CTOAM Personalized Cancer Treatment Options

Consultation Services

Expert one-on-one consultations for your cancer care journey

Precision Cancer Care Consultation

With Michelle Morand, 15-year Specialist in Precision Medicine & Treatment Advocacy

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$250 CAD · No GST

help_outline How this consultation helps you: keyboard_arrow_down

1:1 Consultation with Michelle Morand, 15-year Specialist in Precision Medicine & Treatment Advocacy

Understanding Your Cancer: From Diagnosis to Treatment – and Beyond!

calendar_month Book your consult now

Hope is here!

Book your Precision Cancer Care Consultation with Michelle Morand and find out how to access the very best treatments for your form of cancer, as quickly and as affordably as possible.

Michelle will help you to identify the very best treatment for your unique form of cancer – out of all possible options worldwide! You will have an expert with over 15 years experience in precision cancer medicine by your side.

You will also get Michelle's expert recommendations for your next steps to access these options, whether diagnostic tests and/or treatment options.

To enhance your cancer care, you will also receive access to our online Precision Cancer Medicine Education and Advocacy Support group, Cancer: Just the Facts – joining regular live Zoom "Office Hours" calls with precision cancer medicine research scientist, Alex Rolland, and hundreds of resources on precision cancer medicine.

Additionally, this consult includes a 1-month subscription to our new Treatment Options Update program, which allows you to stay up-to-date on the newest treatment options matched to the molecular features of your cancer.

Who will benefit from this consultation?

check_circle You think you might have cancer and want to know how to find out for sure, asap
check_circle You have recently been diagnosed with cancer and want to ensure your diagnosis is as accurate and thorough as possible
check_circle You are currently on treatment, or about to start treatment, and want to ensure it's the best treatment for you
check_circle You want to see what other treatment options you have besides chemo
check_circle You have had cancer in the past and want to ensure you catch any recurrence as quickly as possible
check_circle You are stage IV and have been told there are no more options left for you by your doctor – and want to know what else is available to help you
check_circle You are a loved one or caregiver of someone who is experiencing any of the above

You will receive:

star 45 minutes 1:1 Zoom call with advocacy expert, Michelle Morand
star Answers to all of your cancer care advocacy and navigation questions
star A recording of your consult, to share with your loved ones or doctor
star A roadmap of clear next steps you can take to optimize your cancer care plan
star 1 month subscription to our new Treatment Options Update program, which allows you to stay up-to-date on the newest treatment options matched to the molecular features of your cancer

About your expert: Michelle Morand keyboard_arrow_down

Michelle Morand, MA, RCC has a successful 35+ year career in mental health education and program development. She has been praised by leading minds such as Gabor Maté and John Gray as being a valuable thought-leader in the field of mental health.

Deeply passionate about helping others, Michelle is an international expert care partner to thousands of patients with cancer. She specializes in Cancer Advocacy and Navigation, using a high-touch approach based on whole person support, and works tirelessly with cancer patients and their loved ones to help them access more timely and beneficial treatments beyond what is offered by standard care.

She is the co-founder and CEO of Cancer Treatment Options and Management (CTOAM) and Liquid Biopsy Labs, where she has helped hundreds of cancer patients in over 26 countries, with over 53 types of cancer at all stages, to far outlive their doctors' predictions.

Michelle is also the founder of Cancer: Just the Facts, a first-of-its-kind online Education and Advocacy program that teaches patients and loved ones the foundations of Precision Cancer Medicine and, specifically, how to access the very best diagnostics and treatments available through medical science today.

Start with answers.

Patient Testimonials

"I feel a greater sense of agency and possibility after talking with you."

"Thank you for your kindness and clarity. I feel a greater sense of agency and possibility after talking with you." – Andrea H.

"It's the first time in about 3 weeks that I felt a sense of hope and confidence"

"Good morning Michelle, it was really good to talk to you yesterday as well. It's the first time in about 3 weeks that I felt a sense of hope and confidence – I slept better last night than I have in a while." – K.T.

"I can't say enough good things about Alex, Michelle, and the whole team – they truly go above and beyond, and I feel so fortunate to have them on my side."

"I am so grateful for the incredible support I've received from CTOAM. They have helped provide me with a precision diagnosis of my cancer, giving me better information to guide my treatment plans. The entire team is approachable, easy to reach, responsive, friendly, knowledgeable, and professional. I can't say enough good things about Alex, Michelle, and the whole team – they truly go above and beyond, and I feel so fortunate to have them on my side." – Dawn H.

"We can't express how thankful we are that we found you!"

"We can't express how thankful we are that we found you! It has already been life changing in many ways and you both continue to amaze us. Thank you for guiding us in our stressful, scary journey. 🩷" – Nathan and Cindy S.

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I want to add this service to my Personalized Cancer Care Program

Please note: By adding this item to your personalized cancer care program, you are not committing to anything. It simply allows our experts to help you most effectively: When you book your consult call with our team, your selections here ensure that we know which services and support are of most interest and importance to you at this time.

Fast-Track Precision Second Opinion

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$950 CAD + GST ($47.50)

help_outline How this consultation helps you: keyboard_arrow_down

1:1 Consultation with our Navigation Team (30 mins)

Need answers now?

Have big decisions to make fast?

Get all your urgent questions answered in just one consultation with personalized cancer research, advocacy and navigation specialists.

