“…However, signal abundance can be increased by leveraging signals from all cfDNA molecules rather than the smaller subset of fragments containing specific tumorrelated mutations (Figures 2A,C). This can be accomplished by targeting tumor-specific epigenetic changes that occur early on during carcinogenesis and thus are found at higher abundance in early stage cancers than tumor-related mutations (Snyder et al, 2016;Ulz et al, 2016;Wong et al, 2016;Leygo et al, 2017;Jiang et al, 2018Jiang et al, , 2019Cristiano et al, 2019;Gai and Sun, 2019;Ivanov et al, 2019;Panagopoulou et al, 2019;Sun et al, 2019;Van der pol and Mouliere, 2019;Sadeh et al, 2021). Further, combining tumor-cell derived signals with those from the surrounding host microenvironment can increase signal abundance (Hoadley et al, 2018;Liu et al, 2018;Haigis et al, 2019;Lam et al, 2019).…”