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Important Information

What miCheckup is, how it should be used, what it cannot do, and how it is regulated in Canada.

Indications for Use

Who miCheckup is for.

miCheckup is designed for adults who want a proactive early warning about suspected cancer signals before symptoms appear.

miCheckup is a microRNA multi-cancer early detection (MCED) test intended for adults 18 years of age or older (19 or older in British Columbia, New Brunswick, Newfoundland and Labrador, Nova Scotia, Northwest Territories, Nunavut, and Yukon). There is no upper age limit.

miCheckup is designed for asymptomatic individuals who want an early warning assessment of their cancer risk — it is not a substitute for medical care if you are already experiencing symptoms. If you have symptoms that may indicate cancer — such as unexplained weight loss, persistent pain, blood in stool or urine, or a new lump — seek medical attention from your healthcare provider immediately.

miCheckup is currently available in Ontario, with expansion planned across Canada. No referral from your family doctor is required. Our clinical team provides the laboratory requisition required for your blood test.

What miCheckup Is

An early warning test, not a diagnosis.

Understanding what miCheckup is — and what it isn't — is essential to using it responsibly.

miCheckup is a multi-cancer early detection (MCED) test that analyzes patterns of circulating microRNAs in a standard blood sample. It is designed to identify molecular signals associated with multiple solid tumor cancers.

miCheckup is not a diagnostic test. A suspected cancer signal identified result indicates that your microRNA profile contains patterns that warrant further investigation — it does not mean cancer is present. All positive results are reviewed with you by a physician, and a whole-body MRI is included at no additional cost.

A negative result does not rule out cancer. No early detection test identifies every cancer in every person at every stage. A negative result reduces — but does not eliminate — the possibility of cancer.

miCheckup is a complement to standard screening. Continue all recommended screening — including mammography, Pap/HPV testing, and colorectal screening (FIT or colonoscopy) — as directed by your healthcare provider.

miCheckup is built on a microRNA multi-disease screening (MMDS) platform. Today it is applied to cancer detection. The underlying microRNA analysis captures molecular information that extends beyond the current cancer panel.

Possible Results

What your miCheckup result means.

Your result will fall into one of two categories, each with clear next steps.

"No suspected cancer signal identified." Your microRNA profile did not show patterns associated with cancer at the time of testing. This is reassuring, but it does not guarantee the absence of cancer. Continue participating in recommended standard screening programs, and consult your healthcare provider if you develop new symptoms.

"Cancer signal identified." Your microRNA profile contains patterns associated with cancer biology. This is not a diagnosis — it is an early warning. A whole-body MRI is included in your miCheckup test at no additional cost, and a physician will guide you through imaging and appropriate follow-up within the Canadian healthcare system. Many patients who receive this result are subsequently found not to have cancer.

Limitations

What miCheckup cannot do.

Every early detection technology has limitations. Understanding them helps you make informed decisions.

miCheckup does not detect all cancers. It is designed to identify signals associated with multiple solid tumor cancers. Not every cancer produces a detectable circulating microRNA pattern, and very early-stage cancers may produce changes below the detection threshold.

False positive and false negative results can occur. A suspected cancer signal identified result may occur in individuals who do not have cancer (false positive), and a no suspected cancer signal identified result may occur in individuals who do have cancer (false negative).

microRNA patterns can be influenced by non-cancer conditions. Inflammation, infection, autoimmune conditions, recent surgery, pregnancy, and certain medications can affect circulating microRNA levels. Please disclose all relevant medical information to the clinical team reviewing your results.

Use caution if: you are currently pregnant or planning pregnancy; you are undergoing active cancer treatment; you have a history of adverse reactions to MRI contrast agents; or you are currently experiencing symptoms that may indicate cancer.

The Follow-Up MRI

About the whole-body MRI included with miCheckup.

If a suspected cancer signal is identified, a whole-body MRI is included at no additional cost.

The whole-body MRI is ordered by a physician and performed at an accredited Canadian medical imaging facility. It is a standard clinical procedure subject to the same interpretation and medical judgment that applies to all diagnostic imaging in Canada.

MRI has inherent limitations. It does not detect every abnormality, can produce incidental findings unrelated to cancer, and some findings may require additional follow-up. Your physician will guide you through results and next steps.

Whether intravenous contrast is used is a clinical decision made by the ordering physician and radiology team based on your medical history.

Regulatory & Laboratory Information

How miCheckup is regulated in Canada.

miCheckup is a Laboratory-Developed Test (LDT) performed in an accredited Canadian medical laboratory.

miCheckup is a Laboratory-Developed Test (LDT). In Canada, LDTs are regulated as a clinical laboratory service under provincial and territorial laboratory oversight, rather than as medical devices under the federal Medical Devices Regulations.