You can ask our expert team anything you want about your cancer, your treatment options, self-care, alternative therapies, and more. We are here to help with it all.

Just bring your pathology and imaging reports – and any additional medical records – to your consult call and our team will explain what your best treatment options are based on your specific case.

This is a virtual consultation, by phone or Zoom, with our navigation team.

You will also receive a 1-month subscription to our new Treatment Options Update program, which allows you to stay up-to-date on the newest treatment options matched to the molecular features of your cancer.

You will receive:

star 30 minutes 1:1 Zoom call with our navigation team
star Answers to all of your cancer care advocacy and navigation questions
star A recording and transcript of your consult, to share with your loved ones or doctor
star Treatment recommendations based on the diagnostics you bring to your consult
star A roadmap of clear next steps you can take to optimize your cancer care plan
star 1 month subscription to our new Treatment Options Update program, which allows you to stay up-to-date on the newest treatment options matched to the molecular features of your cancer.

Video coming soon

I want to add this service to my Personalized Cancer Care Program

Please note: By adding this item to your personalized cancer care program, you are not committing to anything.

star Most Comprehensive

Precision Second Opinion: Complete Treatment Options Review

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$1,647 CAD + GST

help_outline How this case review helps you: keyboard_arrow_down

1:1 Consultation with precision cancer medicine expert, Alex Rolland (60 mins)

Have your medical records and existing diagnostics reviewed to make sure that your current treatment plan is as effective as it can be and that no stone has been left unturned. Get all your questions answered about your cancer, your treatment options, self-care, alternative therapies etc. We are here to help with it all.

Ask our expert team any questions you have about your cancer care and get the answers you need, now. This is a virtual consultation, by phone or Zoom, with specialist Alex Rolland and his team.

This includes a 3-month subscription to our new Treatment Options Update program, which allows you to stay up-to-date on the newest treatment options matched to the molecular features of your cancer.

You will receive:

star 60 minutes 1:1 Zoom call with our expert molecular genetics team and renowned cancer specialist, Alex Rolland

star All of your existing medical records collected, organized, and analyzed by our expert team

star Answers to all of your cancer care advocacy and navigation questions

star A recording of your consult, to share with your loved ones or doctor

star Treatment recommendations based on your specific cancer proven to work better than what standard care is offering you

star A written report that you can bring directly to your doctor, with all treatment recommendations and peer-reviewed studies

star A roadmap of clear next steps you can take to optimize your cancer care plan

star 3-month subscription to our new Treatment Options Update program, which allows you to stay up-to-date on the newest treatment options matched to the molecular features of your cancer.

open_in_new Learn more about getting a Precision Second Opinion

Diagnostic Imaging

Advanced imaging for accurate staging and treatment planning

PET/CT Coordination and Delivery Consultation

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help_outline How can this help me? keyboard_arrow_down

If you would like more accurate imaging than CT, bone scans and MRI can provide, we will coordinate your PET-CT scan for you (depending on your location scans can be scheduled within 1–2 weeks on average). We will call and deliver the results to you by phone within 72hrs of your scan. We'll make sure you and your doctor understand everything the test showed and what to do to make the best use of this information towards your care. PET-CT is more accurate and thorough than a CT scan.

Statistics from studies worldwide show that cancer treatment plans are changed, on average, over 87% of the time based on PET/CT results (and 93% of the time for breast cancer!)

PET/CT provides you and your doctors with critical information regarding the true stage of your cancer. You will know if you have metastases or not and, if so, where.

Surgery can be more effective – more of the tumour(s) can be removed
Radiation can be properly targeted
You'll get a better biopsy sample to have genetic testing performed.

ASCO, for example, has hundreds of studies touting the merits of PET-CT and PSMA-PET for cancer diagnosis

Learn more: PET-CT Discovery Call for Coordination - Precision Cancer Medicine FAQ

Patient Testimonials

"I would like to express my gratitude to the CTOAM Team, and particularly Alex, for encouraging me to get the PET/CT scan."

"Dear Michelle, I would like to express my gratitude to the CTOAM Team, and particularly Alex, for encouraging me to get the PET/CT scan prior to starting radiation. The scan showed one "hot" 4mm lymph node. I took the USB stick to the radiation oncologist in Bellingham and he added 5 booster treatments for a 1 cm area to address the lymph node finding. Thank you to the CTOAM Team for turning around the scan results so quickly. And thank you to Alex for explaining (in very understandable language) the importance of the scan in our initial session. I think that my experience can serve as a real-life example of the scan benefits for future CTOAM clients and how the PET/CT scan information can modify your treatment plan. In contrast with the Canadian system, I have found the doctor here to be transparent about what constitutes silver standard vs. gold standard in scanning, so they were very willing to accommodate and pivot to incorporate the updated scan results. Sincerely, Karen M."

"Thank you so much for the invaluable info."

"Thank you so much for the invaluable info. Have arranged a PET-CT for next month. Your info about the different imaging was also invaluable – I have lung cancer, which in 2013 was picked up on a CT but the specialist completely overlooked it. Not even my GP had been told I'd had a CT." – Kaye W.

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PSMA-PET/CT Coordination and Delivery Consultation

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A PSMA-PET scan is a type of PET scan specifically for prostate cancer. It stands for: Prostate Specific Membrane Antigen (not the same as PSA). This test provides prostate cancer patients with a very accurate diagnosis. An entire field of cancer treatment, called Theronostics, has been established for prostate cancer patients based on the benefits of this scan. If you get a PSMA-PET and we learn that Theronostics is the right treatment for you, our team can help coordinate access to this leading-edge treatment. Many of our patients have had great success with Theranostics.

