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‹ Sat · 9 May 2026
Early cancer detection or prevention

A Multi-Analyte cfDNA-based Blood Test for Early Detection of Hepatocellular Carcinoma

A blood test detects liver cancer in high-risk patients better than ultrasound, especially for small tumors doctors typically miss, potentially catching more cancers early.

This first blinded, multicenter, prospective validation study (n=1,268) of a multi-analyte cfDNA blood test (HelioLiver Dx) for HCC detection in cirrhosis demonstrated superior sensitivity over standard ultrasound, particularly for small lesions ≤2 cm where ultrasound failed to detect any cases. The availability of a more sensitive, accessible blood-based test could transform HCC surveillance in high-risk populations by reducing barriers to screening and improving early detection rates.

What the study was

Study design
Cross-sectional, prospective, blinded, multicenter validation study
Population
Adults with cirrhosis at high risk for HCC; multicenter US cohort
Sample size
1268
Category
Early Detection
Maturity
Validated
Journal
Journal of Hepatology

Why it surfaced

First blinded multicenter prospective validation of a cfDNA blood test for HCC. Directly addresses unmet need for more sensitive HCC surveillance in cirrhosis. Results clinically significant: 28.6% vs 0% sensitivity for small HCC ≤2cm is substantial. Published J Hepatol. NCT03694600.

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