{"id":60965,"date":"2025-11-20T21:59:05","date_gmt":"2025-11-20T14:59:05","guid":{"rendered":"https:\/\/www2.si.mahidol.ac.th\/en\/?p=60965"},"modified":"2026-02-20T09:15:14","modified_gmt":"2026-02-20T02:15:14","slug":"innovation-in-brain-cancer-diagnosis-dna-and-epigenome-analysis","status":"publish","type":"post","link":"https:\/\/www2.si.mahidol.ac.th\/en\/highlights\/innovation-in-brain-cancer-diagnosis-dna-and-epigenome-analysis\/","title":{"rendered":"Innovation in Brain Cancer Diagnosis: DNA and Epigenome Analysis"},"content":{"rendered":"<div id='av_section_1'  class='avia-section av-dra2avn-846143f308b75fcfeacc6fe56bdd46f3 main_color avia-section-small avia-no-border-styling  avia-builder-el-0  el_before_av_section  avia-builder-el-first  avia-bg-style-scroll container_wrap fullsize'  ><div class='container av-section-cont-open' ><main  role=\"main\" itemprop=\"mainContentOfPage\"  class='template-page content  av-content-full alpha units'><div class='post-entry 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class=\"reader-article-header__title\" dir=\"ltr\"><span data-scaffold-immersive-reader-title=\"\">Innovation in Brain Cancer Diagnosis: DNA and Epigenome Analysis<\/span><\/h1>\n<\/header>\n<div class=\"relative reader__grid\">\n<div class=\"reader-author-info__container\">\n<div class=\"display-flex align-items-center justify-space-between\">\n<div class=\"reader-author-info__inner-container\">\n<div id=\"ember371\" class=\"artdeco-entity-lockup artdeco-entity-lockup--size-3 ember-view\">\n<div id=\"ember372\" class=\"artdeco-entity-lockup__image artdeco-entity-lockup__image--type-square ember-view\"><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/header>\n<div class=\"relative reader__grid\">\n<div class=\"reader-author-info__container\">\n<div class=\"display-flex align-items-center justify-space-between\">\n<div class=\"reader-author-info__inner-container\">\n<div id=\"ember2242\" class=\"artdeco-entity-lockup artdeco-entity-lockup--size-3 ember-view\">\n<div id=\"ember2243\" class=\"artdeco-entity-lockup__image artdeco-entity-lockup__image--type-square ember-view\"><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div><\/section><\/div><div  class='flex_column av-98ujbtf-5f92ecb5d7864414b03e7c0cdba41685 av_one_fifth  avia-builder-el-11  el_after_av_three_fifth  el_before_av_one_fifth  flex_column_div  '     ><\/div><div  class='flex_column av-w6kovn-d26a3514e9abb75494244346ce99e915 av_one_fifth  avia-builder-el-12  el_after_av_one_fifth  el_before_av_three_fifth  first flex_column_div  column-top-margin'     ><\/div><div  class='flex_column av-8iqog9f-878b04e3cdd53b03586d0e66c860c93a av_three_fifth  avia-builder-el-13  el_after_av_one_fifth  el_before_av_one_fifth  flex_column_div  column-top-margin'     ><section  class='av_textblock_section av-87ki54j-f657560a61834e643e2384f80c7f30c7 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><p id=\"ember389\" class=\"ember-view reader-text-block__paragraph\"><strong>Dr. Thidathip Wongsurawat<\/strong><\/p>\n<p id=\"ember390\" class=\"ember-view reader-text-block__paragraph\">Head of Division of Medical Bioinformatics Unit<\/p>\n<p id=\"ember391\" class=\"ember-view reader-text-block__paragraph\">Faculty of Medicine Siriraj Hospital, Mahidol University<\/p>\n<\/div><\/section><br \/>\n\n<style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-7kf1fdf-3ed387294c605bcb0d2000f7fe5235ac\">\n#top .av_textblock_section.av-7kf1fdf-3ed387294c605bcb0d2000f7fe5235ac .avia_textblock{\ncolumn-count:2;\n}\n<\/style>\n<section  class='av_textblock_section av-7kf1fdf-3ed387294c605bcb0d2000f7fe5235ac '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock av_multi_colums'  itemprop=\"text\" ><p id=\"ember392\" class=\"ember-view reader-text-block__paragraph\"><em><strong>Brain cancer<\/strong> <\/em>is one of the most challenging diseases in global medicine, mainly due to the high complexity involved in classifying tumor types. Clinicians rely on a combination of patient history, clinical symptoms, radiological imaging (such as MRI and CT scans), and histopathology. However, relying solely on traditional histopathology is no longer sufficient for accurate diagnosis. Molecular genetics testing now plays a crucial role in both the diagnosis and treatment planning for brain cancer, with its cost being minimal compared to the overall expenses of patient care.<\/p>\n<p id=\"ember393\" class=\"ember-view reader-text-block__paragraph\">In recent years, the combination of advanced DNA and epigenome analysis technologies, along with breakthroughs in bioinformatics, has become essential for helping physicians classify and diagnose brain tumors with greater precision. These methods focus on detecting multiple biomarkers, including mutations associated with brain cancer, copy number variation (CNV), and epigenome-level data, particularly abnormal DNA methylation patterns. All these indicators can be used effectively to diagnose and classify brain cancer patients.<\/p>\n<p id=\"ember394\" class=\"ember-view reader-text-block__paragraph\">Recently, the Siriraj Long-read Lab (Si-LoL), under the Siriraj Genomics Center at the Faculty of Medicine Siriraj Hospital, Mahidol University, created an innovation to assist pathologists in diagnosing brain cancer patients more accurately and rapidly. Furthermore, this method is more cost-effective compared to sending tissue samples abroad for testing. Supported by the Siriraj Excellent Innovation Center (SIEIC), the research team has filed a Patent Cooperation Treaty (PCT) application under the title, &#8220;Method for Brain Tumor Classification based on The Integrative Analysis of Multiple Biomarkers.&#8221;<\/p>\n<hr class=\"reader-divider-block__horizontal-rule\" \/>\n<h3 id=\"ember395\" class=\"ember-view reader-text-block__heading-3\">The Integrative Analysis Innovation: For Maximum Accuracy<\/h3>\n<p id=\"ember396\" class=\"ember-view reader-text-block__paragraph\">The core of this innovation is the process of extracting DNA from patient tumor samples\u2014whether fresh tissue from the operating room, Formalin-Fixed Paraffin-Embedded (FFPE) samples, or cytology samples* (*supported by the team of Prof. Dr. Shanop Shuangshoti). The extracted DNA is then sequenced using Oxford Nanopore technology. The resulting data is simultaneously analyzed across multiple biomolecular dimensions:<\/p>\n<ol>\n<li>Gene mutation: Examining specific, localized abnormalities in the genetic sequence.<\/li>\n<li>Copy Number Variation (CNV): Gaining an overview of which genes are duplicated or deleted.<\/li>\n<li>DNA methylation profiling: Studying the epigenome (or &#8216;above DNA&#8217;) level, which serves as a highly accurate biomarker for patient group classification.<\/li>\n<\/ol>\n<p id=\"ember398\" class=\"ember-view reader-text-block__paragraph\">Integrating data from these multiple biomarkers in a single test provides more comprehensive results than conventional methods that require separate tests. This approach effectively reduces time, lowers costs, and increases the accuracy of brain cancer classification.