What Each Screening Test Finds and Misses: 21 Tests in One Table

No single screening test sees the whole body. MRI and ultrasound use no radiation; RadiologyInfo puts a low-dose lung CT at 1.5 mSv, a calcium score at 1.7 mSv and a coronary CT angiogram at 8.7 mSv. A full-body MRI does not replace colonoscopy or a mammogram, and a calcium score of zero does not rule out soft plaque. This table sets out what each of 21 tests finds and misses.

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    No screening test sees the whole body. Each one answers a narrow question well and is blind to others. The tables below, one per kind of test, cover the 21 tests in our health screening wiki: what each is best at, what it misses, its radiation dose and how to prepare. Each test name links to its full guide.

    What does each screening test find, and what does it miss?

    MRI scans

    TestBest atCannot see or missesRadiation (natural background equivalent)Preparation
    Full-body MRIA radiation-free survey of soft tissue: brain, spine, and abdominal and pelvic organs.Lung abnormalities; RadiologyInfo says chest CT is preferred for the lungs. The heart arteries: our protocol covers the head, neck, abdomen, pelvis and whole spine. Colon polyps. A 2019 review pooled critical or indeterminate incidental findings in about 32% of people scanned, with wide variation between protocols.None. MRI uses no X-rays.A metal and implant safety check; bring any implant card. About 1 in 20 people may need a mild sedative to stay calm.
    Single-region MRI (brain, spine or one joint)Detail in one area: the brain, the spine, or tears of the menisci, ligaments and tendons in a joint.Anything outside the scanned area. Findings are common without symptoms: disc bulges appear in 30% of pain-free 20-year-olds and 84% of pain-free 80-year-olds.None.The same metal check. Booked with or without gadolinium contrast.
    Brain MR angiogramMapping the brain's arteries for aneurysms, narrowing and malformations.The brain tissue itself; a brain MRI reads that. Small vessels can be hard to assess, and some arteries look less clear than on catheter angiography. Calcium in vessel walls.None.The same metal check. It may or may not use contrast.

    CT scans

    TestBest atCannot see or missesRadiation (natural background equivalent)Preparation
    Low-dose lung CTLung nodules and early lung cancer in people who meet the criteria. In the NLST trial it cut lung-cancer deaths by 20% compared with chest X-ray.Whether a nodule is cancer; more than 95% of nodules are not. Organs below the chest. Some cancers it finds would never have caused harm.1.5 mSv (about 6 months)No contrast. A few short breath-holds. Tell staff if you could be pregnant.
    Heart calcium scoreCalcified plaque in the heart arteries, reported as one score.Soft, non-calcified plaque, especially under age 50. Whether an artery is narrowed.1.7 mSv (about 6 months)No injection. RadiologyInfo advises no food, caffeine or smoking for 4 hours.
    Coronary CT angiogramPlaque of any type, and narrowing, in the heart arteries, for a question such as chest pain.Heavy calcium or an irregular heartbeat can make the images hard to read.8.7 mSv (about 3 years)Iodine contrast through an IV, after a kidney and allergy check. Fast for several hours, skip caffeine, and avoid Viagra-type drugs.

    Ultrasound

    TestBest atCannot see or missesRadiation (natural background equivalent)Preparation
    Abdominal ultrasoundGallstones, kidney stones and liver changes such as cirrhosis. It detects moderate-to-severe fatty liver with about 85% sensitivity.Air-filled bowel, and organs hidden behind it. Large body size lowers image quality.None.Often no food or drink for several hours; the clinic sets the time.
    Thyroid ultrasoundThyroid nodules, including ones too small to feel, and the features that rate their suspicion.How well the gland works; a blood test measures that. Whether a nodule is benign or cancer, with certainty; a needle biopsy may follow. The USPSTF recommends against screening adults without symptoms.None.Little or none.
    Carotid ultrasoundNarrowing in the neck arteries, and the blood flow through them.The part of the artery near the skull base. Small amounts of soft plaque. Heavy calcium can block the view. The USPSTF recommends against screening adults without symptoms (grade D, 2021).None.Little or none. Wear an open collar.

    Other X-ray tests

    TestBest atCannot see or missesRadiation (natural background equivalent)Preparation
    Breast imaging (mammogram and ultrasound)The mammogram is the main breast screening test and shows calcifications. Ultrasound tells a fluid-filled cyst from a solid lump and helps in dense breasts.Mammograms do not detect all cancers, and dense tissue can hide them. 5–15% of screening mammograms need more tests. Many cancers are not visible on ultrasound, and it does not replace mammography.Mammogram 0.28 mSv (about 34 days). Ultrasound and breast MRI: none.No deodorant, powder or lotion on the breasts or underarms that day.
    DEXA scanBone density at the hip and lower spine, as a T-score; −2.5 or below is the osteoporosis range.Who will break a bone; it gives a relative risk only. Results from different machines cannot be compared directly. Limited use after spinal surgery or with a spinal deformity.0.001 mSv (about 3 hours)No calcium supplements for 24 hours. A recent barium or contrast exam may mean waiting 10 to 14 days.

