Non-coding small RNAs, such as microRNAs, are becoming the biomarkers of choice for multiple diseases in clinical diagnostics. A dysregulation of these microRNAs can be associated to many different diseases, such as cancer, dementia or cardiovascular conditions. The key for an effective treatment is an accurate initial diagnosis at an early stage, improving the patient's survival chances. Here, we introduce a CRISPR/Cas13a powered microfluidic, integrated electrochemical biosensor for the on-site detection of microRNAs. Through this unique combination, the quantification of the potential tumor markers microRNA miR-19b and miR-20a has been realized without any nucleic acid amplification. With a readout time of 9 minutes and an overall process time of less than 4 hours, a limit of detection of 10 pM was achieved, using a measuring volume of less than 0.6 µl. Furthermore, we demonstrate the feasibility of our versatile sensor platform to detect miR-19b in serum samples of children, suffering from brain cancer. The validation of our results with a standard qRT-PCR method shows the ability of our system to be a low-cost and target amplification-free tool for nucleic acid based diagnostics.MicroRNAs (miRNAs) are composed of 18-25 nucleotides in their mature form and play an essential role as regulators of gene expression in many biological processes by binding to specific messenger RNA targets and promoting their degradation or translational inhibition 1,2 . In recent years, the popularity of miRNAs in research has been constantly growing, as the presence or dysregulation of distinct miRNAs can indicate specific medical conditions. For instance, in cancer research the up or down regulation of miRNA expression levels has been linked to certain cancer types, including lung cancer or brain tumors. This offers new possibilities for the detection and monitoring of such diseases, which is why miRNAs will continue to come in the focus of clinical diagnostics 3-5 .