This website provides information about laboratory diagnostic services. The analyses presented are not a therapy and do not replace medical diagnosis and treatment. Medical decisions are made exclusively by your attending physician.

Discover the future of personalized cancer diagnostics! Precision diagnostics cancer: Our individualized tumor diagnosis or individualized cancer diagnostics analyzes the unique genetic signature of your tumor for tailored treatment. personalized cancer therapy in focus.

With individualized cancer diagnostics, we go far beyond standard tests. Our precision cancer diagnostics procedures enable personalized cancer therapy that is precisely matched to your biological characteristics. The customized tumor diagnosis forms the foundation for your successful healing.

Through precision tumor diagnosis methods and tailored cancer diagnostics, you receive individualized tumor treatment that maximizes your individual chances. Our targeted tumor diagnostics is the key to your optimal treatment strategy.

Molecular tumor diagnostics

Our laboratory services include the analysis of the genetic and molecular properties of tumor tissue and circulating tumor cells. These examinations can provide treating physicians with additional information for therapy decisions.

Molecular diagnostics examines the individual genetic signature of a tumor and can provide information on possible therapeutic approaches.

Personalized cancer diagnostics

WHY PERSONALIZATION IS IMPORTANT?

Tumors behave like adaptive complex systems

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Guidelines & personalized therapy

Tailor-made diagnostics

Guidelines mean that all patients with stomach cancer, for example, are treated according to the same guidelines. To put it simply, this could be described as the “watering can principle”. However, if you take a closer look at gastric cancer tumors using the molecular biology and biochemistry methods available today, you will see that none of these tumors is identical to any other tumor in this group. This inevitably leads to the demand for individual personalized therapy. This means that modern molecular biology methods are used to identify the signaling and metabolic pathways used by the individual tumor and find target structures that can be blocked with approved drugs.

So you are looking for the Achilles heel of the tumor.

As part of an individualized therapy, certain target structures can then be attacked and blocked. Target structures are, for example, nodes in the tumor’s message system, also known as receptors, which receive a message and then pass it on, similar to a telephone system. These receptors each consist of very complex proteins that can be blocked by a suitable drug.

Tumors have a life of their own, comparable to individuals that build up a network of communication, energy procurement, sensor technology and production.

They thus react to influences within the body, but also to influences from outside. Classic tumor drugs, such as platinum compounds, can provoke protective mechanisms, also known as resistance , in the surviving tumor cells. This includes, for example, the ejection of drugs by coupling them to transport proteins (ABC transporters, ligases, etc.) and thus removing them from the tumor cell. Or, in response to the therapy, the tumor cell uses parallel metabolic pathways against which the drug used may not be effective. This is comparable to the situation on a city street: if the main road is blocked by an obstacle, traffic is diverted via a side street.

Individualized cancer diagnostics – as unique as you are

Our individualized cancer diagnostics or precision diagnostics cancer take your genetic characteristics and lifestyle into account. Individualized tumour diagnost ics not only analyses the tumour, but also your body’s own factors. With individualized cancer diagnostics, we develop a comprehensive picture of your individual situation.

Precision diagnostics for targeted cancer treatment

Precision cancer diagnost ics uses the latest biomarker analyses for precise results. Our precision tumor diagnostics identifies specific targets for your therapy. Precision cancer diagnostics enables us to determine the most effective treatment options for you.

Personalized cancer therapy based on your diagnosis

Personalized cancer therapy is tailored precisely to your diagnostic results. Our personalized cancer therapy maximizes efficacy while minimizing side effects. With personalized cancer therapy, you receive the best possible treatment for your specific situation.

Customized diagnostics for optimal results

Our customized diagnostics combine various analysis methods individually for you. The individual diagnosis takes into account all relevant factors of your illness. With customized diagnostics, we create the perfect basis for your successful therapy.

LIMITS OF STANDARD THERAPY

Research shows

Guideline-based treatments follow uniform specifications for certain tumor types. However, molecular biology research shows that

Liquid Biopsy technology

Examination of circulating tumor cells

Our Liquid Biopsy technology enables the analysis of circulating tumor cells from the blood:

Tumor analysis from the blood
Circulating tumor cells can provide insights into the tumor, including possible metastases, without invasive procedures.

Dynamic monitoring
Molecular changes can be observed and therapy resistance can potentially be detected at an early stage.