If you have a confirmed diagnosis of prostate cancer or some indication that you may have cancer we will coordinate your PET-CT scan for you (usually within 2 weeks!) and deliver the results to you by phone within 72hrs of your scan. We’ll make sure you and your doctor understand everything, including next steps to take depending on the results. PET-CT is more accurate and thorough than a CT scan.

Learn more: PSMA-PET Discovery Call for Coordination
- Precision Cancer Medicine FAQ

Patient Testimonials

"I would thoroughly recommend CTOAM as a priority to look at other options in cancer treatment."

"The Team at CTOAM have been very helpful in giving me advice and guiding me through the requirements for a PET scan. I can't thank Michelle enough for being available at short notice to discuss test results. I would thoroughly recommend CTOAM as a priority to look at other options in cancer treatment outside of the Canada Health Care System." – Ian Flood

I want to add this service to my Personalized Cancer Care Program

MRI Coordination

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If you'd like an MRI, we will coordinate your MRI scan, interpret your results, and deliver your results to you and your doctor. This non-invasive imaging test (Magnetic Resonance Imaging) is a good alternative to PET-CT and works better for certain types of cancer. MRI is also more accurate and thorough than a CT scan.

Learn more: Precision Cancer Medicine FAQ

I want to add this service to my Personalized Cancer Care Program

Genetic Testing for Cancer

Next-generation sequencing for DNA & RNA molecular profiling

biotech About DNA and RNA Genetic Sequencing keyboard_arrow_down

What is NGS?

What are Molecular Targeted Therapies?

Optimal treatment outcomes come from thorough molecular testing and expert analysis.

Studies show that matching patients to the correct targeted treatment protocol as early as possible has significant benefits: For example, of the 210 patients in this study, Molecular Profiling to Match Individually Dosed, Personalized Drug Combinations, 95% had significant, unique, and – most importantly – targetable mutations.

Our genetic testing services include both DNA sequencing and RNA sequencing. DNA sequencing identifies the genetic mutations present in your cancer, while RNA sequencing identifies the expression rate of RNA in those mutations.

In a nutshell, these tests help us to identify the best targeted therapy drugs for your form of cancer:

DNA Sequencing

DNA sequencing tests for mutations and shows us whether they have altered functions or are stuck turned on. It gets us in the the ballpark of the right targeted treatment(s).

RNA Sequencing

RNA sequencing tests for expression and shows us whether the gene is turned on or not, and by how much. It gets us to the bullseye of exactly which targeted treatment(s) are going to hit your specific cancer-driving mutations.

These are done with tumor tissue or with a blood sample. There are many factors that influence the correct analysis of the results of these tests, such as VUSs (Variants of Unknown Significance), resistance mutations, and more.

list The types of genetic tests we offer keyboard_arrow_down

Depending on your needs and budget, there are a variety of next-generation sequencing tests for you to choose from. They vary in depth and detail, but all of them are significantly superior to any of the genetic testing that is currently offered in standard cancer care.

So whether you are able to get the most comprehensive or something small from our selection, you will still be getting significantly more treatment options than you otherwise would.

We offer in-house testing via Liquid Biopsy Labs

The types of genetic testing we offer include:

check_circle Liquid Biopsy Labs – Tumor DNA Sequencing Panel (550+ gene panel)
check_circle Liquid Biopsy Labs – Liquid ctDNA (personalized test)
check_circle Liquid Biopsy Labs – Liquid RNA (20,813 gene panel)
check_circle Liquid Biopsy Labs – Tumor RNA Sequencing Panel (20,813 gene panel)
check_circle FoundationOne CDx – Tumor DNA Testing (320+ gene panel)
check_circle Fulgent – Tumor DNA Testing (50 to 150+ gene panel)
check_circle MMR/MSI Testing
check_circle HER2 Testing
check_circle PD-1 Testing
check_circle Ki67 Testing

warning What's Missing in Standard Genetic Testing keyboard_arrow_down

Unfortunately, standard genetic testing is rife with issues.

Typical standard genetic testing tests for maybe 10 or 20 mutations. This is not enough.

Our comprehensive genetic testing panel tests for over 550 genetic mutations. After receiving those results, we then run our RNA expression testing panel (which tests for over 20,000 genes!)

Standard testing does NOT take into consideration VUSs, nor sensitivity (check this term), and simply is far too small to be of use to most patients. It also does not take into consideration the fact that mutations interact with one another and this must be factored into things when determining a treatment.

Further, the tumor biopsy samples are often mishandled and deteriorated to the point of providing faulty results! Did you know that in public healthcare – and even in excellent companies such as Foundation Medicine CDx and CARIS – genetic testing fails to produce any beneficial data more than 40% of the time?

This is because of the improper handling of biopsy samples.

Rest assured, we have a solution for you!

Our team uses a specialized type of tissue separation process, called LCM (Laser Capture Microdissection), which provides us with a highly purified sample of DNA or RNA from the smallest amount of tissue.

And this ensures that our samples are viable and produce valuable results over 98% of the time.

If you have already had a biopsy, we will be able to use the existing tissue from that.

You just need to sign a release form

We will ensure that we get access to it from your hospital (or wherever it is located).

