May 8, 2026 · Journal of hepatology · DOI: 10.1016/j.jhep.2026.04.012

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

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The authors aimed to evaluate the performance of the HelioLiver Dx blood test for the early detection of hepatocellular carcinoma (HCC) in high-risk patients with cirrhosis, comparing its sensitivity and specificity to that of abdominal ultrasound. In a multicenter validation study involving 1,268 participants, the HelioLiver Dx test demonstrated superior sensitivity for detecting HCC lesions, particularly small ones, while maintaining non-inferior specificity compared to ultrasound. This study highlights the potential of a more accessible blood-based test to enhance early HCC detection and improve clinical outcomes for at-risk populations.

David J Taggart, Shivani Mahajan, Maxime A Gallant, Itai Pinkoviezky, Jianfeng Xu, Allison J Sorg, Curt C Roberts, Dmitri Slinkov, Emmanuel C Gorospe, Abdullah Mubarak, Bal Raj Bhandari, Bradley Freilich, Nadege Gunn, Ju Dong Yang, John H Smith, Ziad H Younes, Roniel Cabrera, Humberto Aguilar, Hrishikesh Samant, Wei Li, Richard A Van Etten, Mindie H Nguyen

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