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Diagnosing Dx

Elevra Consulting

How do we transform cutting-edge scientific discoveries into life-saving diagnostics?

On Diagnosing Dx, we explore the scientific innovation driving diagnostics forward, unpack industry challenges, and spotlight success stories. Join us as we speak with leading researchers and innovators at the forefront of Dx.

Learn to:
🔹 Navigate industry challenges
🔹 Understand emerging science
🔹 Strategise for growth
🔹 Gain future-focused insight

Essential listening for everyone involved in bringing new sciences to life in the Dx and Omics industry, Subscribe now!

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33 episodes
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Avg 40 min
English

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Thursday · 44 min
Why Does Better Diagnostic Science Struggle to Reach Patients? Hannah Mamuszka, Founder Alva10
In this episode of Diagnosing Dx, David Filby is joined by Hannah Mamuszka, Founder of Alva10. After more than 20 years in the diagnostics industry, Hannah has seen first-hand why promising scientific breakthroughs don't always translate into better patient care. The challenge often isn't the science itself, but the financial incentives, reimbursement structures and clinical workflows that determine whether a diagnostic test is actually adopted. Hannah explains how Alva10 approaches this problem from both sides, working with diagnostic developers and healthcare payers to identify unmet needs, understand the economics of care and create clearer routes to market. We explore why better diagnostics can struggle to gain reimbursement, the growing influence of self-insured employers, opportunities in treatment-response prediction, and what founders need to understand before investing years in developing a test. Key takeaways: 🔹 Why strong clinical evidence alone isn't enough to drive diagnostic adoption 🔹 How reimbursement and financial incentives can prevent better tests from reaching patients 🔹 Why Alva10 works backwards from payer needs to identify commercial opportunities for diagnostics 🔹 The growing opportunity for companion diagnostics and treatment-response prediction beyond oncology 🔹 Why founders must understand clinical workflows, healthcare economics and reimbursement much earlier in development Chapters: 02:06 Hannah's background and journey through diagnostics 07:57 Why healthcare incentives can work against better diagnostics 09:08 Why Hannah founded Alva10 15:15 Working with payers and self-insured employers 17:22 Where the biggest diagnostic opportunities exist 25:34 How employers are driving demand for better testing 29:14 Why clinical workflow and healthcare economics matter 39:50 What needs to change for diagnostics to reach more patients Guest: Hannah Mamuszka Founder, Alva10 LinkedIn: https://www.linkedin.com/in/hannah-mamuszka-5121454/ Host: David Filby Founder and CEO of Elevra Consulting LinkedIn: https://www.linkedin.com/in/davidfilby/ 🔔 Subscribe to Diagnosing Dx for weekly conversations with leaders shaping the future of diagnostics and omics.
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November 5 · 39 min
Is AI About to Redefine What a Diagnostics Company Does? Sivan Bercovici, CTO & CBO - Karius
In this episode of Diagnosing Dx, David Filby is joined by Sivan Bercovici, Chief Technology Officer and Chief Business Officer at Karius. With more than two decades working at the intersection of computer science, AI and medicine, Sivan has spent over a decade helping build Karius' computational capabilities. In this conversation, we explore how AI is moving diagnostics beyond simply delivering test results towards providing meaningful clinical intelligence. Sivan explains how Karius has accumulated data from more than 150,000 cases, creating opportunities to identify patterns, improve diagnostic performance and help clinicians interpret increasingly complex information. We also discuss the shift from molecular intelligence to clinical decision support, the risks of over-reliance on AI, and why some of the world's most underserved healthcare systems could ultimately be among the fastest to benefit from it. Key takeaways: 🔹 Why the future of diagnostics could extend beyond reporting molecular results 🔹 How Karius is using data from 150,000 cases to advance diagnostic intelligence 🔹 Why AI should support clinical decisions rather than replace physician judgement 🔹 The challenges of regulation, reliability and systematic errors in medical AI 🔹 Why underserved healthcare systems could potentially leapfrog more established markets Chapters: 01:06 Introduction and Sivan Bercovici's background 03:01 The origins of Karius and infectious disease liquid biopsy 08:19 How AI in diagnostics has evolved 11:26 Molecular intelligence and improving diagnostic accuracy 15:01 Why access to 150,000 cases changes what's possible 19:45 Moving from molecular results to clinical intelligence 26:54 AI hype versus reality in healthcare 32:27 Regulation, ethics and the future of AI-driven care Guest: Sivan Bercovici, PhD Chief Technology Officer & Chief Business Officer, Karius LinkedIn: https://www.linkedin.com/in/sivanbercovici/ Host: David Filby Founder and CEO of Elevra Consulting LinkedIn: https://www.linkedin.com/in/davidfilby/ Learn more about Karius: https://kariusdx.com/ 🔔 Subscribe to Diagnosing Dx for weekly conversations with leaders shaping the future of diagnostics and omics.