    Endoscopy

    TestBest atCannot see or missesRadiation (natural background equivalent)Preparation
    Gastroscopy and colonoscopySeeing the lining directly. Colonoscopy finds polyps and cancer, and removes polyps in the same procedure. Gastroscopy finds reflux disease, celiac disease and cancer, and takes tissue samples.Some polyps: a review of tandem colonoscopies found 26% of adenomas and 9% of advanced adenomas missed. Organs outside the digestive tract.None. It uses a camera, not X-rays.Laxative bowel prep and clear liquids before a colonoscopy. Up to 8 hours without food before a gastroscopy. A ride home after sedation.

    Blood, DNA and stool tests

    TestBest atCannot see or missesRadiation (natural background equivalent)Preparation
    Comprehensive blood panelBlood sugar (fasting glucose and HbA1c), cholesterol, liver and kidney function, and the blood count.What an organ looks like. Cancer screening: blood tests are not among the USPSTF colon screening tests. One abnormal value usually needs more tests before a diagnosis.None.A fasting glucose needs at least 8 hours without food. HbA1c needs no fasting.
    Tumor markersChecking whether a known cancer has come back after treatment.Many cancers: not everyone with a cancer has a raised marker, and harmless conditions can raise one. The US National Cancer Institute says they do not work well for screening.None.Smokers may be asked to stop for a while before a CEA test.
    Allergy blood testSpecific IgE to the allergens your symptoms point to.A high result means you may be allergic, not that you are. IgG "food sensitivity" panels are unproven for allergy or intolerance, says the AAAAI.None.No special preparation. Ask the clinic about antihistamines: MedlinePlus says you may need to stop them, while ACAAI says medicine does not affect blood results.
    Gut microbiome testA list of the microbes in one stool sample.What "normal" is: an expert consensus found too little data for strict healthy ranges, and too little evidence for routine clinical use. It is not a colon cancer screen.None.Keep your usual diet and medicines. List every drug taken in the past three months.
    Whole genome sequencingUncommon, actionable inherited risks in the 84 genes on the ACMG list, such as BRCA1, BRCA2, the Lynch syndrome genes and the familial hypercholesterolemia genes. Carrier status, where the report includes it.A cancer you already have; only about 5–10% of cancers are inherited. The meaning of much of what it reads is still unknown.None.Genetic counseling is generally recommended before testing.

    Exams and monitors

    TestBest atCannot see or missesRadiation (natural background equivalent)Preparation
    Prostate examThe PSA blood test, read in context. The USPSTF calls screening at 55 to 69 an individual decision.The cause of a high PSA: an enlarged prostate, inflammation or infection also raise it. Only a biopsy diagnoses cancer. The USPSTF does not recommend a rectal exam for screening.None.No ejaculation or vigorous exercise such as cycling for 2 days before the blood draw.
    Dry eye examFinding what drives dry eye: the oil layer, tear volume, blinking and the eyelid glands.Confirming dry eye on its own: TFOS requires symptoms plus an abnormal tear break-up time, tear osmolarity or staining. The retina, optic nerve and eye pressure.None. It uses light, not X-rays.Ask when booking whether to skip eye drops and contact lenses.
    Fertility assessmentCheckable causes of difficulty conceiving. AMH predicts egg yield in IVF; an HSG shows whether the tubes are open.Natural fertility: ASRM says AMH should not be used as a fertility test for women who are not infertile or whose fertility is untested. An HSG does not assess the ovaries or sperm.None, except an HSG, which uses X-rays. RadiologyInfo's dose table gives no HSG figure.An HSG is done about 7 to 10 days after a period starts.
    Home sleep and heart-rhythm patchCatching heart-rhythm changes that come and go, over 3 or 7 days at home.Diagnosing sleep apnea: the AASM recommends a sleep study or a technically adequate home sleep apnea test for that. The recording is read after you return the patch.None.Note the time of any symptom.

    The radiation figures are RadiologyInfo's typical doses for an adult. RadiologyInfo puts natural background radiation at about 3 mSv a year for a person in the US. Your own dose varies with your body size, the scanner and the protocol.

    For scale, RadiologyInfo puts a chest X-ray at 0.1 mSv (10 days), a head CT at 1.6 mSv (7 months), and a CT of the abdomen and pelvis at 7.7 mSv (2.6 years). Our guide to CT radiation dose explains what these numbers mean.

    Which tests cover each other's blind spots?

    Each question in the body has a test built to answer it. A test that is excellent elsewhere can be blind to it.

