We present a critical review of microfluidic technologies and material
effects on the analyses of circulating tumour cells (CTCs) selected from the
peripheral blood of cancer patients. CTCs are a minimally invasive source of
clinical information that can be used to prognose patient outcome, monitor
minimal residual disease, assess tumour resistance to therapeutic agents, and
potentially screen individuals for the early diagnosis of cancer. The
performance of CTC isolation technologies depends on microfluidic architectures,
the underyling principles of isolation, and the choice of materials. In this
review, we present a critical review of the fundamental principles used in these
technologies and discuss their performance. We also give context to how CTC
isolation technologies enable downstream analysis of selected CTCs in terms of
detecting genetic mutations and gene expression that could be used to gain
information that may affect patient outcome.