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October 27 · 32 min
Can AI Help Us Treat Cancer Without Overtreating Patients? Oliver Bathe, Qualisure Diagnostics
In this episode of Diagnosing Dx, David Filby is joined by Dr Oliver Bathe, Founder and CEO of Qualisure Diagnostics. After more than 25 years as a surgical oncologist, Oliver moved into diagnostics with a goal of helping clinicians make more precise treatment decisions. That work led to Thyroid GuidePx®, an 82-gene test designed to help identify whether papillary thyroid cancers are at higher or lower risk of recurrence. But the bigger opportunity goes beyond a single test. Oliver explains how Qualisure developed Molecular deCodeR™, a cloud-based platform designed to help deploy machine-learning-powered molecular diagnostics across laboratories globally without requiring every test to be run in one central lab. We also discuss decentralising precision oncology, building a transcriptomic foundation model, partnering with diagnostics and pharma companies, and why commercialisation has become the company’s next major focus. Key takeaways: 🔹 Why many thyroid cancer patients may be treated more aggressively than necessary 🔹 How Thyroid GuidePx® helps assess recurrence risk in papillary thyroid cancer 🔹 Why centralised molecular testing can limit global access to precision oncology 🔹 How Molecular deCodeR™ could enable diagnostic companies to deploy tests across multiple labs and markets 🔹 Why Qualisure is building a foundation model to make transcriptomic diagnostics more reproducible across workflows Chapters: 01:06 Introduction and Oliver Bathe’s background 03:58 From cancer research to Qualisure Diagnostics 05:29 The overtreatment problem in thyroid cancer 08:26 Why precision oncology needs a decentralised model 11:01 Molecular deCodeR™ and the bigger software opportunity 13:18 Company milestones, partnerships and the $7M raise 19:07 Commercialising the platform globally 24:44 Building the next generation of transcriptomic diagnostics Guest: Dr Oliver Bathe Founder & CEO, Qualisure Diagnostics Professor of Surgery and Oncology, University of Calgary LinkedIn: https://ca.linkedin.com/in/oliver-bathe-76a84636 Host: David Filby Founder and CEO of Elevra Consulting LinkedIn: https://www.linkedin.com/in/davidfilby/ 🔔 Subscribe to Diagnosing Dx for weekly conversations with leaders shaping the future of diagnostics and omics.
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October 21 · 38 min
Could Genomic Testing Be as Accessible as a Smartphone? Ana Cornell, CEO & Founder of Acorn Genetics
In this episode of Diagnosing Dx, David Filby is joined by Ana Cornell, Founder and CEO of Acorn Genetics. Ana started Acorn after experiencing first-hand how expensive and inaccessible genomic testing could be. While studying biomedical engineering at Northwestern, she began developing lower-cost genomic analysis technology before being selected for the highly competitive Thiel Fellowship, which gave her the opportunity to leave university and build Acorn full-time. The company’s long-term goal is to decentralise genomic analysis, bringing testing out of central laboratories and making it dramatically more accessible. But the route to that goal hasn’t been conventional. When regulatory changes disrupted Acorn’s original clinical launch plans, the company pivoted its technology into brewing, agriculture and water testing, finding early product-market fit, generating revenue and continuing to develop its sequencing platform. Ana shares why revenue has become central to Acorn’s strategy, how the company is approaching profitability, and why she still sees decentralised genomic analysis as the ultimate destination. Key takeaways: 🔹 Why Ana started Acorn Genetics after struggling to access genomic testing herself 🔹 How Acorn is working to decentralise genomic analysis 🔹 Why a regulatory roadblock led the company into brewing, agriculture and water testing 🔹 How early revenue and customer feedback are helping fund the bigger sequencing vision 🔹 Why Ana believes genomic analysis could eventually cost just dollars, or even pennies Chapters: 01:04 Introduction and Ana Cornell’s background 02:31 The personal problem that led to Acorn Genetics 07:14 From university research to the Thiel Fellowship 13:42 Building Acorn and finding product-market fit 18:20 Why agriculture became the route to early revenue 21:29 The long-term vision for decentralised genomics 25:00 Driving down the cost of genomic analysis 28:03 Revenue, profitability and the milestones ahead Guest: Ana Cornell Founder & CEO, Acorn Genetics LinkedIn: https://www.linkedin.com/in/ana-cornell-53103a138/ Host: David Filby Founder and CEO of Elevra Consulting LinkedIn: https://www.linkedin.com/in/davidfilby/ Support Acorn Genetics Acorn Genetics’ crowdfunding campaign is now open. Learn more and invest here: https://www.startengine.com/offering/acorn-genetics 🔔 Subscribe to Diagnosing Dx for weekly conversations with leaders shaping the future of diagnostics and omics.
