Personalized diagnostics
Molecular diagnostics leveraging NGS, liquid biopsy, and AI for precision medicine and targeted therapies.
1 · What it gives
Personalized diagnostics represents the foundation of precision medicine, utilizing advanced genomic and molecular tools to tailor medical treatment to individual patient profiles. By shifting from a “one-size-fits-all” approach to individualized therapies, the sector focuses heavily on Next-Generation Sequencing (NGS), liquid biopsy, and companion diagnostics. Utilizing circulating tumor DNA (ctDNA) from non-invasive blood draws, these technologies enable multi-cancer early detection and minimal residual disease (MRD) monitoring, fundamentally altering oncology care. The global NGS diagnostic market, valued at $3.8 billion, exhibits a 28% year-over-year growth, driven by falling sequencing costs and expanding clinical coverage.
The key directions of personalized diagnostics are:
- NGS Oncology Diagnostics: Comprehensive Genomic Profiling (CGP) using 300–600 gene panels to match tumors with targeted therapies.
- Liquid Biopsy: Non-invasive monitoring of circulating tumor DNA (ctDNA) for cancer relapse and early multi-cancer detection (MCED).
- Companion Diagnostics (CDx): Specific tests required to determine patient eligibility for corresponding targeted therapeutic drugs.
- CRISPR Diagnostics: Fast, point-of-care diagnostic chips identifying viral pathogens and antimicrobial resistance within 30 minutes.
Sectoral value chain#
[Sample Collection] ──> [Nucleic Acid Extraction] ──> [Library Preparation] ──> [Sequencing / Detection]
│
(Target Enrichment)
│
▼
[Targeted Therapy Selection] <─── [Clinical Reporting] <─── [AI Bioinformatics Analysis]
Value chain levels#
| Level | Description | Key inputs/outputs |
|---|---|---|
| Sample Collection | Collection of blood, tissue, or saliva utilizing stabilized collection tubes | In: Patient biofluid. Out: Stabilized sample. |
| Extraction | Automated isolation of high-quality DNA, RNA, or circulating tumor DNA | In: Stabilized sample. Out: Purified nucleic acids. |
| Library Prep | Fragmentation, adapter ligation, and target enrichment for specific genomic regions | In: Nucleic acids. Out: Sequencing libraries. |
| Sequencing | High-throughput reading of millions of DNA fragments in parallel (NGS) | In: Libraries. Out: Raw genomic data. |
| Bioinformatics | Alignment, variant calling, and mutation annotation using specialized software | In: Raw data. Out: Variant profiles. |
| Clinical Interpretation | Matching genetic variants with clinical databases to guide therapy decisions | In: Variant profiles. Out: Actionable medical report. |
Cross-cutting technologies of the sector:
- Next-Generation Sequencing (NGS): Massively parallel sequencing technology driving genomics with exponential cost reductions.
- Liquid Biopsy: Detection of cell-free DNA (cfDNA) and exosomes in blood to profile tumors without invasive surgery.
- Artificial Intelligence in Diagnostics: Multimodal models combining genomic, imaging (radiogenomics), and clinical data for predictive oncology.
2 · What it replaces 2 · matched by industry
| D2E4 | Crop disease forecasting models, spore traps, pheromone and smart pest traps and field diagnostics — spray when risk is real instead of calendar-based fungicide and insecticide programmes Replaces: Fixed-interval ("calendar") protective fungicide sprays and routine insecticide applications regardless of pest pressure | EAC |
| D2E– | On-farm culture, PCR panels, rapid tests and veterinary laboratory services for livestock and aquaculture — treat what is diagnosed instead of blanket and prophylactic antibiotic treatment Replaces: Blanket treatment of every clinical mastitis case, group metaphylaxis on suspicion, prophylactic antibiotics in hatcheries and ponds, … | DIAG |
3 · How to implement 6 steps
- 1Liquid Biopsy DrawA standard peripheral blood sample is collected into specialized tubes containing preservatives that prevent white blood cell lysis, ensuring the circulating cell-free DNA (cfDNA) remains uncontaminated.
