Cancer Screening & Rule out

Non-invasive blood and urine-based cancer screening tests, including FDA-approved tests for colorectal cancer and bladder cancer risk stratification.

Cxbladder Detect is an established test, optimised for the risk stratification of urothelial cancer (UC) in patients presenting with haematuria.

Detect helps to de-intensify clinical work-up in those with a low probability Detect test result, improving practice workflow and efficiency in urological care, while giving patients the best experience possible. 


Urine genomic test for microhaematuria risk stratification. Reduces unnecessary cystoscopy. Resolves atypical cytology.

Cxbladder® Detect | Microhaematuria Risk Stratification Test | Codex Genetics

Optimised for microhaematuria risk stratification. Resolves atypical cytology and equivocal cystoscopy findings, reducing unnecessary invasive investigations.

Cxbladder® Detect

Cxbladder Triage is an established test optimised for the risk stratification and rule of out of urothelial cancer (UC) in patients presenting with microhaematuria. Triage helps to de-intensify clinical work-up in those with a low probability Triage test result, reducing the need for referral and invasive procedures, while prioritising those who require further investigation.

Triage is included in the American Urological Association Microhaematuria Guideline¹, supported with "Grade A" evidence from the STRATA randomised controlled trial².


¹ Barocas et al. (2025) Updates to Microhematuria: AUA/SUFU Guideline (2025). The Journal of urology, 213(5), 547–557. https://doi.org/10.1097/JU.0000000000004490.

² Lotan et al. (2024) A Multicenter Prospective Randomized Controlled Trial Comparing Cxbladder Triage to Cystoscopy in Patients With Microhematuria. The Safe Testing of Risk for Asymptomatic Microhematuria Trial. The Journal of Urology Vol 212(1) 41-51.


AUA Level A Evidence urine genomic test for haematuria risk stratification. Non-invasive bladder cancer screening. 

Cxbladder® Triage | Urine Genomic Bladder Cancer Test | Codex Genetics

Genomic urine test to stratify patients presenting with haematuria. The first and only urine-based test included in the AUA Microhaematuria Guideline with Level A Evidence.

Cxbladder® Triage

Cxbladder Triage Plus is a next generation Cxbladder test that employs a novel combination of mRNA and DNA biomarkers to extend best in class performance.

Triage Plus enhances the risk stratification and rule out of urothelial cancer (UC) in patients presenting with haematuria, reducing unnecessary cystoscopies in patients with a low probability of disease, while prioritising those who need immediate care.

With analytical and clinical validation shown in published studies1,2, Triage Plus builds on the performance of Cxbladder Triage, a test now included in the American Urological Association Microhaematuria Guideline3 supported with "Grade A" evidence from the STRATA randomised controlled trial.4


1 Harvey et al. (2025) Analytical Validation of the Cxbladder® Triage Plus Assay for Risk Stratification of Hematuria Patients for Urothelial Carcinoma. Diagnostics. 2025; 15(14):1739. https://doi.org/10.3390/diagnostics15141739.

2 Savage et al. (2025) Diagnostic performance of Cxbladder Triage Plus for the identification and stratification of patients at risk for urothelial carcinoma: The multicenter, prospective, observational DRIVE study. Urologic oncology, S1078-1439(25)00405-3. Advance online publication. https://doi.org/10.1016/j.urolonc.2025.10.008

3 Barocas et al. (2025) Updates to Microhematuria: AUA/SUFU Guideline (2025). The Journal of urology, 213(5), 547–557. https://doi.org/10.1097/JU.0000000000004490.

4 Lotan et al. (2024) A Multicenter Prospective Randomized Controlled Trial Comparing Cxbladder Triage to Cystoscopy in Patients With Microhematuria. The Safe Testing of Risk for Asymptomatic Microhematuria Trial. The Journal of Urology Vol 212(1) 41-51.


Cxbladder® Triage Plus

Guardant Shield™ is a qualitative, blood-based colorectal cancer screening test that analyzes cell-free DNA (cfDNA) signals from plasma. It is intended for individuals at average colorectal cancer risk who are 45 years or older.

A positive Shield result requires follow-up colonoscopy. A negative result does not rule out colorectal cancer or advanced adenoma, and routine guideline-based screening should continue at recommended intervals.

