Brain and cognitive assessment in San Francisco Bay Area

A baseline recorded now so that a change years from now has something to be compared against. That is the whole argument for doing it early, and it is a better reason than any single result the test produces today.

Brain MRI with volumetric analysis is offered under brands like NeuroQuant.

2 of the 9 clinics in our San Francisco Bay Area guide, each with the published services behind the claim.

Preventive diagnostics clinic

Biograph, San Francisco Bay Area

San Mateo, on the San Francisco Peninsula

One six-hour day of imaging and testing in San Mateo, then a physician who reads the whole picture back to you.

Biograph's founding clinic sits in San Mateo, not in San Francisco, about fifteen minutes from SFO. You buy a year, not a visit: one six-hour day in a private suite running twenty or more assessments, then a report and a one-to-one review with a Biograph physician about three weeks later, then calls with a dietitian and an exercise physiologist. Core covers whole-body MRI, a comprehensive blood panel, DEXA and VO2 max. Black roughly doubles the price and adds coronary CT angiography, a low-dose lung CT, a multi-cancer blood test, brain health assessment, mid-year labs and a glucose monitor. Two physicians are named for this clinic, which is more than most operators of this size publish. What you will not find anywhere we read is a phone number, opening hours, or what year two costs.

Diagnostics include: Genetic & genomic testing · Neurocognitive testing · Continuous glucose monitoring

Care modelAnnual membership, two tiersClinical focusPreventive diagnostics, imaging-ledWhereSan Mateo, off Highway 101

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Publishes: Neurocognitive testing

Concierge primary care with an executive health program

My Doctor Medical Group

Union Square, San Francisco

An executive physical spread over three to four weeks, with the marker list published and the physician still there afterwards.

A physician-owned concierge practice on Sutter Street that has been running since 2008, built around two things you can buy separately. The first is an executive health evaluation that runs over three to four weeks rather than one morning: a 60-minute video intake before any test is ordered, a coordinated testing day downtown, a physical at the Sutter Street office, then a written report, a slide deck and a 60-minute conversation about what it all means. The clinic publishes what is in it, down to the marker names: NMR lipoprofile, Lp(a), ApoB, hs-CRP, fasting insulin, a thyroid panel, a CT calcium score, a carotid CIMT ultrasound, a stress test, a 163-gene hereditary risk panel, Galleri multi-cancer detection, a home sleep study, spirometry, optometry and audiology. It starts at $12,500. The second is membership, in a Priority, VIP or Home Care tier, where the same physicians carry the plan forward with 24/7 access, house calls where indicated and admitting privileges at CPMC. No membership fee is published anywhere, and the add-on studies are priced individually at intake, so the two numbers that decide your total are both conversations rather than pages.

Diagnostics include: DEXA scan · Neurocognitive testing

Care modelConcierge membership, out of networkClinical focusExecutive health and preventive primary careWhere450 Sutter St, Union Square

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Publishes: Neurocognitive testing

Brain and cognitive assessment in other cities

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