Evidence map›Paper›PMID 41249499›Full record

ArticleNPJ precision oncology2025

Early detection of urological tumors based on genomic characteristics of cell-free DNA fragments: a multi-center study.

Huiyong Zhang, Caihong Huang, Chunmeng Wei, Rongbin Zhou, Chengbang Wang, Wenhao Lu, Zuheng Wang, Xiao Li, Shaohua Chen, Dianyu Wang and 6 more

Abstract read
In one paragraph

Article in NPJ precision oncology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Review
  3. Review
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

16 authors.

Huiyong Zhang *Center for Genomic and Personalized Medicine, Guangxi Key Laboratory for Genomic and Personalized Medicine, University Engineering Research Center of Digital Medicine and Healthcare, Guangxi Medical University, Nanning, Guangxi, China.
Caihong Huang *Guangxi Academy of Medical Sciences, the People's Hospital of Guangxi Zhuang Autonomous Region, Nanning, Guangxi, China.
Chunmeng Wei *Center for Genomic and Personalized Medicine, Guangxi Key Laboratory for Genomic and Personalized Medicine, University Engineering Research Center of Digital Medicine and Healthcare, Guangxi Medical University, Nanning, Guangxi, China.
Rongbin ZhouCenter for Genomic and Personalized Medicine, Guangxi Key Laboratory for Genomic and Personalized Medicine, University Engineering Research Center of Digital Medicine and Healthcare, Guangxi Medical University, Nanning, Guangxi, China.
Chengbang WangCenter for Genomic and Personalized Medicine, Guangxi Key Laboratory for Genomic and Personalized Medicine, University Engineering Research Center of Digital Medicine and Healthcare, Guangxi Medical University, Nanning, Guangxi, China.
Wenhao LuCenter for Genomic and Personalized Medicine, Guangxi Key Laboratory for Genomic and Personalized Medicine, University Engineering Research Center of Digital Medicine and Healthcare, Guangxi Medical University, Nanning, Guangxi, China.
Zuheng WangDepartment of Urology, the First Affiliated Hospital of Guangxi Medical University, Guangxi Medical University, Nanning, Guangxi, China.
Xiao LiSchool of Life Sciences, Guangxi Medical University, Nanning, Guangxi, China.
Shaohua ChenDepartment of Urology, Affiliated Tumor Hospital of Guangxi Medical University, Guangxi Medical University, Nanning, Guangxi, China.
Dianyu WangDepartment of Urology, The Second Affiliated Hospital of Fujian Medical University, Quanzhou, Fujian, China.
Jin JiDepartment of Urology, Shanghai Changhai Hospital, Naval Medical University, Shanghai, China.
Yuexiang LiCenter for Genomic and Personalized Medicine, Guangxi Key Laboratory for Genomic and Personalized Medicine, University Engineering Research Center of Digital Medicine and Healthcare, Guangxi Medical University, Nanning, Guangxi, China.
Rirong YangCenter for Genomic and Personalized Medicine, Guangxi Key Laboratory for Genomic and Personalized Medicine, University Engineering Research Center of Digital Medicine and Healthcare, Guangxi Medical University, Nanning, Guangxi, China.
Junyi ChenDepartment of Urology, The Second Affiliated Hospital of Fujian Medical University, Quanzhou, Fujian, China. chenjunyidoctor@163.com.
Yanling HuCenter for Genomic and Personalized Medicine, Guangxi Key Laboratory for Genomic and Personalized Medicine, University Engineering Research Center of Digital Medicine and Healthcare, Guangxi Medical University, Nanning, Guangxi, China. huyanling@gxmu.edu.cn.
Fubo WangCenter for Genomic and Personalized Medicine, Guangxi Key Laboratory for Genomic and Personalized Medicine, University Engineering Research Center of Digital Medicine and Healthcare, Guangxi Medical University, Nanning, Guangxi, China. wangfubo@gxmu.edu.cn.

Funding

he Science and Technology Major Project of Guangxi AA22096030National Natural Science Foundation of China-Henan Joint Fund 82372828the Science and Technology Major Project of Guangxi AA22096032the Science Foundation for Distinguished Young Scholars of Guangxi 2023GXNSFFA026003the Yongjiang Program of Nanning 2021015
6 · The paper itself

Abstract

Cell-free DNA (cfDNA) has shown potential in distinguishing cancer patients from healthy individuals. This study investigates cfDNA fragmentomics-fragmentation patterns, end motifs (EDMs), and breakpoint motifs (BPMs)-to develop an early detection method for bladder urothelial carcinoma (BLCA), prostate adenocarcinoma (PRAD), and clear cell renal cell carcinoma (ccRCC). Using low-coverage whole genome sequencing (lcWGS) on plasma samples from 758 participants (including BLCA, PRAD, ccRCC, benign prostatic hyperplasia patients, and healthy controls), we analyzed cfDNA features. Machine learning models (logistic regression, support vector machine, random forest, XGBoost, Stacking) distinguished urological tumors from non-tumor cases with AUCs of 96% (BLCA), 99% (ccRCC), 92% (PRAD), and 89% (pan-cancer). Key discriminators included 6-bp EDMs and BPMs. A proposed two-tier screening strategy combining pan-cancer and cancer-specific features offers a cost-effective, non-invasive approach for early detection with strong clinical potential.

Identifiers

PMID41249499
PMCPMC12624079

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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.