The invention discloses a high-specificity minimal residual
disease (MRD) monitoring method and
system based on
circulating tumor DNA (ctDNA). The method comprises the following steps: receiving
tumor tissue sequencing data of an UTUC patient, and generating a double-Panel target
list containing personalized and fixed Panel; respectively extracting
plasma cfDNA and leukocyte gDNA; performing vacuum concentration,
hybrid capture and sequencing on the cfDNA
library by using the double Panel lists, and performing
deep sequencing on the leukocyte gDNA; constructing an individualized clonal hematopoietic
mutation filtering
database; actively filtering and rejecting clonal hematopoietic background
mutation by utilizing a filtering
database; and calculating an MRD load
score based on the filtered tumor-derived
mutation and outputting a report. The
system comprises corresponding modules which are used for automatically executing the process. According to the invention, through cooperation of four major technologies of double-
Panel design,
process optimization, UMI error correction and active clonal hematopoietic
filtration, MRD monitoring with extremely high sensitivity and specificity on UTUC is realized, false positive is significantly reduced, and the kit has
drug resistance early warning potential.