You will not need to have another procedure.

Learn more in our Precision Cancer Medicine FAQ

play_circle Patient Success Stories with Our Genetic Testing keyboard_arrow_down

library_books Download Additional Educational Resources keyboard_arrow_down

science Lab FAQ

Learn more about our lab, molecular sequencing diagnostics, and the difference between RNA and DNA testing.

download Download Lab FAQ

person Patient FAQ

Learn more about our team, mission, services, and how we work with patients.

download Download Patient FAQ

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Download our Precision Cancer Medicine FAQ to learn more about how our services help patients to enhance their current cancer care. (Link coming soon)

If you have any questions, please contact us.

Patient Stories & Successes

Elke D.

Stage 3 survivor, cancer-free for 4+ years

"My latest scan shows no tumours and I’m off treatment now. I wish I had discovered and trusted CTOAM sooner."

“I’m thankful to CTOAM for all I’ve learned about cancer and have recommended you to many friends. I had a couple phone consults with Alex two years ago. As a result of his suggestions I asked for a biopsy and genetic analysis and targeted treatment. Fortunately I met the criteria for immunotherapy which has been very effective in treating my lung cancer for the past couple years. My latest scan shows no tumours and I’m off treatment now. I wish I had discovered and trusted CTOAM sooner."

Annette F.

Stage 4 survivor, now cancer-free for 10+ years

"In 2015 I was diagnosed with stage 4 cancer and I didn't know if I'd be able to see my first daughter graduate highschool. Now it's 8 years later and I was able to do that!"

“We have only good things to say about CTOAM. Alex was just so positive and we enjoyed our phone calls with him because after we talked to him, we were like, okay we can do this! You know, I want the person who knows the most about cancer to be managing my case. And Alex is that person. In 2015 I was diagnosed with stage 4 cancer and I didn't know if I'd be able to see my first daughter graduate highschool. Now it's 8 years later and I was able to do that! And I'm still in long-term remission."

Korey H.

Stage 4 survivor, now living an excellent quality of life for 7+ years

"I wished I’d known about CTOAM a lot sooner and talked to you years ago."

"For a lot of people, I think the route with Alex is sort of a must. I trusted him wholly right away. He shows you the science behind everything and then it’s up to you to decide what you want to do. He goes along with your choices, never forces anything on you. I wished I’d known about CTOAM a lot sooner and talked to you years ago. But thankfully it all worked out. Without Alex, I wouldn't have gotten the immunotherapy and then I'd still be on chemo. Or worse."

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science DNA Sequencing

LBL Thermo Fisher Tumor DNA Testing
550+ gene panel

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$6,050 CAD + GST

help_outline How can this help me? keyboard_arrow_down

Our in-house leading-edge NGS lab uses the Thermo Fisher DNA sequencing panel, which looks at 550+ genes. It is superior to the panels offered by Princess Margaret Hospital in Ontario and Arthur Chiles in Calgary.

Hospitals like Princess Margaret and Arthur Chiles only offer patients a small 125 mutation panel for genetic testing. We provide our patients with a larger version – 550 known cancer-related mutations, which enables our specialists to identify with far greater precision which mutations are driving your cancer, accounting for all additional variables (MSI, MMR, VUSs, and more).

This allows us to properly identify all possible treatment options for you. It also allows us to track emerging mutations, which enables us to recommend your next treatment options, should your current treatment stop working. This excellent panel is much more comprehensive and accurate than standard genetic testing, as well as other private genetic testing companies like CARIS, FoundationOne, and others. It is an essential part of determining which targeted treatments will work best for a patient's cancer.

info About this test:

This test uses a tissue biopsy to look at 550 known cancer-related mutations and will show you exactly which mutations are involved in your cancer. This information gets us in the ballpark of identifying which targeted treatments will benefit you. The tissue-based RNA test, when used in tandem with this DNA test, allows us to hit the bullseye with identifying the exact right treatment options for you.

What you’ll find out:

• Which targeted therapies will benefit you most (ballpark idea)
• Whether immunotherapy is likely to work for you

Who it’s for:

• If you think you might have cancer
• You already have a diagnosis of cancer and want to ensure your diagnosis is correct
• You are already on treatment for cancer and want to know if there is a better treatment for you
• You are late-stage and have been told there are no more treatment options for you, but you want to know if there’s anything else out there for you

fact_check This test provides you with information on:

• Which mutations are involved in your cancer, out of 550 known mutations

• Which mutations have altered functions or are stuck turned on

• Whether you have a high TMB (Tumor Mutation Burden)

• Your data related to MMR/MSI

• Whether you have desensitized mutations

• VUSs (Variants of Unknown Significance)

schedule

Timeline: Turnaround typically takes about 3 weeks, once the lab has received a sample of your tumor tissue.

I want to add this service to my Personalized Cancer Care Program

FoundationOne CDx Tumor DNA Testing
320+ gene panel

CDx Liquid: $3,928.25 + GST
CDx Tissue: $3,787.95 + GST

help_outline How can this help me? keyboard_arrow_down

Our team helped FoundationOne create their CDx test! We can facilitate you accessing this test and ensure that your results are properly analyzed by our oncogenomics experts. Our team actually helped the FoundationOne team to understand the value of MMR, MSI, PD1, and more – and we were able to convince them to add that to their test, even before oncologists understood the importance of those variables...