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October 14 · 43 min
Could High Frequency Monitoring Transform Autoimmune Care? Kavya Swaminathan
In this episode of Diagnosing Dx, David Filby is joined by Kavya Swaminathan, PhD, Co-Founder and CEO of Kascaid. An immunologist and proteomics scientist by training, Kavya has spent her career studying immune dysregulation and biomarker discovery. That experience led to Kascaid and a fundamental question: can we understand chronic immune disease better by measuring what is happening far more frequently? Kavya explains why the company is turning to interstitial fluid (ISF) as an alternative to traditional blood sampling, and how higher-frequency immune measurements could help clinicians understand treatment response, detect disease changes earlier and move away from today’s trial-and-error approach to care. We also discuss Kascaid’s plans for at-home sampling, its longer-term ambition to build a longitudinal immune data layer, and how partnerships with patients and clinicians are shaping the product from the earliest stages. Key takeaways: 🔹 Why chronic immune disease needs more frequent and actionable biomarker data 🔹 The limitations Kavya sees in conventional blood-based immune measurements 🔹 Why interstitial fluid could enable higher-frequency monitoring 🔹 How Kascaid is initially focusing on treatment response and disease progression 🔹 Why longitudinal immune data could eventually support earlier diagnosis and more precise treatment Chapters: 01:07 Introduction 02:43 Kavya’s journey from immunology to diagnostics 07:08 Kascaid and the chronic immune disease problem 10:39 Why interstitial fluid instead of traditional blood testing? 15:06 Monitoring treatment response more frequently 19:26 Building a longitudinal immune data layer 25:05 Company milestones, partnerships and early validation 32:40 FDA, reimbursement and the path to market Guest: Kavya Swaminathan, PhD Co-Founder & CEO, Kascaid LinkedIn: https://www.linkedin.com/in/kavya-swaminathan/ Host: David Filby Founder and CEO of Elevra Consulting LinkedIn: https://www.linkedin.com/in/davidfilby/ 🔔 Subscribe to Diagnosing Dx for weekly conversations with leaders shaping the future of diagnostics and omics.
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October 7 · 36 min
Could a 10-Minute Test Stop Unnecessary Antibiotic Prescribing? Paul Kase, CCO - Lumos Diagnostics
In this episode of Diagnosing Dx, David Filby is joined by Paul Kase, Chief Commercial Officer at Lumos Diagnostics. Paul brings 30 years of healthcare experience, including more than 20 years in rapid point-of-care diagnostics. His history with FebriDx stretches back to its earliest development, and he now leads commercialisation as Lumos enters a major new phase following its US CLIA waiver. Paul explains how FebriDx uses two host-response biomarkers to help differentiate bacterial from non-bacterial infections from a finger-stick blood sample in around 10 minutes, without instrumentation. We also discuss antibiotic stewardship, reimbursement, integrating novel tests into existing clinical workflows, and the commercial strategy Lumos is using to drive adoption across urgent care and primary care. Key takeaways: 🔹 Why the CLIA waiver represents such an important commercial milestone for FebriDx 🔹 How CRP and MxA are used to differentiate bacterial from non-bacterial infection 🔹 Why overlapping respiratory symptoms can contribute to unnecessary antibiotic prescribing 🔹 The three pillars Paul believes every novel point-of-care diagnostic needs to address 🔹 How Lumos is approaching reimbursement, distribution and adoption in the US Chapters: 01:07 Introduction and Paul Kase’s background 05:43 Lumos Diagnostics and the FebriDx CLIA waiver 08:03 How FebriDx works and the unmet need 09:54 Changing the respiratory testing workflow 14:27 Clinical utility, workflow and reimbursement 20:21 Commercialisation, adoption and distribution 25:14 International expansion and future markets 30:53 Future milestones and driving commercial growth Guest: Paul Kase Chief Commercial Officer, Lumos Diagnostics LinkedIn: https://www.linkedin.com/in/paul-kase-8bb96159/ Host: David Filby Founder and CEO of Elevra Consulting LinkedIn: https://www.linkedin.com/in/davidfilby/ 🔔 Subscribe to Diagnosing Dx for weekly conversations with leaders shaping the future of diagnostics and omics.
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September 29 · 34 min
Will Payer-Dependent Diagnostics Companies Get Left Behind? Marty Keiser, Founder at IVBH / Mammogen
