“…The size of cfDNA fragments differs according to their tissues-of-origin, including differences between fetal and maternal DNA, and between tumor and non-tumor derived DNA (Snyder et al, 2016). The cfDNA fragmentation patterns and their derived patterns from whole-genome sequencing (WGS), such as nucleosome positions, patterns near transcription start sites or transcription factor binding sites, ended position of cfDNA, fragmentation hotspots, co-fragmentation patterns, and large-scale fragmentation changes at mega-base level, offer extensive signals from the diseased tissues, as well as possible alterations from peripheral immune cell deaths, which can significantly increase the sensitivity for disease diagnosis (Snyder et al, 2016;Ulz et al, 2016;Jiang et al, 2018;Cristiano et al, 2019;Ulz et al, 2019;Sun et al, 2019;Liu et al, 2019;Zhou and Liu, 2020).…”