The CAPP-Seq of ctDNA (10–50 ng) was performed using the AVENIO ctDNA surveillance kit (Roche Diagnostics, 197 genes) as recently described (18 (link)–20 (link)). The purified libraries were pooled and sequenced on an Illumina NextSeq 500 (Illumina) using the 300-cycle high output kit. Variants were called with the AVENIO ctDNA Analysis Software (Roche Diagnostics), which includes bioinformatics methods from CAPP-Seq (14 (link)) and integrated digital error suppression (15 (link)). Genetic variants previously cataloged by the Exome Aggregation Consortium at a frequency of ≥1% were excluded, and only non-synonymous single nucleotide variants (SNVs), insertions-deletions (Indels), copy number variations (CNVs), and gene fusions involving 197 cancer-related genes were extracted. Twenty plasma samples obtained from 10 patients treated with NAC were successfully analyzed by CAPP-Seq. The bTMB in each sample was evaluated as the number of non-synonymous mutations number per Mb.