This test costs less than our in-house Thermo Fisher sequencing test, because it is lower quality. It has a lower number of reads, they do thousands of tests per week, and their sample handling is of lower caliber. However, if this works for your budget, it is still far superior to the genetic testing offered by standard care.

The CDx is offered for both tissue and liquid – and our team can advise you on which is better for your needs. CDx testing is FDA approved and your doctor will respect its results.

We can commonly find more treatment options for you based on your test results that your doctor will not even know to look for – so it's most important that you have your results analyzed by an expert, such as those on our team. Experience makes all the difference.

Select test(s) to add to your Program:

CDx Liquid (Liquid Biopsy)

$3,928.25 CAD + GST

CDx Tissue (Tissue Biopsy)

$3,787.95 CAD + GST

Fulgent Tumor DNA Testing
50 to 150+ gene panel

Fulgent Heme: $4,950 + GST
Fulgent Lumera: $3,300 + GST
Fulgent TDNA: $3,300 + GST
Fulgent Inherited: $275/gene + GST

help_outline How can this help me? keyboard_arrow_down

Fulgent Genetics (often called Fulgent DNA testing) is a clinical genetic testing service that uses next-generation sequencing (NGS) to analyze DNA for inherited conditions, cancer risk, and disease-related mutations.

These tests typically focus on targeted oncology panels covering approximately 50 to 150+ genes, with the option for broader customized panels depending on your needs. Tissue DNA testing is primarily used to identify actionable mutations that can guide diagnosis, prognosis, and personalized treatment selection in oncology.

Select test(s) to add to your Program:

Fulgent Heme Panel

$4,950 CAD + GST

Fulgent Lumera Panel

$3,300 CAD + GST

Fulgent TDNA Panel

$3,300 CAD + GST

Fulgent Inherited (per gene)

$275 CAD + GST

Liquid Biopsy ctDNA Treatment Monitoring Program

Single LB: $1,149 + GST
3× LBs: $4,950 + GST
4× LBs: $5,060 + GST

help_outline How can this help me? keyboard_arrow_down

Our first-of-its-kind ctDNA Liquid Biopsy test identifies the percentage of tumor DNA in your blood and ensures accurate and timely treatment monitoring. This is a much more effective way to ensure your treatment is working as hoped compared to standard treatment monitoring. If your treatment is not working as hoped, it ensures that we will know immediately and can get you on another treatment quickly.

infoAbout this test:

This test is custom-designed for each person's unique cancer-related mutations. It looks at the amount of ctDNA (i.e. tumor DNA shedding into your bloodstream) and informs us immediately if there are more cancer-driving mutations than a few weeks prior (meaning your treatment is not working as hoped, or cancer is growing). It also tells us when there are no more of these cancer-driving mutations in your body. This test can be used as early recurrence detection of a single-known cancer-related mutation, as it will detect when cancer is present before there are any solid tumors!

What you'll find out:

• Whether your cancer is growing, slowing, or gone
• How well your treatment is working
• Whether you have a cancer recurrence (long before PET-CT!)

Who it's for:

• Currently on treatment wanting to confirm it's working
• Told you're cancer-free and want to verify
• Have a history of cancer and want early recurrence detection
• You have a history of cancer in your family and want to be on top of early detection

This test provides information on:

The exact percentage of ctDNA in your blood, based on your existing cancer-related mutations.

schedule

Timeline: You'll receive your results within three weeks from the time we receive your blood test.

Select test(s) to add to your Program:

Single Liquid Biopsy

$1,149 CAD + GST

3× Liquid Biopsy Program

$4,950 CAD + GST

4× Liquid Biopsy Program

$5,060 CAD + GST

waterfall_chart RNA Sequencing

Tissue-based Tumour RNA Sequencing
20,813 gene panel

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$6,050 CAD + GST

help_outline How this test helps you: keyboard_arrow_down

Tumor RNA expression testing is a brand-new technology that can determine which type of treatments will work best for a cancer patient – including targeted therapies, newer chemo drugs with fewer side effects, and an all-new category of targeted treatments called Antibody Conjugate Drugs (ADCs).

This whole genome test looks at every known gene in the human body – all 20,813 of them! – and will determine with far greater accuracy than DNA alone which type of treatments will work best for you.

The nature of the data whole genome RNA expression testing provides helps our molecular specialists and MDs navigate your access to the most beneficial advanced therapies – these drugs have fewer side effects during and after your therapy and better effect on the cancer – and a new category of targeted treatments called Antibody Conjugate Drugs (ADCs).

Blood-based Liquid RNA Sequencing for Treatment Options
20,813 gene panel

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Single LRNA: $4,950 CAD + GST

help_outline How this test helps you: keyboard_arrow_down

Liquid RNA expression testing is a brand-new technology – and the only one of its kind in the world! It can determine which type of treatments will work best for a cancer patient – including targeted therapies, newer chemo drugs with fewer side effects, and an all-new category of targeted treatments called Antibody Conjugate Drugs (ADCs).

stars Featured at ASCO GI San Francisco 2026 stars ESMO Targeted Anticancer Therapies Congress 2026 – Paris

With just this one blood test, you can find out – with 96% accuracy in just 3 weeks! – what is happening in real time across all known cancer-related mutations and markers in your body.

This study, Could a Liquid Biopsy Lead to Earlier Diagnoses for Numerous Cancer Types?, highlights the benefit of liquid biopsy for early diagnosis, showing it can significantly reduce cancer-related mortality by enabling earlier intervention.