- 2cfDNA ExtractionExtractionIn a certified laboratory, plasma is separated via centrifugation. Automated robotic liquid handling systems isolate and purify the extremely sparse and fragmented cfDNA using magnetic bead technology.Who can do this step matched automaticallyIndia Glycols (NSE) India✓ GMP 7,500 MT/ industrial scale“ Novel technologies, including super critical technology for nutraceuticals where carbon dioxide is used as a green solvent during extraction processes.”
- 3Targeted Library PrepThe purified cfDNA undergoes end repair, A-tailing, and adapter ligation. Hybridization capture probes enrich specific oncology-relevant genes (e.g., 300 to 500 gene panels) to focus sequencing power on target regions.
- 4Massively Parallel SeqThe prepared libraries are loaded onto high-throughput NGS flow cells. The sequencer performs thousands of cycles, generating millions of short reads with ultra-deep coverage required to detect rare mutations (allele fractions below 0.1%).
- 5Variant Calling (AI)Data, software & automationTesting & analyticsBioinformatics pipelines process the raw sequencing reads. AI-assisted algorithms align the sequences to a reference genome, correct sequencing errors, and identify single nucleotide variants (SNVs), indels, and fusions.Who can do this step matched automaticallyStellapps India240,000 liters/day“It leverages advanced analytics and artificial intelligence through its full-stack IoT platform to enable dairy ecosystem partnerships with financial & insurance institutions, …”India Glycols (NSE) India✓ GMP 7,500 MT/ industrial scale“Even the administrative processes are green, where IGL has adopted the latest SAP ERP (S/4 HANA 2023 version), Salesforce CRM, Industrial IOT & other tech solutions to drive …”✓ GMP industrial scale“ProBio: A global CRDMO (contract research, development, and manufacturing organization) providing end-to-end solutions for biologics and cell and gene therapy (CGT).”163,050 tonnes“As the fundamental component of 5G deployment, optic fibre is critical to making Hong Kong a smart city and laying the groundwork for IoT.”Esco Aster Singapore5,000 L industrial scale“Esco Aster (Singapore) is a cGMP contract research, development and manufacturing organization (CRDMO/CDMO) and bioinnovation venture accelerator that helps clients and …”Ninjacart India25,000 tonnes/year“Data and SaaS capabilities: Acquired Tecxprt to enhance SaaS-based smart solutions for the agri ecosystem, signaling emphasis on software-driven optimization and digital services.”
- 6CDx Report GenerationThe detected variants are cross-referenced with curated clinical and pharmacological databases. A final report is generated identifying actionable mutations and recommending specific targeted therapies or clinical trials.
4 · Who delivers
Matched suppliers (matched automatically)
| Vaxxinova Norway | Norway | Not classified | active |
| Amano Enzyme | Japan | Producer | active |
| Codexis | United States | Producer | active |
| Hipra | Spain | Producer | active |
| Loopworm | India | Services / consulting | active |
| EW Group | Germany | Producer | active |
In the services and supply catalogue 3 · paid service
Analytical & testing services · Laboratory & analytical instruments · Reagents & kits
Leading companies and institutes (from the brief)
| Company / Institute | Country | Key products / platforms | Tech features | Status 2026 |
|---|---|---|---|---|
| Illumina | 🇺🇸 USA | NovaSeq, DRAGEN | 75% of global NGS platforms | operating |
| Guardant Health | 🇺🇸 USA | Guardant360 | FDA-approved liquid biopsy | operating |
| BGI Genomics | 🇨🇳 China | DNBSEQ | Lowest cost whole genome sequencing | operating |
| Burning Rock | 🇨🇳 China | OncoCompass | Liquid biopsy and cancer screening | operating |
| Qiagen | 🇩🇪 Germany | QIAstat-Dx | Companion diagnostics leader | operating |
| Tempus | 🇺🇸 USA | Tempus xT | AI-guided genomic profiling | operating |
5 · Rules & route to market
declaration registered within 3 working days (testing extra); certification longer
Information, not legal advice — confirm the procedure for your product. (2026-10-06)
United States
The United States leads the global personalized diagnostics market with the highest number of FDA-approved liquid biopsies and companion diagnostics.
