Clinical-stage genomic diagnostics · Nevada, USA

Most cancers have no screening test at all.

Screening today is built organ by organ  a mammogram for breast, a colonoscopy for colon, a scan for the lungs. Everything else is usually found once someone already feels ill. EarlySignal is developing a blood test intended to look for more than fifty cancers at once, from a single draw.

Document

Background methylation

Coherent cancer signal

Illustrative — not measured data

The gap

Five cancers are screened for. The rest are not.

United States guidelines recommend population screening for a short list of cancers. Several of the most lethal — pancreatic, ovarian, oesophageal, liver — have no recommended screening pathway for people at average risk, which is one reason so many are found late.

Recommended population screening

Single-organ tests, one at a time

Breast

Mammography

Colon and rectum

Colonoscopy / stool

Cervix

Cytology / HPV

Prostate

PSA, shared decision

Lung

Low-dose CT, high risk

No recommended screening pathway

Usually found once symptoms appear

Pancreas

Ovary

Oesophagus

Liver and bile duct

Stomach, kidney, brain, blood … and most others

Please read this alongside the list above

A blood test that looks at many cancers at once is intended to add to organ-specific screening, not replace it. Whether multi-cancer early detection improves outcomes for patients is still an open scientific question, and we set out the current state of that evidence plainly on The Test.

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