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HELM · Services · Whole-body MRI assessment

Whole-body MRI assessment. Whole-body MRI with physician assessment before and after.

A physician-led health examination: the purpose is to identify signs of disease and assess the need for further investigation. Whole-body MRI without radiation or contrast agent, including the brain and cerebral vessels. Everything in the Health Assessment. Two physician visits: one before, where we go through your lab results and what the examination can and cannot show, and one after, where we go through every finding together.

Price32,500 SEK
FormatVisit 1: 60 min · MRI approx. 60 min · Visit 2: 45 min
Total time4–6 weeks
Before you book

Read this before you book.

Whole-body MRI as screening of people without symptoms is debated, and I want you to know the state of the evidence before you book.

No medical guideline today recommends whole-body MRI as routine screening of healthy people, because the evidence of benefit in people without symptoms, risk factors, or hereditary predisposition is judged insufficient. At the same time, cancer is a disease where the prognosis is often good when it is detected early and considerably worse when it is detected late, and that is why several experienced physicians in preventive medicine still offer the examination to patients who understand what it can and cannot provide.

What is well documented is what it finds: almost everyone gets at least one finding, the great majority of findings are of no significance, some need follow-up, and for a small proportion the examination leads to a cancer diagnosis. We go through the full evidence, with figures and sources, at the first visit. You then make the decision after I have given my assessment, and if you choose not to proceed you pay only for the Health Assessment.

What it is

What sets this examination apart.

Whole-body MRI is offered by several providers in Sweden, with images, a radiology report, and a physician assessment. Here, three more things are included.

A preliminary consultation where the decision is made. We go through why you want to do the examination, what it can find, what it cannot find, and how you want to handle an unclear result. I advise against it if I judge that the examination will make you more worried rather than more reassured.

The same physician before and after the examination. A finding that is to be followed over time is followed by someone who remembers the context, and if something needs to be handed over to specialist care, I am the one who coordinates the handover.

The examination does not stand alone. The images are interpreted together with your blood markers, your history, and what we may already have measured: fitness, hormones, biological age. Without that context, the risk of overinterpretation is greater.

The examination is done without contrast agent, with diffusion-weighted sequences, which do the detection work. A written radiology report by a specialist in radiology is included. The MRI scanner can detect certain changes but cannot rule out all disease, and it can show unclear or harmless findings that need further investigation.

What’s included

In the price.

Everything in the Health Assessment is included
  • Blood draw · Over 50 blood markers at Synlab. The panel contains what drives decisions, not more markers for the sake of the list; when needed we add targeted tests based on your findings.
  • Health questionnaires · Two questionnaires on your history, symptoms, and goals
  • Visit 1 · 60 minutes by video. We go through your lab results and your history, and then the decision about the examination: indication, pros and cons, what an incidental finding means, MRI safety check, and documented consent.
  • Whole-body MRI without contrast agent · Approximately 60 minutes, just over 20 sequences at Evidia. Brain and cerebral vessels, neck, chest and lungs (for small changes under one centimeter, CT is better), abdomen, pelvis, and the skeleton and the entire spine.
  • Written radiology report · Review and written report by a specialist in radiology
  • Visit 2 · 45 minutes where we go through every finding, integrated with your blood results
  • Written health plan · A personalized plan, including what is to be followed and when
  • Follow-up visit for incidental findings · Included if something needs follow-up
If something is found

Every finding gets a classification and a plan.

Almost everyone who has a whole-body examination gets at least one finding. The great majority of findings are of no significance. At the second visit we go through every finding in the radiologist’s report, one at a time. For each finding you learn what it most likely is, whether it needs to be followed, and if so how and when. Everything is documented in your written health plan.

Three kinds of result. Findings without clinical significance, the most common answer, are documented as a reference for the future. Findings that should be followed get a concrete monitoring plan, and a follow-up visit with me is included once the check has been done. Findings that need investigation are referred to the right specialist, and I follow you until you are in their care. If something urgent is discovered we do not wait for the second visit: I call you as soon as the report has been reviewed.

What is not included: further examinations that a finding leads to, for example a follow-up MRI, CT scan, or biopsy, which are performed and billed by the clinic that carries them out, as well as care from other healthcare providers. A normal result is reassuring news about what the examination can see, at that point in time. It is not a certificate of health, and a finding is not a diagnosis.

Cerebral vessels

About the cerebral vessels and aneurysms.

The protocol covers the cerebral vessels and can show aneurysms and vascular malformations. It may seem obvious to want this, but the findings are not always of benefit.

