However, the development of liquid biopsy in primary brain tumors has been limited by the molecular heterogeneity of the disease and the lack of recurrent hotspot mutations except for those in IDH, first described in 2009, as well as the limited ctDNA shedding due to the effect of the BBB and the CNS-confined nature of these disease [16,17]. This evidence concerns the gene IDH1 and brain neoplasm.