FDA breakthrough devices, Illumina dominance, liquid biopsy pioneers#
- Sequencing Dominance: American companies like Illumina produce over 75% of global NGS platforms, setting the gold standard.
- FDA Approvals: Guardant Health secured the first FDA-approved liquid biopsy for non-small cell lung cancer (NSCLC) profiling.
- Multi-Cancer Early Detection: Companies like Grail launched the Galleri test utilizing cfDNA methylation to screen for over 50 cancer types from a single blood draw.
European Union
The European Union focuses on rigorous clinical validation (IVDR) and continental data sharing initiatives.
IVDR compliance, European Health Data Space, companion diagnostics#
- Strict Regulation: The IVDR shift demands extensive clinical evidence for diagnostic tests, causing a transition from in-house lab tests to validated commercial platforms.
- European Health Data Space (EHDS): An initiative uniting electronic health records and genetic data across 27 EU nations to fuel biomarker discovery while respecting GDPR.
- Companion Diagnostics Integration: European pharma giants require validated CDx platforms, supplied by companies like Qiagen, to prescribe targeted treatments safely.
China
China relies on massive state-backed biobanks and localized sequencing giants to become a strategic center for precision medicine.
Mass sequencing scale, BGI genome cost, NMPA approvals#
- Lowest Sequencing Costs: BGI Genomics offers the world’s most affordable whole genome sequencing (WGS), driving mass adoption in developing nations.
- Liquid Biopsy Commercialization: Burning Rock leads oncology NGS in China, submitting liquid biopsy panels for early colorectal cancer screening to the NMPA.
- Data Sovereignty: Strict genomic data security laws require local analysis, prohibiting the export of Chinese genomic data and fostering a self-sufficient domestic ecosystem.
6 · Money: tenders & grants
| Tender | Greece – Biochemical analysers – ΗΛΕΚΤΡΟΝΙΚΟΣ ΑΝΟΙΚΤΟΣ ΔΙΑΓΩΝΙΣΜΟΣ ΑΝΩ ΤΩΝ ΟΡΙΩΝ ΣΕ ΕΥΡΩ ΓΙΑ ΤΗΝ ΠΡΟΜΗΘΕΙΑ … ΓΕΝΙΚΟ ΑΝΤΙΚΑΡΚΙΝΙΚΟ ΟΓΚΟΛΟΓΙΚΟ ΝΟΣΟΚΟΜΕΙΟ ΑΘΗΝΩΝ "Ο ΑΓΙΟΣ ΣΑΒΒΑΣ" · Greece | Dec 11, 2026 56 days |
| Tender | Netherlands – Blood-testing reagents – Gevalideerde Totaaloplossing voor de hielprikscreening op … Rijksinstituut voor Volksgezondheid en Milieu (RIVM) · Netherlands | Nov 10, 2026 25 days |
| Grant | Advancing bio-printing of living cells for regenerative medicine European Commission · EU | Sep 22, 2027 341 days |
7 · Tech stack & innovations
The personalized diagnostics stack combines advanced biochemistry with high-performance computing.
- Next-Generation Sequencing Platforms:
- Massive parallel sequencing arrays reading millions of short DNA fragments simultaneously.
- Reduced the cost of sequencing a whole human genome from millions to under $200.
- Liquid Biopsy and Fragmentomics:
- Detection of circulating tumor DNA (ctDNA) shed by apoptotic tumor cells into the bloodstream.
- Relies on ultra-deep sequencing and methylation profiling to detect minimal residual disease (MRD).
- CRISPR Point-of-Care Diagnostics:
- Leveraging Cas12 and Cas13 enzymes (e.g., SHERLOCK and DETECTR) for rapid nucleic acid detection.
- Provides 30-minute diagnostic turnarounds for infectious diseases on low-cost paper or microfluidic chips.
Sources 6 · 0 independent · 6 producer sites
Producers' own sites 6
- Illumina producer checked 2026-02-26 · link not kept
- Guardant health producer checked 2026-06-11 · link not kept
- Bgi producer checked 2026-06-25 · link not kept
- Burning rock producer checked 2026-06-25 · link not kept
- Qiagen producer checked 2026-06-11 · link not kept
- Tempus ai producer checked 2026-06-01 · link not kept