    QuestionTest that answers itTests that do not
    Lung nodulesLow-dose lung CT, for people who meet the criteriaFull-body MRI; chest CT is preferred for the lungs
    Calcified plaque in the heart arteriesHeart calcium scoreFull-body MRI; our protocol does not list the heart
    Soft plaque and narrowing in the heart arteriesCoronary CT angiogram, for a clinical questionHeart calcium score
    Colon polyps and colon cancerA stool test (FIT) or colonoscopy; the USPSTF also lists CT colonography, at 6 mSv (about 2 years), and sigmoidoscopyFull-body MRI, blood tests, tumor markers and microbiome tests; none is on the USPSTF list
    Breast cancerMammogramBreast ultrasound alone; full-body MRI, as our protocol does not list the breasts
    Thyroid functionThyroid blood testThyroid ultrasound, which shows structure
    A cancer you have nowThe screening test proven for that organWhole genome sequencing, which reads inherited risk

    Who qualifies for lung screening differs by country:

    • US (USPSTF, 2021): a yearly low-dose CT for adults 50 to 80 with a 20 pack-year smoking history who still smoke or quit within the past 15 years.
    • Taiwan (Health Promotion Administration): a low-dose CT every 2 years for smokers aged 50 to 74 with at least 20 pack-years who are willing to quit or quit within the past 15 years. Men 45 to 74 and women 40 to 74 whose parent, child or sibling had lung cancer also qualify.

    A longer list of tests is not automatically better. Each scan brings its own findings to chase. In a 2019 review of 5,373 people without symptoms, whole-body MRI found critical or indeterminate incidental findings in about 32% (pooled; it varied widely between protocols). Our guide to what happens when a scan finds something explains the next steps. The American College of Radiology does not recommend total body screening for people without symptoms, risk factors or a relevant family history.

    Does a normal result mean I am healthy?

    No. A normal result means the test saw nothing it is able to see, on that day.

    • A calcium score of zero: RadiologyInfo says non-calcified plaque may not be detected, especially in people under 50.
    • A normal mammogram: RadiologyInfo says mammograms do not detect all breast cancers.
    • Normal tumor markers: the US National Cancer Institute says not everyone with a cancer has a raised marker.
    • A normal whole-body MRI: none of the 12 studies in a 2019 review checked negative results beyond five years. The authors wrote that verification data are lacking.
    • Any normal result: screening works as a repeated test. The USPSTF interval runs from 1 year for a FIT to 10 years for colonoscopy.

    A new symptom needs a doctor, whatever an earlier test showed. Our review of what the evidence shows for whole-body MRI covers what a clear scan does and does not rule out.

    Which New Dawn Health packages combine these tests?

    Our three imaging packages at Central Clinic & Hospital Healthcare Center, in Taipei's Da'an District, build on each other. The dose column adds up RadiologyInfo's typical figures for the X-ray tests in each package.

    Package (ours)Tests includedTypical X-ray doseOur price
    LightFull-body MRI, low-dose lung CT, thyroid ultrasound, abdominal ultrasound1.5 mSv$1,399
    CompleteEverything in Light, plus a DEXA scan and a heart calcium scoreAbout 3.2 mSv$1,699
    PlusEverything in Complete, plus a brain MR angiogram, a coronary CT angiogram and a carotid ultrasoundAbout 11.9 mSv$3,099

    A comprehensive blood panel can be added to all three packages. Breast imaging can be added to Complete and Plus. Many tests in the master table can also be booked on their own; each guide lists live prices, and every package is on our health screening page.

    Sources

    Frequently asked

    Which screening tests use no radiation?

    MRI, ultrasound and endoscopy use no X-rays, and neither do blood, DNA, stool and eye tests. Of the 21 tests in our table, five use X-rays: the low-dose lung CT, heart calcium score, coronary CT angiogram, mammogram and DEXA scan. An HSG in a fertility work-up also uses X-rays.

    How much radiation is a low-dose lung CT compared with a coronary CT angiogram?

    RadiologyInfo puts a low-dose lung CT at about 1.5 mSv, roughly six months of natural background radiation. A coronary CT angiogram is about 8.7 mSv, roughly three years. Your actual dose varies with your body size, the scanner and the protocol.

    Does a full-body MRI replace a colonoscopy or a mammogram?

    No. MRI is not on the USPSTF's list of colon screening tests, which are stool tests, colonoscopy, CT colonography and sigmoidoscopy. Our full-body MRI protocol does not list the breasts, and RadiologyInfo calls the mammogram the best breast screening tool available.

    Is a calcium score of zero an all-clear for my heart?

    No. RadiologyInfo says non-calcified plaque may not be detected, especially in people under 50, and the score does not show whether an artery is narrowed. A coronary CT angiogram can show plaque of any type when a doctor needs that answer.

    Can a blood test screen for cancer?

    Not as a general screen. The US National Cancer Institute says tumor markers do not work well for screening, because they miss some cancers and can rise without cancer. PSA is a separate case: the USPSTF calls screening at 55 to 69 an individual decision.

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