You will find out:

• The amount of active cancer in your body, even before solid tumors have formed – which is why it is such an excellent test for early detection!
• Which molecular features and mutations are the primary drivers of your cancer right now
• Which treatments will benefit you most now and/or how well the one you're on is working
• What specific dietary changes, supplement and/or integrative therapies will benefit you most

→ Learn more about the LRNA Liquid Biopsy test

add_circle Additional Testing

Comprehensive Inherited Mutations Testing

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help_outline How this test helps you: keyboard_arrow_down

Covers all 154 known cancer-related inherited mutations for people wanting to assess their likelihood of developing cancer based on any inherited cancer-related genes.

This advanced genetic testing will identify any inherited cancer-related mutations using a simple saliva or blood sample – no invasive tissue collection required. Unlike standard tests that screen only a few common genes (such as BRCA1/2), this comprehensive panel analyzes 154 known cancer-related genes, offering a far more complete understanding of genetic risk.

Inherited mutation testing is particularly valuable for younger people diagnosed with cancer, as well as for family members who want to understand their potential risk.

How do you know if you need this test?

If you are under the age of 40 and it is the first time you or your loved one has had cancer, an inherited mutations test would be warranted. If you are not under 40 at the time of your first cancer diagnosis, inherited mutations are less likely to play a key role.

HER2 IHC Testing

HER2 with program: $1,265 + GST
HER2 solo: $1,650 + GST

help_outline How this test helps you: keyboard_arrow_down

HER2 IHC testing is a recent development in cancer diagnostics. HER2 is found in many cancer types – not only breast cancer – and plays a key role in determining the right targeted therapy, specifically within the umbrella of Antibody Drug Conjugates (ADCs).

HER2 testing is a targeted, tissue-based diagnostic that evaluates whether a specific cancer-driving protein is present and actionable within a tumor. This service coordinates the full process using existing biopsy or surgical tissue – no new procedure is typically required.

• If HER2-positive → the cancer is being driven by this protein
• This opens the door to targeted therapies designed specifically to block HER2

Select test(s) to add to your Program:

HER2 Testing (with program)

$1,265 CAD + GST

HER2 Testing (solo)

$1,650 CAD + GST

PD-1 Testing

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PDL1: $1,045 + GST

help_outline How this test helps you: keyboard_arrow_down

PD-1 testing is a tissue-based analysis that helps determine whether you are likely to benefit from immunotherapy by evaluating key immune checkpoint activity within your tumor(s).

Our team will ensure that everything is handled for you – from accessing your existing biopsy sample to delivering your results and next steps. The goal is to identify whether immunotherapy approaches are appropriate and to ensure those options are fully explored.

• PD-1/PD-L1 testing evaluates how cancer is evading the immune system
• If the PD-1/PD-L1 pathway is active → the tumor is "turning off" immune cells, suggesting immunotherapy benefit

Ki-67 Testing

Ki-67 test only: $1,097.25 + GST
Ki-67 with consult: $1,650 + GST

help_outline How this test helps you: keyboard_arrow_down

Ki-67 testing is a tissue-based diagnostic that measures how quickly cancer cells are dividing. It is primarily used for breast cancer to determine how aggressive a tumour is.

If the result is 20 or more in breast cancers, we can use those results to get a patient a specific drug that slows the disease, called Abemaciclib.

• A high Ki-67 score indicates a fast-growing, more aggressive tumor
• A low Ki-67 score suggests slower tumor growth
• Ki-67 helps guide treatment decisions by showing how aggressive the cancer is

Commonly assessed using existing biopsy or surgical tissue – often used alongside other markers (like HER2 or hormone receptors) to refine diagnosis and treatment strategy.

science

Select test(s) to add to your Program:

Ki-67 Test Only

$1,097.25 CAD + GST

Ki-67 with Consult

$1,650 CAD + GST

Coordination Services

End-to-end coordination for testing, surgery, and advanced therapies

Tumor DNA Testing Coordination

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$1,485 + GST

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We will coordinate your Tumor DNA Test with the company of your choice; analyze your results; and deliver them to you in a 1:1 consult, along with next steps for treatment recommendations and advocacy.

This service provides end-to-end coordination of advanced cancer testing, ensuring that critical diagnostic insights are gathered quickly and accurately – and conveyed to you with clear, actionable steps for how to move forward. This is for both our tissue-based tumor testing and liquid biopsy testing. We provide you with guidance every step of the way, from physician requisition through sample retrieval, lab submission, and results delivery. We can handle as much – or as little – of the coordination process as you would like.

Our coordination team works directly with healthcare providers and pathology labs to secure and transfer stored tumor samples, streamline test approvals, and minimize delays. Once your results are ready, they are reviewed by our team of molecular specialists and medical doctors – who then use them to identify the most effective treatment options for you.

We translate all of the complex genomic data gathered from your genetic testing into actionable next steps – supporting access to targeted treatments, facilitating communication with care teams, and advocating for interventions that may not have been previously offered.

Our goal is to ensure that no critical information is missed, and that every available diagnostic and treatment pathway is fully explored – so you can move forward with clarity, confidence, and the most informed care decisions possible.

Tumor RNA Testing Coordination

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$1,485 + GST

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We will coordinate your Tumor RNA Test with the company of your choice; analyze your results; and deliver them to you in a 1:1 consult, along with next steps for treatment recommendations and advocacy.