<\/p>\n<hr class=\"reader-divider-block__horizontal-rule\" \/>\n<h3 id=\"ember399\" class=\"ember-view reader-text-block__heading-3\">Alignment with International Standards<\/h3>\n<p id=\"ember400\" class=\"ember-view reader-text-block__paragraph\">The World Health Organization (WHO)&#8217;s latest revision of the CNS tumor classification now mandates the use of methylation profiling in diagnosis. The innovation developed at Siriraj directly addresses this global standard, providing pathologists with deeper insights to support decision-making for optimal treatment plans.<\/p>\n<div class=\"reader-image-block reader-image-block--full-width\"><\/div>\n<hr class=\"reader-divider-block__horizontal-rule\" \/>\n<h3 id=\"ember403\" class=\"ember-view reader-text-block__heading-3\">Real-World Implementation at Siriraj Hospital<\/h3>\n<p id=\"ember404\" class=\"ember-view reader-text-block__paragraph\">Siriraj Hospital has already started providing this innovative service through the Advanced Lab Service (ALS) channel, managed by the Siriraj Specimen Management Center (SiSC). This service accepts tissue samples from patients\u2014both Thai and international\u2014across the country, ensuring broad access to the testing. This marks a crucial step, demonstrating how laboratory research can be tangibly translated into real-world applications to help patients.<\/p>\n<hr class=\"reader-divider-block__horizontal-rule\" \/>\n<h3 id=\"ember405\" class=\"ember-view reader-text-block__heading-3\">Benefits for Patients and the Thai Healthcare System<\/h3>\n<p id=\"ember406\" class=\"ember-view reader-text-block__paragraph\">This brain cancer diagnostic innovation, developed by Thai researchers, offers several key benefits:<\/p>\n<ul>\n<li>Patients gain access to faster, more accurate diagnoses at a lower cost, reducing the complexity and expense of sending tissue overseas.<\/li>\n<li>It supports more targeted treatment decisions.<\/li>\n<li>It upskills laboratory staff in the globally expanding field of sequencing technology.<\/li>\n<li>It elevates the capability of the Thai healthcare system to meet international standards.<\/li>\n<\/ul>\n<hr class=\"reader-divider-block__horizontal-rule\" \/>\n<h3 id=\"ember408\" class=\"ember-view reader-text-block__heading-3\">Research Team and Funding Support<\/h3>\n<p id=\"ember409\" class=\"ember-view reader-text-block__paragraph\">This achievement is the result of collaboration among various units within the Faculty of Medicine Siriraj Hospital:<\/p>\n<ul>\n<li>Brain Cancer Specialists: (Prof. Sith Sathornsumetee, Asst. Prof. Chottiwat Tansirisithikul, and the surgical team)<\/li>\n<li>Si-LoL Laboratory: (Miss Sopacha Arayamethakorn, Miss Pattaraporn Nimsamer, Miss Tantip Arigul, Miss Soravee Kaewkarn, Dr. Piroon Jenjaroenpun, and Dr. Thidathip Wongsurawat)<\/li>\n<li>Siriraj Genomics Center: (Mr. Ekkapong Roothumnong and Prof. Manop Pithukpakorn)<\/li>\n<li>Department of Pathology: (Assoc. Prof. Pornsuk Cheunsuchon and Assoc. Prof. Jantima Tanboon)<\/li>\n<li>Master&#8217;s Student (Master of Science in Medical Bioinformatics, Graduate School): (Mr. Wichayapat Thongratana)<\/li>\n<\/ul>\n<p id=\"ember411\" class=\"ember-view reader-text-block__paragraph\">The Brain Cancer Project has received continuous funding through the Genomics Thailand Project, driven by the Health Systems Research Institute (HSRI) in collaboration with the Ministry of Public Health (MoPH) and the Ministry of Higher Education, Science, Research and Innovation (MHESI). The project also received support from the Siriraj Foundation for the international PCT patent application.