Detection of the smallest tumor remnants
The technology can also detect minimal tumor loads that are not visible using imaging techniques.

Our diagnostic approach

Scientific foundations

  1. Isolation of circulating tumor cells
    We use molecular biological methods to selectively isolate tumor cells from blood, biopsies or other body fluids (urine, cerebrospinal fluid, ascites).
  2. mRNA expression analysis
    We analyze the activity of genes and thus the signaling and metabolic pathways of tumor cells. In contrast to pure mutation analysis, we record the active biological processes.
  3. Identification of targets
    We examine possible weak points of the tumor and identify potential targeted therapy options that can be discussed with the attending physician.

Our analysis process

1

Isolation of tumor cells

The work begins with the isolation of circulating tumor cells from the blood. These cells can provide information about the activities of the tumor cells. Alternatively, tumor cells can also be isolated from biopsies, urine, cerebrospinal fluid or ascites.

2

Determination of gene expression

An important step is to determine the relevant gene expression in the isolated tumor cells. This involves identifying the activity of genes that provide insights into the metabolic and signaling pathways of tumor cells. The metabolism provides energy and materials that the tumor cell needs for growth and division. The signaling pathways are involved in the control of cell activities and communication with surrounding cells.

3

Identification of therapy options

Based on the knowledge gained and scientific studies, we identify substances that may be suitable for influencing the metabolic and signaling pathways of tumor cells.

4

Information for attending physicians

Our examination results can provide the attending physician with additional information to evaluate therapeutic approaches. The targeted analysis of metabolic and signaling pathways can provide information on individual therapy options that can be tailored to the characteristics of the tumor in question.

At iQMedix, we rely on molecular biological technologies in cancer diagnostics. Our aim is to provide scientifically sound diagnostic information.

Early recognition

Circulating tumor cells

Even small tumors can release tumor cells into the blood. The smallest documented primary tumor that released CTCs (Circulating Tumor Cells) was measured at 0.094 mm x 0.094 mm. Its volume was calculated to be 0.0004 mm³ and its productivity was estimated to be 1 CTC per 30 minutes.

This means that CTCs are released into the blood and/or lymphatic system at a very early stage and can provide information about tumor metabolism. This “early tumor” is often undetectable using imaging techniques.

The CTCs contain tumor DNA, tumor mRNA as well as proteins and metabolic products produced by the tumor.

Technical challenge

The isolation of CTCs is technically demanding. One milliliter of blood contains billions of red blood cells and millions of white blood cells, among which, depending on the stage of the disease, there are one to ten circulating tumor cells (or more in later stages).

The analysis of these CTCs can provide comprehensive information about the tumor and possible metastases.

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distinguish between healthy cells and tumor cells

Insulation technology

Tumor cells differ from healthy cells in their altered genetic activity, which is also reflected in structures on the cell surface. Antibodies can recognize these structures and distinguish between healthy cells and tumour cells.

During isolation, antibodies are coupled to magnetic particles (micrometer-sized) and mixed with the blood sample. The antibodies bind to non-tumor cells and can be removed from the sample using a filter column and magnets. The tumor cells remain.

To verify that these are tumor cells and not scattered healthy epithelial cells that have detached from healthy tissue, around 10 marker genes that are typical for tumors are examined. Subsequently, relevant gene expressions of the circulating tumor cells are quantified by RT-PCR and linked to therapy options.

The number of CTCs can also be influenced by chemotherapeutic agents.

About our work

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Was ist die Testung genetischer Expressionswerte von Krebszellen?

Durch molekularbiologische Analyse identifizieren wir das individuelle Aktionsprofil eines Tumors und finden die therapeutischen Angriffspunkte.

Die Messung der RNA-Genexpressionswerte ist dem Tumorgeschehen näher als eine reine Mutationsanalyse. Mit dieser Messung kann man für wichtige Signalwege des Tumors das konkrete und aktuelle Aktionsprofil und deren Eigenschaften ermitteln.

Per Flüssigbiopsie ist eine Gewinnung frischer lebender Tumorzellen einfach und schmerzfrei möglich.  

Es werden auch Tumorzellen aus Körperregionen gewonnen, die wie in Lunge, Bauchspeicheldrüsen oder Gehirn für herkömmliche Gewebebiopsien oft nur schwierig zu erreichen sind.

