Evidence map›Paper›PMID 40425843›Full record

ArticleNature medicine2025

Early detection of multiple cancer types using multidimensional cell-free DNA fragmentomics.

Hua Bao, Shanshan Yang, Xiaoxi Chen, Guangqiang Dong, Yuan Mao, Shuyu Wu, Xi Cheng, Xuxiaochen Wu, Wanxiangfu Tang, Min Wu and 30 more

Abstract read
PubMed Publisher
In one paragraph

Article in Nature medicine, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

37 citing papers in PubMed.

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  18. [The Clinical Application and Development of Tumor Biomarkers in China].Sichuan da xue xue bao. Yi xue ban = Journal of Sichuan University. Medical science edition · 2026
    Review
  19. Review
  20. [Advances in basic and experimental diagnostic research on liver diseases in 2025​].Zhonghua gan zang bing za zhi = Zhonghua ganzangbing zazhi = Chinese journal of hepatology · 2026
    Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

40 authors.

Hua Bao *Geneseeq Research Institute, Nanjing Geneseeq Technology Inc., Nanjing, China.ORCID http://orcid.org/0000-0001-5774-8755
Shanshan Yang *Geneseeq Research Institute, Nanjing Geneseeq Technology Inc., Nanjing, China.
Xiaoxi Chen *Geneseeq Research Institute, Nanjing Geneseeq Technology Inc., Nanjing, China.ORCID http://orcid.org/0000-0002-0239-9938
Guangqiang DongNanjing Jiangbei New Area Center for Public Health Service, Nanjing, China.
Yuan MaoThe Fourth Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Shuyu WuGeneseeq Research Institute, Nanjing Geneseeq Technology Inc., Nanjing, China.
Xi ChengGeneseeq Research Institute, Nanjing Geneseeq Technology Inc., Nanjing, China.
Xuxiaochen WuGeneseeq Research Institute, Nanjing Geneseeq Technology Inc., Nanjing, China.
Wanxiangfu TangGeneseeq Research Institute, Nanjing Geneseeq Technology Inc., Nanjing, China.ORCID http://orcid.org/0000-0002-9045-2478
Min WuGeneseeq Research Institute, Nanjing Geneseeq Technology Inc., Nanjing, China.
Shiting TangGeneseeq Research Institute, Nanjing Geneseeq Technology Inc., Nanjing, China.
Wenhua LiangDepartment of Thoracic Surgery and Oncology, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.ORCID http://orcid.org/0000-0002-1391-8238
Zheng WangDepartment of Liver Surgery and Transplantation, Liver Cancer Institute, Zhongshan Hospital, Fudan University, Shanghai, China.
Liu YangColorectal Center, Jiangsu Cancer Hospital, Nanjing, China.
Jiaqi LiuState Key Laboratory of Molecular Oncology, National Cancer Center, Cancer Hospital of the Chinese Academy of Medical Sciences, Beijing, China.ORCID http://orcid.org/0000-0002-9775-2342
Tao WangDepartment of Thoracic Surgery, Nanjing Drum Tower Hospital, Nanjing, China.
Bingzhong ZhangDepartment of Gynecologic Oncology, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, China.
Kuirong JiangPancreas Center, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Qin XuDepartments of Gynecology, Fujian Cancer Hospital and Fujian Medical University Cancer Hospital, Fujian, China.
Jierong ChenDepartment of Clinical Laboratory, Guangdong Provincial People's Hospital, Guangzhou, China.
Hairong HuangDepartment of Thoracic Surgery, Eastern Theater Command Hospital, Nanjing, China.
Junjie PengDepartment of Colorectal Surgery, Fudan University Shanghai Cancer Center, Shanghai, China.
Xiaomeng XiaDepartment of Gynaecology, Second Xiangya Hospital of Central South University, Changsha, China.
Yumei WuDepartment of Gynecologic Oncology, Beijing Obstetrics and Gynecology Hospital, Beijing, China.
Shun XuDepartment of Thoracic Surgery, The First Affiliated Hospital of China Medical University, Shenyang, China.
Ji TaoDepartment of Gastrointestinal Medical Oncology, Harbin Medical University Cancer Hospital, Harbin, China.
Li ChongDepartment of Respiratory Medicine, First People's Hospital of Changzhou, Third Affiliated Hospital of Soochow University, Changzhou, China.
Dongqin ZhuGeneseeq Research Institute, Nanjing Geneseeq Technology Inc., Nanjing, China.
Ruowei YangGeneseeq Research Institute, Nanjing Geneseeq Technology Inc., Nanjing, China.
Shuang ChangGeneseeq Research Institute, Nanjing Geneseeq Technology Inc., Nanjing, China.
Peng HeGeneseeq Research Institute, Nanjing Geneseeq Technology Inc., Nanjing, China.
Xiuxiu XuGeneseeq Research Institute, Nanjing Geneseeq Technology Inc., Nanjing, China.
JinPeng ZhangGeneseeq Research Institute, Nanjing Geneseeq Technology Inc., Nanjing, China.
Yi ShenGeneseeq Research Institute, Nanjing Geneseeq Technology Inc., Nanjing, China.
Ya JiangGeneseeq Research Institute, Nanjing Geneseeq Technology Inc., Nanjing, China.
Sisi LiuGeneseeq Research Institute, Nanjing Geneseeq Technology Inc., Nanjing, China.
Xian ZhangGeneseeq Research Institute, Nanjing Geneseeq Technology Inc., Nanjing, China.
Xue WuGeneseeq Research Institute, Nanjing Geneseeq Technology Inc., Nanjing, China.ORCID http://orcid.org/0000-0002-5567-1325
Xiaonan WangGeneseeq Research Institute, Nanjing Geneseeq Technology Inc., Nanjing, China.
Yang ShaoGeneseeq Research Institute, Nanjing Geneseeq Technology Inc., Nanjing, China. yang.shao@geneseeq.com.ORCID http://orcid.org/0000-0003-4585-1792

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

The multicancer early detection (MCED) test has the potential to enhance current cancer-screening methods. We evaluated a new MCED test that analyzes plasma cell-free DNA using genetic- and fragmentomics-based features from whole-genome sequencing. The present study included an internal validation cohort of 3,021 patients with cancer and 3,370 noncancer controls, and an independent cohort of 677 patients with cancer and 687 noncancer individuals. The results demonstrated an overall sensitivity of 87.4%, specificity of 97.8% and tissue-of-origin prediction accuracy of 82.4% in the independent validation cohort. Preliminary results from a prospective study of 3,724 asymptomatic participants showed a sensitivity of 53.5% (predominantly early stage cancers) and specificity of 98.1%. These findings indicate that the MCED test has strong potential to improve early cancer detection and support clinical decision-making.

Indexed as

Cell-Free Nucleic AcidsEarly Detection of CancerNeoplasmsAdultAgedBiomarkers, TumorFemaleHumansMaleMiddle AgedProspective StudiesSensitivity and SpecificityWhole Genome SequencingBiomarkers, TumorCell-Free Nucleic Acids

Identifiers

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.