<\/p>\n<p id=\"ember412\" class=\"ember-view reader-text-block__paragraph\">For the 2026 fiscal year, the project has received renewed funding through the Genomics Thailand Project to promote the use of the innovation alongside continuous development, in collaboration with five other institutions.<\/p>\n<hr class=\"reader-divider-block__horizontal-rule\" \/>\n<h3 id=\"ember413\" class=\"ember-view reader-text-block__heading-3\">Conclusion<\/h3>\n<p id=\"ember414\" class=\"ember-view reader-text-block__paragraph\">The innovation for brain cancer classification using the integrative analysis of multiple biomarkers represents a significant leap forward for the Thai medical sector. It demonstrates that fundamental research and the application of bioinformatics technology can lead to genuine, transformative improvements in patient care.<\/p>\n<\/div><\/section><\/p><\/div><div  class='flex_column av-72laaer-d8ea37b5b99bba22bb2fe1fb9ab8ef13 av_one_fifth  avia-builder-el-16  el_after_av_three_fifth  avia-builder-el-last  flex_column_div  column-top-margin'     ><\/div><\/div><\/div><\/div><!-- close content main div --><\/div><\/div><div id='av_section_4'  class='avia-section av-4ybnp2r-f4f15b6e6cfb44fdef504415ca0b375d main_color avia-section-default avia-no-border-styling  avia-builder-el-17  el_after_av_section  avia-builder-el-last  avia-bg-style-scroll container_wrap fullsize'  ><div class='container av-section-cont-open' ><div class='template-page content  av-content-full alpha units'><div class='post-entry post-entry-type-page post-entry-60965'><div class='entry-content-wrapper clearfix'>\n<div  class='flex_column av-49crfxv-ba599245d2023551f9eb9b202a094597 av_one_full  avia-builder-el-18  el_before_av_one_fifth  avia-builder-el-first  first flex_column_div  '     ><style type=\"text\/css\" data-created_by=\"avia_inline_auto\" id=\"style-css-av-43sydbn-87ac92b3e88adefe49162f3f0d8e4224\">\n#top .av_textblock_section.av-43sydbn-87ac92b3e88adefe49162f3f0d8e4224 .avia_textblock{\ntext-align:center;\n}\n<\/style>\n<section  class='av_textblock_section av-43sydbn-87ac92b3e88adefe49162f3f0d8e4224 '   itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class='avia_textblock'  itemprop=\"text\" ><h1>Related Highlights<\/h1>\n<\/div><\/section><\/div><div  class='flex_column av-c1ckwj-c87315261c649a9d7b4a4b4db4472675 av_one_fifth  avia-builder-el-20  el_after_av_one_full  el_before_av_three_fifth  first flex_column_div  column-top-margin'     ><\/div><div  class='flex_column av-2xw3ixf-2854137fdef7d339536cde7b1c493226 av_three_fifth  avia-builder-el-21  el_after_av_one_fifth  el_before_av_one_fifth  flex_column_div  column-top-margin'     ><div  id=\"avia-magazine-1\"  class='av-magazine av-2qyebtf-8f42abd21b485c7d0a27f3ca38c11a1c  avia-builder-el-22  avia-builder-el-no-sibling   avia-builder-el-22  avia-builder-el-no-sibling ' ><div class='av-magazine-group sort_all'><article class='av-magazine-entry av-magazine-entry-id-63895 av-magazine-format-standard av-magazine-type-post av-magazine-entry-1 av-magazine-entry-small '  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class=\"av-magazine-thumbnail\"><a href='https:\/\/www2.si.mahidol.ac.th\/en\/highlights\/siriraj-inflammatory-bowel-disease-center-of-excellence-siibd\/' title='Link to: Siriraj Inflammatory Bowel Disease Center of Excellence (SiIBD)' class='av-magazine-thumbnail-link'><img decoding=\"async\" fetchpriority=\"high\" width=\"80\" height=\"80\" src=\"https:\/\/www2.si.mahidol.ac.th\/en\/wp-content\/uploads\/2026\/08\/08_2026_Page_3-80x80.png\" class=\"wp-image-63899 avia-img-lazy-loading-not-63899 attachment-thumbnail size-thumbnail wp-post-image\" alt=\"\" srcset=\"https:\/\/www2.si.mahidol.ac.th\/en\/wp-content\/uploads\/2026\/08\/08_2026_Page_3-80x80.png 80w, https:\/\/www2.si.mahidol.ac.th\/en\/wp-content\/uploads\/2026\/08\/08_2026_Page_3-36x36.png 36w, https:\/\/www2.si.mahidol.ac.th\/en\/wp-content\/uploads\/2026\/08\/08_2026_Page_3-180x180.png 180w\" sizes=\"(max-width: 80px) 100vw, 80px\" \/><\/a><\/div><div class=\"av-magazine-content-wrap\"><header class=\"entry-content-header\" aria-label=\"Post: Siriraj Inflammatory Bowel Disease Center of Excellence (SiIBD)\"><time class='av-magazine-time updated'  itemprop=\"datePublished\" datetime=\"2026-08-13T14:11:00+07:00\" >August 13, 2026<\/time><h3 class='av-magazine-title entry-title '  itemprop=\"headline\" ><a href='https:\/\/www2.si.mahidol.ac.th\/en\/highlights\/siriraj-inflammatory-bowel-disease-center-of-excellence-siibd\/' title='Link to: Siriraj Inflammatory Bowel Disease Center of Excellence (SiIBD)'>Siriraj Inflammatory Bowel Disease Center of Excellence (SiIBD)<\/a><\/h3><\/header><\/div><footer class=\"entry-footer\"><\/footer><\/article><article class='av-magazine-entry av-magazine-entry-id-63886 av-magazine-format-standard av-magazine-type-post av-magazine-entry-2 av-magazine-entry-small '  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class=\"av-magazine-thumbnail\"><a href='https:\/\/www2.si.mahidol.ac.th\/en\/highlights\/tympanostomy-tube-insertion-in-children-an-innovation-for-hearing-and-quality-of-life\/' title='Link to: Tympanostomy Tube Insertion in Children: An Innovation for Hearing and Quality of Life' class='av-magazine-thumbnail-link'><img decoding=\"async\" fetchpriority=\"high\" width=\"80\" height=\"80\" src=\"https:\/\/www2.si.mahidol.ac.th\/en\/wp-content\/uploads\/2026\/08\/04_2026_Page_3-80x80.png\" class=\"wp-image-63889 avia-img-lazy-loading-not-63889 attachment-thumbnail size-thumbnail wp-post-image\" alt=\"\" srcset=\"https:\/\/www2.si.mahidol.ac.th\/en\/wp-content\/uploads\/2026\/08\/04_2026_Page_3-80x80.png 80w, https:\/\/www2.si.mahidol.ac.th\/en\/wp-content\/uploads\/2026\/08\/04_2026_Page_3-36x36.png 36w, https:\/\/www2.si.mahidol.ac.th\/en\/wp-content\/uploads\/2026\/08\/04_2026_Page_3-180x180.png 180w\" sizes=\"(max-width: 80px) 100vw, 80px\" \/><\/a><\/div><div class=\"av-magazine-content-wrap\"><header class=\"entry-content-header\" aria-label=\"Post: Tympanostomy Tube Insertion in Children: An Innovation for Hearing and Quality of Life\"><time class='av-magazine-time updated'  itemprop=\"datePublished\" datetime=\"2026-08-13T13:34:40+07:00\" >August 13, 2026<\/time><h3 class='av-magazine-title entry-title '  itemprop=\"headline\" ><a href='https:\/\/www2.si.mahidol.ac.th\/en\/highlights\/tympanostomy-tube-insertion-in-children-an-innovation-for-hearing-and-quality-of-life\/' title='Link to: Tympanostomy Tube Insertion in Children: An Innovation for Hearing and Quality of Life'>Tympanostomy Tube Insertion in Children: An Innovation for Hearing and Quality of Life<\/a><\/h3><\/header><\/div><footer class=\"entry-footer\"><\/footer><\/article><article class='av-magazine-entry av-magazine-entry-id-63877 av-magazine-format-standard av-magazine-type-post av-magazine-entry-3 av-magazine-entry-small '  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class=\"av-magazine-thumbnail\"><a href='https:\/\/www2.si.mahidol.ac.th\/en\/highlights\/first-in-thailand-impedance-planimetry\/' title='Link to: First in Thailand! 