CLEVELAND – Medical technology may have scored just as many hits on the Cleveland Clinic's 2017 Top 10 list of medical innovations, but biopharma won the race to the top, taking the top four spots among breakthroughs expected in the coming year, including liquid biopsies to find circulating tumor DNA, cellular immunotherapy to treat leukemia and lymphomas, diabetes drugs that reduce cardiovascular disease and death and, at number one, the arrival of the microbiome to prevent, diagnose and treat disease.