Feature|Articles|August 6, 2026

Explicating the Status of ctDNA MRD Testing in the MIBC Treatment Paradigm

Fact checked by: Russ Conroy

Two bladder cancer specialists discussed how emerging ctDNA MRD testing advances will impact treatment selection for patients with MIBC.

The emergence of circulating tumor DNA (ctDNA) molecular residual disease (MRD) testing, which non-invasively identifies microscopic cancer in the blood, has presented a new strategy to enhance the management of numerous cancerous malignancies.1 For bladder cancer, this testing may optimize risk stratification, inform postoperative decision-making processes, and introduce more personalized surveillance strategies for patients, particularly in treatment de-escalation.