Qualitative blood-based CRC screening test for average-risk adults age 45+.

Guardant Shield™ | Blood-Based Colorectal Cancer Screening (45+)

Qualitative blood-based IVD for colorectal cancer screening in average-risk adults age 45+

Guardant Shield™

The multi-cancer detection (MCD) test offered by Guardant Health, is a bloodbased test which is intended to detect 10 cancers: Bladder, Breast, Colorectal, Esophageal, Gastric (Stomach), Liver (Hepatocellular), Lung, Pancreatic, Prostate and Ovarian.

Cancer screening can help detect cancer before any symptoms appear. By the time symptoms develop, cancer is often already at a more advanced stage.¹ Early detection improves the chances of survival and can reduce the risk of death.¹⁻³ MCD test* may help more people get screened by using a single blood test to look for signals of different cancers.²

![Shield MCD One Pager Fact Sheet (1).png](http://192.168.0.67:1337/uploads/Shield_MCD_One_Pager_Fact_Sheet_1_9d621d2ab7.png)



FDA-approved blood test for colorectal cancer screening. No bowel prep. Available in Hong Kong through Codex Genetics.

Guardant Shield™ | Blood-Based CRC Screening | Codex Genetics HK

FDA-approved blood test for CRC screening as an alternative to colonoscopy for average-risk individuals aged 45+.

Guardant Shield™ Multi-Cancer Detection

癌症筛查与排除

透过液态活检及其他非侵入性技术，实现癌症的早期检测与风险评估。

Cxbladder® Detect 是一项尿液基因检测，旨在提升泌尿科照护流程效率。该检测特别针对微血尿患者优化，对低概率结果者可协助降低临床检查强度，并可用于澄清非典型尿细胞学及界线性膀胱镜结果。

用于微血尿风险分层的尿液基因检测。降低不必要膀胱镜，并协助澄清非典型细胞学结果。

Cxbladder® Detect｜微血尿风险分层检测｜Codex Genetics

针对微血尿风险分层优化的尿液基因检测。可协助澄清非典型尿细胞学与界线性膀胱镜结果，降低不必要的侵入性检查。

Cxbladder® Triage 是一项非侵入性尿液基因检测，通过测量五个生物标记基因（CDC2、IGFBP5、HOXA13、MDK、CXCR2）的表达，评估尿路上皮癌的可能性。该检测已纳入 2020 年美国泌尿外科协会（AUA）微血尿指引，为首个且目前唯一获 A 级证据支持的尿液基因组生物标记测试。Cxbladder® Triage Plus 为其升级版本，额外整合 2 个基因（FGFR3、TERT）的 6 个 DNA SNV。

具 AUA A 级证据支持的血尿风险分层尿液基因检测。非侵入性评估膀胱癌风险。

Cxbladder® Triage｜血尿风险分层尿液基因检测｜Codex Genetics

用于血尿患者风险分层的尿液基因检测。该检测为首个且目前唯一纳入 AUA 微血尿指引并具 A 级证据支持的尿液基因组生物标记测试。

Guardant Shield™ 是一项定性血液型结直肠癌筛查检测，通过血浆中的游离 DNA（cfDNA）信号进行分析。适用于 45 岁以上、属于结直肠癌平均风险的人群。

Shield 阳性结果需进一步接受结肠镜检查。阴性结果不代表可排除结直肠癌或进展期腺瘤，仍应按指南建议间隔持续规律筛查。

适用于 45 岁以上平均风险成人的定性血液型结直肠癌筛查

Guardant Shield™｜血液型结直肠癌筛查（45+）

定性血液体外诊断（IVD）检测，用于 45 岁以上平均风险成人之结直肠癌筛查；阳性结果需安排结肠镜随访。

Guardant Health 提供的多癌种（MCD）检测是一项以血液为基础的检测，旨在检测 10 种癌症，包括：膀胱癌、乳腺癌、结直肠癌、食管癌、胃癌、肝癌（即肝细胞癌）、肺癌、胰腺癌、前列腺癌及卵巢癌。

对于尚无症状的人士，癌症筛查有助于及早发现癌症。当症状出现时，癌症很可能已处于较晚期阶段¹。及早识别癌症征兆可提高生存率并降低死亡率¹⁻³。总体而言，MCD 检测有望通过单次血液检测提高筛查率，从而提升癌症的检测能力²。