Surgical Treatment Coordination

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$1,485 + GST

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We will coordinate your surgery using innovative tools and the best surgeons available worldwide, quickly and smoothly; ensure that your sample and biopsy results are kept properly; and that proper follow-up occurs.

Our team connects you with the most appropriate surgical specialists worldwide, ensuring that proper pre-surgical diagnostic tests are completed, biopsy samples are properly handled, and comprehensive follow-up care is planned including genetic analysis of tissue obtained during surgery.

Proton Beam Therapy Coordination

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$1,485 + GST

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Proton beam therapy is an advanced form of radiation treatment that delivers highly targeted energy directly to a tumor – without damaging surrounding healthy tissue.

Unlike conventional radiation, it does not generate heat or scatter into nearby organs, making it one of the most precise and tissue-sparing options available.

Coordination: Our team can help you to first determine if you are a candidate for proton beam therapy – and then, if you are, we can help to guide you on next steps to take to access it. While this advanced treatment is not yet available in Canada, it is already available in the US and Europe.

When it’s used:
Proton therapy is especially valuable for tumors located near critical or sensitive structures – such as the brain, heart, or other vital organs – where traditional radiation may be too risky or not possible. It was originally developed for delicate cases like pediatric brain tumors, where protecting surrounding tissue is essential.

How to know if this will work for you:
To assess whether proton therapy is appropriate, we recommend that you get a PET-CT to confirm active cancer and pinpoint its exact location. An MRI may also be used to provide a clearer anatomical view. These imaging results allow specialists to evaluate whether the tumor can be safely and effectively targeted with proton therapy.

The goal of this therapy is to deliver maximum impact on the tumor while minimizing collateral damage – opening up treatment possibilities in cases where standard radiation is not an option.

Expert Analysis, Clinical Trials & Treatment Support

Personalized research, advocacy, nutrition, and mental health support

analytics Expert Analysis of Test Results

Personalized Research and Brief TX: $3,575 + GST | Personalized Research and Full TX: $7,150 + GST

Our expert analysis services provide a comprehensive, precision-driven evaluation of each patient’s cancer. We transform complex test results into clear, actionable takeaways and treatment recommendations that you can action on.

Our team of multidisciplinary PhD-level molecular scientists and oncology-trained physicians reviews all available medical data – including pathology, prior testing, and medical records – through the lens of the most advanced precision cancer medicine.

Unlike standard approaches that rely primarily on limited DNA testing – or no genetic testing at all! – our team’s analysis incorporates extensive molecular profiling, including RNA expression data, to identify not just the presence of mutations, but their expression level as well. And it is this unprecedented combination of data that allows us to narrow down our treatment recommendations with the greatest amount of precision.

This deeper level of analysis allows us to distinguish which molecular features are actually driving the cancer, which ensures that our treatment recommendations for you are the most targeted and effective available worldwide.

By integrating the latest peer-reviewed research and global treatment options, we provide patients with a highly personalized roadmap. We help you to avoid ineffective therapies and wasted time, as well as reduce uncertainty and confusion. You can finally move forward with greater confidence in your choices because your treatment decisions are based on the newest medical science and on comprehensive data.

Analysis of Tumour DNA Sequencing Results
Tissue or blood-based

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Included in Expert Analysis package

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Our team of oncogenomics specialists will analyze your tumor DNA sequencing results (panel or liquid biopsy) and deliver them to you in a consult, with explanation of what they mean for your cancer, treatment recommendations, and suggested next steps.

Analysis of RNA Sequencing Results
Tissue or blood-based

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Included in Expert Analysis package

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Our team of oncogenomics specialists will analyze your RNA sequencing results (panel or liquid) and deliver them to you in a consult, with explanation of what they mean for your cancer, treatment recommendations, and suggested next steps.

Analysis of Other Previous Genetic Testing Results

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Included in Expert Analysis package

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Our team will collect your results from previous genetic testing you have had done and analyze the results for you and your doctor. We are often able to catch things previously missed and suggest new treatment recommendations based on pre-existing results.

Clinical Trial Coordination and Advocacy Support

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Our expert team will find the clinical trials that match with your recommended treatment, as close to your home as possible. We will handle the paperwork and application process for you.

Because of our broad network and 15+ years in the field, our team is often able to get our patients fast-tracked into the clinical trial of their choice – saving a great deal of time, frustration, and money.

This service helps cancer patients to identify and access the most appropriate, evidence-based treatment options available worldwide. Rather than relying solely on standard diagnostics and locally available trials, we use advanced molecular profiling – including comprehensive DNA and RNA expression analysis – to precisely identify the key drivers of each individual's cancer.

This deeper level of insight allows us to match patients with clinical trials targeting the molecular features most relevant to their disease, significantly improving the likelihood of therapeutic benefit. We focus on trials where safety, dosing, and expected outcomes are already well understood, such as late-phase (Phase II/III) studies.

Our team actively engages with clinical trial coordinators and pharmaceutical companies to advocate for patient inclusion, even in cases where trial eligibility would not typically apply based on cancer type alone. In many cases, patients may access treatments without the need for travel.

In addition, we continuously monitor emerging research and trial opportunities, ensuring that each patient’s data remains actionable over time as new therapies become available.

