“…Consequently, patterns of inter-and intra-patient ecDNA heterogeneity differ compared to chromosomal point mutations [13,14,15]. Methods that quantify somatic evolutionary processes based on chromosomal point mutations, such as phylogenetic trees [16,17,18,19,20,21], ratios of synonymous and non-synonymous mutations (dN/dS) [22,23,24], or site-frequency spectra [25,26,27,10,28,29] are not directly applicable to quantify the evolutionary dynamics of ecDNA.…”