“…By direct sampling, however, it is highly probable that a single spike is produced, involving multiple CTC events. In this respect, single-cell microfluidic platforms play a significant role in accurate cell alignment and high-resolution single-cell sampling. , Particularly in passive approaches, by relying on Dean drag force in spiral channels, the tumor cells may be actuated in equilibrium positions and separated from complex biological matrices. , In contrast, the initiative protocols based on extra optics, acoustics, or electrochemistry may affect the original metabolism of the cellular surface. , Although some passive spiral microfluidic chips were fabricated for sorting single CTCs with element encoding, other cells/debris with high abundance are million-fold more abundant than CTCs in biological systems, which are most probably subject to potential interference from mistaken encoding; , hence, a series of size-dictated separation chips were developed for replacing medium of target cells based on deterministic lateral displacement (DLD) ,, and hydrodynamic filtration (HDF). , For DLD chips, a large cell separation area and the use of tens of thousands of micropillars make the system more complicated. HDF chips are easier to design and construct, while their potentials in single-cell sorting remain largely unexploited.…”