HelioLiver LDT now available to order through Quest Diagnostics
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Physician reviewing diagnostic results with a patient in a clinical setting
For Healthcare Providers

Detect Liver Cancer Earlier for Your High-Risk Patients

HelioLiver LDT is a simple blood test that detects hepatocellular carcinoma (HCC) earlier than ultrasound, from a simple blood draw during a routine visit.

The Surveillance Gap

HCC Surveillance Is Recommended — But It's Failing Patients

Guidelines recommend HCC surveillance every six months for high-risk patients, typically with ultrasound and AFP. Yet most eligible patients are never screened — and when they are, ultrasound misses many early, treatable tumours. HelioLiver was designed to close both gaps: a blood draw improves adherence, and combining cell-free DNA methylation with protein markers improves sensitivity for small lesions.

<20% of at-risk patients receive recommended HCC surveillance
~45% early-stage sensitivity of ultrasound alone (Tzartzeva 2018)
0% of lesions under 2 cm detected by ultrasound in the CLiMB trial
How HelioLiver Works

How the HelioLiver Test Works

HelioLiver is a simple blood test that reads cell-free DNA (cfDNA) methylation patterns alongside serum protein tumour markers and clinical information, using machine learning to assess the likelihood of HCC. By reading the molecular signals of cancer in the blood, it can detect disease earlier than imaging alone — particularly the small, early-stage lesions that are hardest to catch.

A clinician holding the HelioLiver LDT Collection Kit box
HelioLiver Collection Kit 1simple blood draw — no imaging visit
Watch & Learn

See How HelioLiver Overcomes Surveillance Obstacles

Learn how HelioLiver's methylation approach overcomes today's surveillance obstacles. Presenter: Shivani Mahajan, Head of Computational Science · 5:19
Supported by Robust Clinical Data

Validated in the CLiMB Trial, Published in the Journal of Hepatology

CLiMB is the largest completed prospective, multicenter liquid-biopsy liver cancer trial in the United States, using contemporaneous MRI as the reference standard. HelioLiver met its co-primary endpoints — superior sensitivity and non-inferior specificity — compared with ultrasound.

1,968
patients enrolled across 42 US clinical sites
40% vs 10%
Overall HCC sensitivity, HelioLiver vs ultrasound
71.9% vs 36.8%
early-stage HCC (BCLC 0/A)
Published in the Journal of Hepatology Prospective · Multicenter MRI Reference Standard
Now available to order through Quest Diagnostics, one of the largest diagnostic networks in the United States, with a strategic commercial partnership with Syneos Health accelerating nationwide adoption. CLiMB was led by Principal Investigator Mindie Nguyen, MD, of Stanford University, with investigators at clinical sites across the US.
Ordering Is Easy

Ordering HelioLiver for Your Patients Is Easy

1

Order the Test

Order through your office's process via TRF or EMR, or order through Quest Diagnostics. Our team sets up your office with kits and training.

2

Patient Sample Collection

A simple blood draw during a routine visit — no separate imaging appointment. The Collection Kit includes everything needed, with a prepaid return label.

3

Receive Results

Results are available in 10–14 days. You receive a clear Normal or Abnormal report indicating the likelihood of HCC, with confirmatory imaging (MRI or CT) recommended for abnormal results.

Which Patients to Test

Which of Your Patients May Benefit

HelioLiver LDT is intended for patients at high risk of HCC who are recommended for routine surveillance, including:

Cirrhosis

Cirrhosis of any aetiology

Hepatitis B & C

Chronic hepatitis B or hepatitis C

MASLD / NAFLD & alcohol-related

Alcohol-related or metabolic liver disease

Advanced fibrosis & other

Advanced fibrosis, hereditary hemochromatosis, primary biliary cholangitis, Wilson's disease

AASLD recommendation: AASLD recommends HCC surveillance approximately every six months for patients at high risk, such as those with cirrhosis.

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Bring Earlier Liver Cancer Detection to Your Practice

Join the providers using HelioLiver to detect HCC earlier — from a simple blood draw.