“…Several manufacturers, such as Qiagen, Norgen, Thermo, and Promega, produce specialized commercial kits for extracting blood-derived cfDNA ( Diefenbach et al, 2018 ; van Dessel et al, 2019 ; Huebner et al, 2021 ; Wang et al, 2021 ). Among these, Qiagen’s systematic kits are the most commonly used ( Vermeulen et al, 2017 ; Jain et al, 2019 ; Jiang et al, 2020 ; Kallionpaa et al, 2021 ), However, comparing the performance of these kits is challenging due to variations in sample collection, processing, and analysis procedures ( Table 5 ). For example, when PCR is used to quantify specific genes, the sensitivity may decrease or even vanish as cfDNA fragments become shorter ( Ungerer et al, 2020 ).…”