Roughly two to four in a hundred adults have an aneurysm on the vessels of the brain, most of them small (Vlak 2011; Dremel 2026). The vast majority never rupture: in a large Japanese follow-up the risk was in the order of one percent per year, and lower for the smallest (UCAS 2012). In a population study of 2,000 people, aneurysms were found in 35 (Vernooij 2007). Most were told that they have one, and live with that knowledge and with regular monitoring.

An aneurysm finding can in isolated cases lead to preventive treatment. It is also the finding that most often leads to long-term worry and regular monitoring without treatment ever becoming relevant. The vascular sequences are part of the protocol, and we go through what such a finding would mean in the preliminary consultation.

What the examination does not do

What the examination does not show.

Despite the name, the examination does not cover everything. The radiology protocol states that the examination is not suitable for assessing the spinal cord or for early detection of cancer in the breast, gastrointestinal tract, pancreas, or lungs. That includes pancreatic cancer, which many worry about: this examination is not suited to detecting it early.

It does not replace mammography or cervical screening: the national screening programs have documented benefit and should continue. It does not replace colonoscopy: the inside of the bowel is not assessed. Changes in the lungs are generally only visible once they are over a centimeter, and CT is better for lung tissue. It does not find skin cancer, the arms and legs are not imaged, the inside of the coronary arteries requires other examinations, and small changes are not visible. A normal result today does not mean that nothing is there.

Who it’s for

When it fits, and when it does not.

The decision is made in the preliminary consultation.

01

You have a concrete worry or hereditary risk

Cancer in the family, a specific fear, or a worry you have had for a long time. Then the examination has a clear question to answer.

02

You want a baseline and understand what that means

You know you will most likely come away with something to follow, and you are comfortable with that. A baseline makes future examinations considerably more informative.

03

When it does not fit

If you have a high level of anxiety about your health, the examination can increase worry rather than reduce it. If you have concrete symptoms, the investigation belongs in regular healthcare, not here. We talk about both in the preliminary consultation, and I advise against it if I think that is the case.

Practical

How it works.

  1. You book and receive the health questionnaires and blood draw instructions.
  2. Blood draw at Synlab on a drop-in basis, fasting, in the morning.
  3. Visit 1, 60 minutes by video: lab results, history, the decision about the examination, safety check, and consent.
  4. The referral is sent to Evidia and you choose a time that suits you. The examination takes about an hour.
  5. The radiologist reviews the images and writes the report. I call you directly about any urgent findings.
  6. Visit 2, 45 minutes: every finding, integrated with your blood results.
  7. The health plan arrives in writing, with a plan for what is to be followed.

If you have done the Health Assessment with me within the past year, or are a member, the price is 24,500 SEK, since the Health Assessment is then not paid for again.

You can change your mind after the first visit. If after visit 1 you choose not to proceed with the examination, you pay the Health Assessment price, 7,500 SEK, and the rest is refunded. You should be able to make the decision after the preliminary consultation without the cost steering it.

Frequently asked questions.

Why without contrast agent?

In the protocol Evidia uses for whole-body examination, no contrast agent is given, which is standard for this type of examination. It is the diffusion-weighted sequences that do the detection work, not the contrast. Giving gadolinium to a healthy person does not increase the yield in screening, and there is remaining uncertainty about gadolinium deposition. Contrast is used to characterize a change that has already been found, not to find it.

How often should the examination be repeated?

There is no established interval, because the benefit of screening in people without symptoms has not been established. With a normal result, we decide together whether and when a repeat is warranted, based on your risk factors and your wishes. If you have findings that are to be followed, that determines the interval.

What does it cost if something needs further investigation?

A follow-up visit with me is included. If further examinations are needed I write a referral, and those costs depend on where and how the investigation is done. We go through this in the preliminary consultation so that you know what you may be facing before you decide.

Can I have the examination if I have a pacemaker or implants?

It depends. Some implants are MRI-safe, others are not. We go through a safety check in the preliminary consultation. The examination is not done during pregnancy.

What happens if you find a cancer?

Then I refer you immediately to the right specialist care and follow you until you are in their care. My responsibility does not end when the report has been read.

Can I do just the MRI without blood tests and consultations?

No. Several providers offer the examination on its own. What I offer is imaging, blood tests, history, and a plan, assessed by the same physician. If you only want the images, a standalone examination is a better choice.

See all FAQs →
Next step

Want to talk it through first?

Book the whole-body MRI assessment directly online, or start with a phone consultation if you want advice before you decide.