%0 Journal Article %T Building consensus on the application of organoid-based drug sensitivity testing in cancer precision medicine and drug development. %A Xiang D %A He A %A Zhou R %A Wang Y %A Xiao X %A Gong T %A Kang W %A Lin X %A Wang X %A %A Liu L %A Chen YG %A Gao S %A Liu Y %J Theranostics %V 14 %N 8 %D 2024 %M 38855182 %F 11.6 %R 10.7150/thno.96027 %X Patient-derived organoids (PDOs) have emerged as a promising platform for clinical and translational studies. A strong correlation exists between clinical outcomes and the use of PDOs to predict the efficacy of chemotherapy and/or radiotherapy. To standardize interpretation and enhance scientific communication in the field of cancer precision medicine, we revisit the concept of PDO-based drug sensitivity testing (DST). We present an expert consensus-driven approach for medication selection aimed at predicting patient responses. To further standardize PDO-based DST, we propose guidelines for clarification and characterization. Additionally, we identify several major challenges in clinical prediction when utilizing PDOs.