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Peer-Reviewed Publication
Lancet Reg Health Eur2026;66101720.July 1, 2026Journal Article

Diagnostic Implications of Multi-Cancer Early Detection Testing in the Investigation of Cancer Symptoms: An Exploratory Retrospective Analysis of the SYMPLIFY Study.

Ashley Jackson1,2, Pradeep S Virdee1, Sharon Tonner1, Jason L Oke1, Rafael Perera1, Kaveh Riahi3, Sara Hiom3, Harpal Kumar3, F D Richard Hobbs1, Mark R Middleton4, Brian D Nicholson1
1Nuffield Department of Primary Care Health Sciences, University of Oxford, Oxford, UK.
2Department of Medicine, University of Ottawa, Ottawa, Ontario, Canada.
3GRAIL Bio UK, Ltd., London, UK.
4Department of Oncology, University of Oxford, Oxford, UK.

Abstract

BACKGROUND: The observational SYMPLIFY study reported the accuracy of a multi-cancer early detection (MCED) test in a referred symptomatic population. We explore how the MCED test may contribute to a faster or more efficient diagnosis if acted upon. METHODS: We reviewed all cancers diagnosed in SYMPLIFY (ISRCTN10226380) using data collected at study sites plus two years of cancer registry data. A…

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