcfDNA methylation0.1%Tissue of origin, early detection

Kinetic Parameters

ParameterDefinitionClinical Meaning
ctDNA Half-LifeTime to 50% reductionTreatment sensitivity
Doubling TimeTime to 2x increaseTumor growth rate
NadirLowest ctDNA levelDepth of response
Time to NadirDays to reach nadirResponse kinetics
Clearance RateExponential decay constantTreatment efficacy
Lead TimeMRD+ to clinical relapseEarly detection window

Use cases

  • When monitoring minimal/molecular residual disease post-treatment.
  • For tracking treatment response through ctDNA kinetics.
  • To predict relapse before clinical/radiological detection.
  • When assessing tumor burden dynamics during therapy.

Not for

  • Do not rely on this catalog entry alone for installation or maintenance details.

Upstream Related Skills

  • MRD_EDGE_Detection_Agent - Ultra-sensitive MRD detection
  • Liquid_Biopsy_Analytics_Agent - Comprehensive liquid biopsy
  • Tumor_Heterogeneity_Agent - Clonal evolution tracking
  • HRD_Analysis_Agent - Genomic biomarkers

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