Recent advancements in integrated diagnostics for oncology have focused on the utilization of circulating tumor DNA (ctDNA) and imaging techniques to enhance patient stratification and treatment outcomes. A study analyzed 366 plasma samples from 85 patients with early-stage non-small-cell lung cancer (NSCLC) and demonstrated that ctDNA detection, when combined with radiological tumor volume measurements, significantly improved the prediction of relapse risk and overall survival (ref: Tran doi.org/10.1016/j.annonc.2023.11.008/). Similarly, research on medulloblastoma revealed that circular extrachromosomal DNA (ecDNA) was present in 18% of tumors and was associated with a twofold increase in relapse risk and a threefold increase in mortality within five years, highlighting the role of ecDNA in tumor heterogeneity and treatment resistance (ref: Chapman doi.org/10.1038/s41588-023-01551-3/). Furthermore, a novel molecular prognostic index for central nervous system lymphomas (CNSL) was developed, integrating clinical risk factors and ctDNA assessments, which could enhance individualized treatment strategies (ref: Heger doi.org/10.1182/blood.2023022020/). These findings collectively underscore the potential of combining molecular and imaging biomarkers to refine risk stratification and therapeutic approaches in oncology.