Peer-Reviewed Publication
J Liq Biopsy2026;14100668.December 1, 2026Journal Article

Prognostic utility of copy number variations in circulating tumor DNA in head and neck cancer.

Edward S Sim1,2, Daniel A Ruiz-Torres1,2,3, Pan Du4, Yong Huang4, Frank Zhang4, Shidong Jia4, Adam S Fisch5, Ross D Merkin6,7, Jonathan J Paly8, Daniel L Faden1,2,3
1Department of Otolaryngology-Head and Neck Surgery, Massachusetts Eye and Ear, Boston, MA, USA.
2Department of Otolaryngology-Head and Neck Surgery, Harvard Medical School, Boston, MA, USA.
3Broad Institute of MIT and Harvard, Cambridge, MA, USA.
4Predicine, Hayward, CA, USA.
5Departments of Pathology, Massachusetts General Hospital and Harvard Medical School, Boston, MA, USA.
6Department of Medicine, Harvard Medical School, Boston, MA, USA.
7Center for Head and Neck Cancers, Massachusetts General Hospital, Boston, USA.
8Department of Radiation Oncology, Massachusetts General Hospital, Boston, USA.

Abstract

BACKGROUND: Plasma circulating tumor DNA (ctDNA) is a minimally invasive biomarker in head and neck squamous cell carcinoma (HNSCC). Most commercially available assays for human papillomavirus-unrelated HNSCC are tumor-informed assays that require tissue sampling and may not comprehensively capture tumor heterogeneity. We evaluated a tumor-agnostic approach using genome-wide ctDNA copy-number vari…

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