Treatment Options Review (From Existing Medical Records)

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Included in Complete PSO / Expert Analysis

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We will collect your pre-existing medical records and test results and conduct in-depth personalized research of the newest peer-reviewed studies, most current medical science, and FDA-approved treatments.

After our analysis and research, we will deliver your recommendations in a consult alongside a written report to present to your doctor, and suggestions for next steps if further advocacy is needed.

Treatment Options Advocacy (With Your Oncologist)

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PT Nav Program: $6,050 + GST

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Our Patient Navigation team will implement our proven strategy for accessing the treatment you need, by working alongside your current doctor or treatment team.

We are almost always able to get new treatments either completely covered or, at the very least, for a greatly reduced price through international pharmacies.

Patient Drug Navigation and Treatment Access Program

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PT Nav Program: $6,050 + GST

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Our Patient Navigation team will ensure you get the treatment you need – either completely covered or for a greatly reduced price – through our proven advocacy strategy.

We will handle all of the applications, paperwork, and outreach to local cancer agencies, compassionate access options, clinical trials, and international pharmacies.

Our patient navigation service is designed to help individuals access the treatments they need quickly, confidently, and affordably. Once beneficial treatment options have been identified, our team works alongside patients to access those therapies. This includes advocating within healthcare systems, coordinating with physicians and specialists, and engaging directly with pharmaceutical companies and clinical trial coordinators.

We go far beyond standard care by supporting our patients with access to the most advanced therapies, surgical options, innovative procedures, and global treatment opportunities. Whether you want to pursue care locally or internationally, our expert Patient Navigation team will identify all possible options for you, explain the different costs and coverage, and manage the necessary communication and logistics.

Importantly, we tailor this process to each patient’s goals & decisions, and provide hands-on support to move from recommendation to action as easily and quickly as possible.

spa Nutrition, Lifestyle & Mental Health Support

Dietician

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$250 per hour + GST

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Diet is such an important aspect of cancer care, and one that is sadly overlooked far too often in standard care.

Our professional dietician will work with you to create and implement a science-based nutrition plan, including supplements as needed, that will enhance your treatment and give you the best chance of helping your body to fight cancer.

Nutraceutical Diet and Targeted Exercise Program

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A personalized nutraceutical diet based on the molecular features of your specific cancer.

Our specialists will create a personalized nutraceutical diet based on the molecular features of your specific cancer. Nutraceuticals are supplements and foods that are scientifically proven to slow the growth of cancer. We will also create a targeted exercise program for you, including specific weight-bearing exercises that are scientifically proven to help your body fight cancer.

Cancer Care Counselling

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$250 per hour (no GST)

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Our professional counsellor, Michelle Morand (MA, RCC), with 30+ years experience, will work with you one-to-one to help you navigate this difficult time.

Lowering your emotional stress and tending to your mental health can have a significant impact on your body's ability to fight cancer. Counselling for family members or couples is also possible and can often make a big difference on a family's ability to cope with cancer.

Hope IsHere.

How We Help You

Is This Right For You?

Science-based Hope for Your Specific Cancer

Services for Cancer Patients

Consultation Services

Precision Cancer Care Consultation

Fast-Track Precision Second Opinion

Precision Second Opinion: Complete Treatment Options Review

Diagnostic Imaging

PET/CT Coordination and Delivery Consultation

PSMA-PET/CT Coordination and Delivery Consultation

MRI Coordination

Genetic Testing for Cancer

science Lab FAQ

person Patient FAQ

Patient Stories & Successes

science DNA Sequencing

LBL Thermo Fisher Tumor DNA Testing550+ gene panel

FoundationOne CDx Tumor DNA Testing320+ gene panel

Fulgent Tumor DNA Testing50 to 150+ gene panel

Liquid Biopsy ctDNA Treatment Monitoring Program

waterfall_chart RNA Sequencing

Tissue-based Tumour RNA Sequencing20,813 gene panel

Blood-based Liquid RNA Sequencing for Treatment Options20,813 gene panel

add_circle Additional Testing

Comprehensive Inherited Mutations Testing

HER2 IHC Testing

PD-1 Testing

Ki-67 Testing

Coordination Services

Tumor DNA Testing Coordination

Tumor RNA Testing Coordination

Surgical Treatment Coordination

Proton Beam Therapy Coordination

Expert Analysis, Clinical Trials & Treatment Support

analytics Expert Analysis of Test Results

Analysis of Tumour DNA Sequencing ResultsTissue or blood-based

Analysis of RNA Sequencing ResultsTissue or blood-based

Analysis of Other Previous Genetic Testing Results

Clinical Trial Coordination and Advocacy Support

Treatment Options Review (From Existing Medical Records)

Treatment Options Advocacy (With Your Oncologist)

Patient Drug Navigation and Treatment Access Program

spa Nutrition, Lifestyle & Mental Health Support

Dietician

Nutraceutical Diet and Targeted Exercise Program

Cancer Care Counselling

What Happens Next?

Hope Is
Here.

LBL Thermo Fisher Tumor DNA Testing
550+ gene panel

FoundationOne CDx Tumor DNA Testing
320+ gene panel

Fulgent Tumor DNA Testing
50 to 150+ gene panel

Tissue-based Tumour RNA Sequencing
20,813 gene panel

Blood-based Liquid RNA Sequencing for Treatment Options
20,813 gene panel

Analysis of Tumour DNA Sequencing Results
Tissue or blood-based

Analysis of RNA Sequencing Results
Tissue or blood-based