![Shield MCD Mini Factsheet_zhCN.png](http://192.168.0.67:1337/uploads/Shield_MCD_Mini_Factsheet_zh_CN_d5a37b51bb.png)



经美国食品药物管理局 (FDA) 批准的大肠癌筛检血液检测。无需肠道准备。香港可透过 Codex Genetics 公司购买。

FDA 核准的血液检测可用于 CRC 筛检，作为 45 岁及以上平均风险族群大肠镜检查的替代方案。

Guardant Shield™ 多癌症检测

癌症篩查與排除

透過液態活檢及其他非侵入性技術，實現癌症的早期檢測與風險評估。

Cxbladder® Detect 是一項尿液基因檢測，旨在提升泌尿科照護流程效率。此檢測特別針對微血尿患者優化，對低機率結果者可協助降低臨床檢查強度，並可用於釐清非典型尿細胞學及界線性膀胱鏡結果。

用於微血尿風險分層的尿液基因檢測。降低不必要膀胱鏡，並協助釐清非典型細胞學結果。

Cxbladder® Detect｜微血尿風險分層檢測｜Codex Genetics

針對微血尿風險分層優化的尿液基因檢測。可協助釐清非典型尿細胞學與界線性膀胱鏡結果，降低不必要的侵入性檢查。

Cxbladder® Triage 是一項非侵入性尿液基因檢測，透過量測五個生物標記基因（CDC2、IGFBP5、HOXA13、MDK、CXCR2）的表現，評估尿路上皮癌的可能性。該檢測已納入 2020 年美國泌尿外科學會（AUA）微血尿指引，為首個且目前唯一獲 A 級證據支持的尿液基因體生物標記測試。Cxbladder® Triage Plus 為其升級版本，額外整合 2 個基因（FGFR3、TERT）的 6 個 DNA SNV。

具 AUA A 級證據支持之血尿風險分層尿液基因檢測。非侵入性評估膀胱癌風險。

Cxbladder® Triage｜血尿風險分層尿液基因檢測｜Codex Genetics

用於血尿患者風險分層的尿液基因檢測。此檢測為首個且目前唯一納入 AUA 微血尿指引並具 A 級證據支持的尿液基因體生物標記測試。

Guardant Shield™ 是一項定性血液型結直腸癌篩檢檢測，透過血漿中的游離 DNA（cfDNA）訊號進行分析。適用於 45 歲以上、屬於結直腸癌平均風險的人群。

Shield 陽性結果需進一步接受大腸鏡檢查。陰性結果不代表可排除結直腸癌或進階腺瘤，仍應依指引建議之間隔持續規律篩檢。

適用於 45 歲以上平均風險成人的定性血液型結直腸癌篩檢

Guardant Shield™｜血液型結直腸癌篩檢（45+）

定性血液體外診斷（IVD）檢測，用於 45 歲以上平均風險成人之結直腸癌篩檢

Guardant Health 提供的多種癌症(MCD)檢測是一項以血液為基礎的檢測，旨在檢測 10 種癌症，包括：膀胱癌、乳癌、大腸癌、食道癌、胃癌、肝癌（即肝細胞癌）、肺癌、胰臟癌、前列腺癌及卵巢癌。

對於尚無症狀的人士，癌症篩查有助及早發現癌症。當症狀出現時，癌症很可能已處於較晚期階段¹。及早偵測癌症的徵兆，可提高存活率並降低死亡率。¹⁻³ 整體而言，MCD 檢測有望透過單項血液檢測提高篩查率，從而提升偵測癌症的能力。²

![Shield MCD Mini Factsheet_zhHK 1.png](http://192.168.0.67:1337/uploads/Shield_MCD_Mini_Factsheet_zh_HK_1_0385ac2120.png)



經美國食品藥物管理局 (FDA) 批准的大腸癌篩檢血液檢測。無需腸道準備。香港可透過 Codex Genetics 公司購買。

FDA 核准的血液檢測可用於 CRC 篩檢，作為 45 歲及以上平均風險族群大腸鏡檢查的替代方案。

癌症筛查与排除

可用检测

Cxbladder® Detect

Cxbladder® Triage

Guardant Shield™

Guardant Shield™ 多癌症检测

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