The miCheckup test is performed at an accredited Canadian medical laboratory certified by the Institute for Quality Management in Healthcare (IQMH). These standards govern laboratory environment, personnel qualifications, operational procedures, and ongoing quality control.

miCheckup's microRNA analysis algorithms are based on peer-reviewed research published in Scientific Reports (Nature Portfolio, 2024) and Cancers (MDPI, 2022), and have been validated on thousands of peer-reviewed blood samples.12

Your blood sample is collected, processed, and analyzed entirely in Canada. Your personal health information is stored in Canada and handled in accordance with PIPEDA and applicable provincial health privacy legislation including PHIPA in Ontario.

Performance Characteristics

What the research shows.

Performance data based on peer-reviewed validation across thousands of blood samples.

The microRNA diagnostic model underlying miCheckup has been validated across thousands of peer-reviewed blood samples, with results published in Scientific Reports (Nature Portfolio) and Cancers (MDPI).12

  • Greater than 99% specificity — fewer than 1 in 100 participants without cancer received a suspected cancer signal identified result
  • Greater than 90% sensitivity for the majority of validated cancer types
  • Sensitivity varies by cancer type

Performance characteristics vary by cancer type. For detailed information, visit The Science.

Ongoing validation continues through the Ontario Health Study and through real-world clinical use.

Informed screening is better screening.

miCheckup is a complement to your healthcare, not a replacement. Questions? We're here to help.

Contact Us

Important Safety Information

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miCheckup is intended for adults at or above the age of majority in their province (18 or older in most provinces; 19 or older in British Columbia, New Brunswick, Newfoundland and Labrador, Nova Scotia, Northwest Territories, Nunavut, and Yukon). miCheckup is a multi-cancer early detection (MCED) test — an early warning test intended to identify a suspected cancer signal associated with multiple solid tumor cancers from a single blood draw. miCheckup does not detect all cancers and should be used in addition to routine cancer screening tests recommended by your healthcare provider.

Use of miCheckup is not recommended in individuals who are pregnant or planning pregnancy, under the age of majority in their province, currently undergoing active cancer treatment, or currently experiencing symptoms that may indicate cancer. If you are experiencing symptoms, please consult your physician directly.

Results should be interpreted by a healthcare provider in the context of your medical history, clinical signs, and symptoms. All miCheckup results are reviewed with you by a physician. A result of "no suspected cancer signal identified" does not rule out cancer. A result of "suspected cancer signal identified" is not a diagnosis — it requires confirmatory diagnostic evaluation by medically established procedures, which is why a whole-body MRI and physician follow-up are included in your miCheckup test.

If a suspected cancer signal is identified but cancer is not confirmed with further testing, it could mean that cancer is not present, or that testing was insufficient to detect cancer — including due to the cancer being located in an area or of a type not well represented in the miCheckup signal. False positive results (a suspected cancer signal identified when cancer is not present) and false negative results (no suspected cancer signal identified when cancer is present) do occur.

miCheckup is a complement to, not a replacement for, standard cancer screening programs. Continue all recommended screening — including mammography, Pap/HPV testing, and colorectal screening (FIT or colonoscopy) — as directed by your healthcare provider. Cancer diagnosis in Canada always requires a tissue biopsy confirmed by a pathologist. If a suspected cancer signal is identified, imaging and clinical workup by your healthcare team will determine the actual status. Many findings turn out to be benign after further investigation.

Laboratory/Test Information

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miCheckup is a multi-cancer early detection (MCED) Laboratory-Developed Test (LDT), performed at an accredited Canadian medical laboratory certified by the Institute for Quality Management in Healthcare (IQMH). In Canada, LDTs are regulated as a clinical laboratory service under provincial and territorial laboratory oversight. Your blood sample is collected, processed, and analyzed entirely within Canada.

The miCheckup microRNA analysis is based on peer-reviewed research published in Scientific Reports (Nature Portfolio, 2024) and Cancers (MDPI, 2022), validated on thousands of peer-reviewed blood samples, with ongoing validation through the Ontario Health Study using 4,000+ Canadian blood samples.

Published validation shows greater than 99% specificity and greater than 90% sensitivity for the majority of cancer types in the current miCheckup panel of multiple solid tumor cancers. Performance may vary by cancer type and individual factors. For a detailed breakdown of sensitivity and specificity by cancer type, and the complete list of cancers currently in the miCheckup panel, visit The Science.

All personal health data is stored in Canada and handled in accordance with the Personal Information Protection and Electronic Documents Act (PIPEDA) and applicable provincial health privacy legislation, including the Personal Health Information Protection Act (PHIPA) in Ontario.

miCheckup is currently available in Ontario, expanding across Canada. For the full safety, regulatory, and performance disclosure, see Important Information.

References

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  1. Zhang J, Rui H, Hu H. "Noninvasive multi-cancer detection using blood-based cell-free microRNAs." Scientific Reports 14, 22136 (2024). doi.org
  2. Zhang A, Hu H. "A Novel Blood-Based microRNA Diagnostic Model with High Accuracy for Multi-Cancer Early Detection." Cancers 14(6), 1450 (2022). doi.org
  3. Institute for Quality Management in Healthcare (IQMH). Ontario medical laboratory accreditation standards. iqmh.org
  4. Government of Canada. Personal Information Protection and Electronic Documents Act (PIPEDA). priv.gc.ca