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IMPEDANCE PLANIMETRY\"><time class='av-magazine-time updated'  itemprop=\"datePublished\" datetime=\"2026-08-13T11:56:20+07:00\" >August 13, 2026<\/time><h3 class='av-magazine-title entry-title '  itemprop=\"headline\" ><a href='https:\/\/www2.si.mahidol.ac.th\/en\/highlights\/first-in-thailand-impedance-planimetry\/' title='Link to: First in Thailand! IMPEDANCE PLANIMETRY'>First in Thailand! 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https:\/\/www2.si.mahidol.ac.th\/en\/wp-content\/uploads\/2026\/08\/08_2026_Page_1-36x36.png 36w, https:\/\/www2.si.mahidol.ac.th\/en\/wp-content\/uploads\/2026\/08\/08_2026_Page_1-180x180.png 180w\" sizes=\"(max-width: 80px) 100vw, 80px\" \/><\/a><\/div><div class=\"av-magazine-content-wrap\"><header class=\"entry-content-header\" aria-label=\"Post: The Preterm Infant Care Team\"><time class='av-magazine-time updated'  itemprop=\"datePublished\" datetime=\"2026-08-13T10:42:24+07:00\" >August 13, 2026<\/time><h3 class='av-magazine-title entry-title '  itemprop=\"headline\" ><a href='https:\/\/www2.si.mahidol.ac.th\/en\/highlights\/the-preterm-infant-care-team\/' title='Link to: The Preterm Infant Care Team'>The Preterm Infant Care Team<\/a><\/h3><\/header><\/div><footer class=\"entry-footer\"><\/footer><\/article><article class='av-magazine-entry av-magazine-entry-id-63855 av-magazine-format-standard av-magazine-type-post av-magazine-entry-5 av-magazine-entry-small '  itemscope=\"itemscope\" itemtype=\"https:\/\/schema.org\/BlogPosting\" itemprop=\"blogPost\" ><div class=\"av-magazine-thumbnail\"><a href='https:\/\/www2.si.mahidol.ac.th\/en\/highlights\/topical-diphenylcyclopropenone-dcp-combined-with-0-5-anthralin-versus-dcp-alone-in-the-treatment-of-chronic-extensive-alopecia-areata-a-randomized-split-scalp-double-blind-controlled-study\/' title='Link to: Topical Diphenylcyclopropenone (DCP) Combined with 0.5% Anthralin versus DCP Alone in the Treatment of Chronic Extensive Alopecia Areata: A Randomized, Split-Scalp, Double-Blind, Controlled Study' class='av-magazine-thumbnail-link'><img decoding=\"async\" fetchpriority=\"high\" width=\"80\" height=\"80\" src=\"https:\/\/www2.si.mahidol.ac.th\/en\/wp-content\/uploads\/2026\/08\/08_2026_Page_5-80x80.png\" class=\"wp-image-63860 avia-img-lazy-loading-not-63860 attachment-thumbnail size-thumbnail wp-post-image\" alt=\"\" srcset=\"https:\/\/www2.si.mahidol.ac.th\/en\/wp-content\/uploads\/2026\/08\/08_2026_Page_5-80x80.png 80w, https:\/\/www2.si.mahidol.ac.th\/en\/wp-content\/uploads\/2026\/08\/08_2026_Page_5-36x36.png 36w, https:\/\/www2.si.mahidol.ac.th\/en\/wp-content\/uploads\/2026\/08\/08_2026_Page_5-180x180.png 180w\" sizes=\"(max-width: 80px) 100vw, 80px\" \/><\/a><\/div><div class=\"av-magazine-content-wrap\"><header class=\"entry-content-header\" aria-label=\"Post: Topical Diphenylcyclopropenone (DCP) Combined with 0.5% Anthralin versus DCP Alone in the Treatment of Chronic Extensive Alopecia Areata: A Randomized, Split-Scalp, Double-Blind, Controlled Study\"><time class='av-magazine-time updated'  itemprop=\"datePublished\" datetime=\"2026-08-13T09:35:22+07:00\" >August 13, 2026<\/time><h3 class='av-magazine-title entry-title '  itemprop=\"headline\" ><a 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