Risk Stratification

Combination Testing With ThyGeNEXT and ThyraMIR Provides Accurate Reclassification1

ThyGeNEXT + ThyraMIR Combination Testing Performance1

High NPV

  • Significant decrease in unnecessary surgeries
  • 85% reduction relative to cytology alone (P<0.01)

Testing helps to risk-stratify the need for or extent of surgery needed

ATA and NCCN Guidelines support testing for nodules with a B-III or B-IV cytology diagnosis

50 %
50 %
50 %
40 %


Strategically Designed Panel for the Optimal Management of Thyroid Nodules

ThyGeNEXT® NGS PanelThyraMIR® miRNA classifier
DNA mutation panelRNA panel (# fusions)
ALKALK (2)miR-29b-1-5p
BRAFBRAF (3)miR-31-5p
GNASNTRK (8)miR-138-1-3p
HRASPPARg (5)miR-139-5p
KRASRET (14)miR-146b-5p
NRASTHADA (5)miR-155
PIK3CAmRNA markers:
NKX2-1, PAX8, TBP, USP33

Newly added TERT and ALK mutations can reliably help to predict aggressive biological features of thyroid cancer, including:

  • Large tumor size
  • Higher patient mortality
  • Likelihood of lymph node metastasis
  • Higher rate of recurrence post-treatment
  • Higher clinical stage at time of cancer detection
  • Likelihood of cancer spreading beyond the thyroid
  • Increased risk for tumor vascular invasion
  • Potential for treatment failure

Long-Term Evidence

Impact of BRAF V600E or TERT C288T Alone or Their Coexistence on Disease-free Survival of Patients With PTC2

Coexisting BRAF V600E and TERT C228T mutations form a novel genetic background that defines PTC with the potentially worst clinicopathologic outcomes, providing unique prognostic and therapeutic implications.


Numerous posters, papers, and articles have been published on the performance of ThyGeNEXT and ThyraMIR. Many of these have been presented at key industry conferences such as ATA and AACE.


  1. Labourier, et al, Journal Clinical Endocrinology Metabolism 100: 2743, 2015
  2. Xing M et al., BRAF V600E and TERT promoter mutations cooperatively identify the most aggressive papillary thyroid cancer with highest recurrence, Journal of Clinical Oncology 2014
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