Man kann weiterhin auch Tumorzellen aus Urin, Aszites oder Liquor erhalten.

Wenn Gewebebiopsate vorliegen, kann man auch diese nutzen. Somit sind vielfältige Möglichkeiten gegeben, um Tumorzellen zu gewinnen.

Die iSelect und iComplete Tests liefern entscheidende Erkenntnisse bezüglich:

• der Aggressivität des Tumors

• der Manipulation des Immunsystems durch den Tumor

• der Resistenzen gegenüber Medikamenten

• der Aktivität relevanter Signale

• der Wirksamkeit bestimmter Substanzen

Die Messergebnisse werden therapeutischen Substanzen zugeordnet, basierend auf anerkannten Studien, sodass der behandelnde Arzt Optionen für eine gezielte Therapie erhält.

Üblicherweise werden die Tumorzellen aus einer Blutprobe extrahiert, gefolgt von der Analyse der RNA, um die Aktivität von Genen zu bestimmen. Die Tumorzellen können aber auch aus einer Biopsie, aus Urin, Liquor oder Aszites entnommen werden.

Die mit dem iSelect oder iComplete Test gewonnen Therapieoptionen zeigen personalisierte und für den individuellen Tumor zielgerichtete Therapieoptionen auf, die der Therapeut umsetzen kann. Weiterhin werden auch individuell für den vorliegenden Tumor ungeeignete Substanzen die z.B. in der Chemotherapie eingesetzt werden, aufgezeigt. Damit kann man z.B. stark toxische Therapeutika, die der Tumor einfach durchschleust, identifizieren und für die Therapie ausschließen.

Unser iPrevent-Test zeigt auf, ob und wie viele Tumorzellen im Blut gefunden werden.

Falls eine deutliche Erhöhung vorliegt, sollte man herkömmliche bildgebende Verfahren wie MRT oder PET-CT anwenden, um den Befund abzusichern.

Bitte sprechen Sie uns über die kostenlose Beratung an, damit wir den richtigen Test herausfinden und Ihnen die damit verbundenen Kosten mitteilen können.

Die Laborarbeit dauert ca. 10 Arbeitstage. Danach wird ein Bericht geschrieben, der je nach Komplexität des Falles ca. 1 – 3 Arbeitstage dauern kann. Der Bericht muss wegen gesetzlicher Vorgaben im Falle von Krebs an den behandelnden Arzt gehen. Er kann dann den Bericht an den Patienten weiterleiten.

Die Zuverlässigkeit hängt von verschiedenen Faktoren ab, einschließlich der Testmethode und der Qualität der genommenen Probe. In vielen Fällen sind Liquid Biopsy-Tests jedoch eine zuverlässige Ergänzung zu anderen Diagnosemethoden.

1

Contact us and order the blood collection kit for your doctor

Give us a call or send us a message. We will advise you on our tests. We will send the corresponding blood collection kit to your doctor free of charge.

2

Make an appointment for a blood test with your doctor

The blood sample is taken by a doctor you trust or a doctor in our network. Important for chemotherapy patients: Schedule this appointment at the earliest 10-14 days after your last chemotherapy.

3

Take the blood collection kit with you to your doctor's appointment

Bring the blood collection kit you received from us to your doctor’s appointment. After the blood sample has been taken, it will be collected by our courier service and transported to our laboratory.

4

HAVE YOUR DOCTOR COMPLETE THE DOCUMENTS, SIGN THE ORDER and return them to us

  • Check that the enclosed documents are complete
  • Have the doctor complete the order for molecular diagnostics with your consent and signature
  • Complete the enclosed medication plan
  • Enclose copies of your clinic reports/anamnesis
  • Please sign all forms and return the originals to us

5

Your doctor or you:
Inform us about your blood collection appointment

Please let us know when and where the sample is to be collected by e-mail or telephone at least one day before the scheduled blood collection. We need the location, date and a time window of 2 hours for our courier service.

This is the only way we can organize the collection of the sample from your practice.

6

Discuss the results with your doctor

The report is prepared within approx. 10-15 working days after receipt of payment from the patient, depending on the case.

Arrange a consultation with your doctor to discuss the test results. We will send the test report directly to your doctor.

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Contact us at any time

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