RT Journal Article T1 Deep Phenotypic Characterisation of CTCs by Combination of Microfluidic Isolation (IsoFlux) and Imaging Flow Cytometry (ImageStream). A1 Ruiz-Rodríguez, Antonio J A1 Molina-Vallejo, Maria P A1 Aznar-Peralta, Inés A1 González Puga, Cristina A1 Cañas García, Inés A1 González, Encarna A1 Lorente, Jose A A1 Serrano, M Jose A1 Garrido-Navas, M Carmen K1 CRC K1 CTC heterogeneity K1 ImageStream K1 IsoFlux K1 circulating tumour cells AB The isolation of circulating tumour cells (CTCs) in colorectal cancer (CRC) mostly relies on the expression of epithelial markers such as EpCAM, and phenotypic characterisation is usually performed under fluorescence microscopy with only one or two additional markers. This limits the ability to detect different CTC subpopulations based on multiple markers. The aim of this work was to develop a novel protocol combining two platforms (IsoFluxTM and ImageStream®X) to improve CTC evaluation. Cancer cell lines and peripheral blood from healthy donors were used to evaluate the efficiency of each platform independently and in combination. Peripheral blood was extracted from 16 early CRC patients (before loco-regional surgery) to demonstrate the suitability of the protocol for CTC assessment. Additionally, peripheral blood was extracted from nine patients one month after surgery to validate the utility of our protocol for identifying CTC subpopulation changes over time. Results: Our protocol had a mean recovery efficiency of 69.5% and a limit of detection of at least four cells per millilitre. We developed an analysis method to reduce noise from magnetic beads used for CTC isolation. CTCs were isolated from CRC patients with a median of 37 CTCs (IQ 13.0-85.5) at baseline. CTCs from CRC patients were significantly (p SN 2072-6694 YR 2021 FD 2021-12-20 LK https://hdl.handle.net/10668/26133 UL https://hdl.handle.net/10668/26133 LA en DS RISalud RD Apr 8, 2025