Testing for Personalized Care
Cancer Testing Visualization

Cancer Testing Options: Cost vs. Comprehensiveness

Interactive visualization comparing testing scope, cost, and insurance coverage

Germline DNA Testing

Insurance Coverage:
Always
Sometimes
Never
Evidence Level:
High
Medium
Low
Secondary Analysis Potential

Key Insights

  • Comprehensive Genome-Wide tests provide maximum data for ongoing secondary analysis
  • Multi-modal tests (CARIS, EXACTA, OncoExTra, Tempus) appear across multiple charts, offering cost-effective comprehensive profiling
  • Secondary analysis markers (dashed borders) indicate tests that collect more data than they report
  • Tempus platform advantages: xT CDx provides matched normal genome data; xR enables comprehensive transcriptome analysis
  • Expression comprehensive tests enable secondary analyses like tumor subtyping, specific gene signatures, and custom prediction algorithms from raw transcriptomic data
  • Large-panel ctDNA tests (523+ markers) support secondary clonal evolution analysis to track tumor genetic changes over time
  • Signatera monitoring patients receive full exome sequencing of normal and tumor tissue at no additional charge, providing extensive secondary analysis opportunities
  • Insurance coverage varies significantly - always check with your provider
  • Evidence levels help identify the most clinically validated options
***Make sure to click on each test in the figure for a pop-up with more information.

Click here for a full searchable and downloadable table and an explanation on the different data types:
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  • Understand the testing landscape - Learn about available approaches from basic biomarkers to sophisticated multi-omics analysis

  • Evaluate any testing option for your situation - Get a framework to assess scope, evidence, and value of different tests

  • Navigate the research-clinical gap - Understand why advanced testing approaches often aren't routinely offered and how to bridge that gap

  • Advocate effectively with your medical team - Learn how to ask informed questions and have productive conversations about enhanced testing options

  • Access comprehensive resources - Get detailed comparison tables and tools to support your decision-making
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The reality: Most patients only learn about basic testing approaches and standard of care, while sophisticated analysis options and targeted treatments remain undiscussed

Cancer Testing Sophistication Spectrum
ER
PR
H2
Ki
Single Biomarkers
Individual protein measurements
21-70 genes
Gene Panels
Limited gene signatures
20K+ genes
Comprehensive Genomics
Whole genome analysis
DNA
RNA
Protein
Metabol
Multi-Omics
Integrated molecular layers
AI Multimodal
Genomics + imaging + AI analysis
One key CEtHI objective is to bridge the gap between
what we know in research and
what we do in the clinic.

As a genetic epidemiologist, I am in position to help patients navigate the full spectrum
of testing options and leverage comprehensive molecular data for informed decision-making.


Patient Empowerment. Patient Dignity. Patient Flourishing.
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