Focus Screening model
What It Covers
  • Whole-body MRI marketed as early cancer detection
  • Coronary artery calcium CT
  • Whole-genome sequencing or polygenic risk scores
  • Multi-cancer early detection blood tests
  • DEXA body composition and bone density
  • Carotid and other vascular ultrasound
Typical Cost $650 to $2,500 per scan; $300 to $1,500 per genomic panel
Evidence Level Mixed by component: calcium scoring has guideline support for intermediate-risk adults, whole-body MRI in people without symptoms is not recommended by the American College of Radiology, and multi-cancer blood tests have no completed mortality trial
Regulatory Status Regulated imaging and laboratory tests used outside the populations guidelines recommend screening
Watchouts
  • The same scans for every member regardless of risk
  • Incidental findings counted as wins without follow-up data
  • AI-enhanced reading advertised without published validation
  • No radiologist-led plan for indeterminate findings
Questions To Ask
  • What is the false positive rate in people like me?
  • Who reads the images and what happens with an indeterminate finding?
  • Is calcium scoring indicated for my cardiovascular risk level?
  • Has this multi-cancer test shown a mortality benefit in a completed trial?
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Related Resources

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