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Screening, Diagnosis, Monitoring

Educational orientation

Source-checked: 2026-06-05. This page is not a screening or care recommendation.

Core Idea

Screening, diagnosis, and monitoring answer different questions. Screening looks for signs of disease in people who do not have a known diagnosis. Diagnosis asks whether a specific person has a specific disease. Monitoring follows known disease, risk, response, or recurrence over time.

Confusing these tasks leads to bad reasoning. A useful screening test must balance benefit, false positives, false negatives, overdiagnosis, access, and population risk. A diagnostic test is interpreted in a clinical context.

Essential Vocabulary

  • Sensitivity: ability to catch positives.
  • Specificity: ability to avoid false positives.
  • False positive: test suggests disease when it is absent.
  • Overdiagnosis: detecting disease that would not have caused harm.

What This Does Not Mean

More testing is not automatically better. Test value depends on the question and population.

Builder/Data Lens

Model thresholds change false positives and false negatives. Report the intended use before reporting performance.

Go Deeper

References

  1. National Cancer Institute. Cancer Screening
  2. National Cancer Institute. Tests and Procedures Used to Diagnose Cancer

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