In this episode of Diagnosing Dx, David Filby is joined by Marty Keiser, Founder and CEO of IVBH. After beginning his career in asset management and capital markets, Marty moved into biotech eight years ago with a focus on blood-based molecular diagnostics and early disease detection. That outside perspective shaped how he built IVBH, borrowing ideas from industries beyond diagnostics to create a different model for developing and scaling diagnostic companies. Marty explains IVBH’s studio model, the science behind its cell-free RNA platform, and how its health franchises are developing tests across breast cancer, lung cancer and metabolic liver disease. We also discuss why traditional diagnostics business models can struggle, the growing opportunity for cash-pay and consumerised testing, and what helped Mammogen secure institutional Series A funding in a difficult market. Key takeaways: 🔹 Why Marty believes the traditional diagnostics business model needs to evolve 🔹 How IVBH uses a central discovery platform to build multiple health franchises 🔹 Why cell-free RNA could offer advantages for earlier disease detection 🔹 How LDTs, cash-pay models and new diagnostic “storefronts” could reshape commercialisation 🔹 What investors looked for when Mammogen raised its Series A Chapters: 01:02 Introduction and Marty Keiser’s background 03:22 Moving from capital markets into diagnostics 08:20 Building the IVBH business model differently 11:27 Surviving the biotech downturn and changing capital markets 16:09 The science behind IVBH’s cell-free RNA platform 20:06 LDTs, cash-pay testing and new commercial models 26:13 What helped Mammogen secure its Series A 30:26 Future milestones and rethinking diagnostics growth Guest: Marty Keiser Founder & CEO, IVBH LinkedIn: https://www.linkedin.com/in/martykeiser Host: David Filby Founder and CEO of Elevra Consulting LinkedIn: https://www.linkedin.com/in/davidfilby/ 🔔 Subscribe to Diagnosing Dx for weekly conversations with leaders shaping the future of diagnostics and omics.
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September 23 · 37 min
What If the Patients Who Need Your Test Are Already Hiding in the EHR? Sagacity Diagnostics
In this episode of Diagnosing Dx, David Filby is joined by Raymond Tarr, Founder of Sagacity Diagnostics. Raymond brings more than 25 years of experience across diagnostics, rare disease, commercialisation and patient finding, with previous roles spanning companies including Cepheid and AstraZeneca/Alexion. His experience in rare disease, both professionally and personally, ultimately led to the creation of Sagacity Diagnostics and its PathfindEHR platform. Raymond explains how PathfindEHR is designed to help clinicians identify patients who may be undiagnosed, misdiagnosed or missing the right testing by making better use of data already sitting within electronic health records. We also discuss the adoption challenge facing diagnostics companies, how better workflow integration could drive more appropriate testing, and why education and awareness can be just as important as developing the test itself. Key takeaways: 🔹 Why existing EHR data could help shorten the diagnostic journey 🔹 How PathfindEHR helps identify suspect and potentially misdiagnosed patients 🔹 Why better workflow integration can increase appropriate diagnostic testing 🔹 How diagnostics companies can benefit from stronger clinician education and adoption tools 🔹 Why rare disease is only the starting point for Sagacity’s wider ambitions Chapters: 00:59 Introduction and Raymond Tarr’s background 05:46 Moving from diagnostics into rare disease 08:57 The personal experience behind Sagacity Diagnostics 11:00 How PathfindEHR works 17:49 Using EHR data to identify patients who need testing 23:16 How diagnostics companies can benefit from the platform 29:16 Commercialisation and early market traction 34:40 Future milestones and scaling Sagacity Guest: Raymond Tarr Founder, Sagacity Diagnostics LinkedIn: https://www.linkedin.com/in/raymondtarr/ Host: David Filby Founder and CEO of Elevra Consulting LinkedIn: https://www.linkedin.com/in/davidfilby/ 🔔 Subscribe to Diagnosing Dx for weekly conversations with leaders shaping the future of diagnostics and omics.
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September 15 · 42 min
Can Strategic Partnerships Save Diagnostics Innovation? Robert Carlson
In this episode of Diagnosing Dx, David Filby is joined by Robert Carlson, Founder and President of Life Science Dx Consulting. Robert brings 30 years of experience across diagnostics and life sciences, spanning scientific, commercial, corporate development and executive leadership roles. He explains why early-stage diagnostics companies should think about partnerships much earlier, not only as a source of funding but as a way to build credibility, strengthen commercial strategy and create new routes to market. The conversation also covers reimbursement, market access, investor expectations and why strong science alone is rarely enough to build a successful diagnostics company. Key takeaways: 🔹 Why diagnostics founders should consider partnerships before they urgently need them 🔹 How strategic partnerships can strengthen a future fundraising story 🔹 Why fear around IP, dilution and losing control can hold founders back 🔹 The importance of understanding reimbursement and market access early 🔹 Why commercial strategy should develop alongside the science Chapters: 00:56 Introduction and Robert Carlson’s background 05:40 Why partnerships matter in early-stage diagnostics 12:19 Using partnerships to strengthen fundraising 14:51 Why founders hesitate to partner early 19:29 IP, control and the fear of being locked in 25:29 Why great science alone isn’t enough 28:43 Reimbursement, regulatory strategy and investor expectations 35:18 Building the right commercial strategy from the start Guest: Robert Carlson Founder and President, Life Science Dx Consulting LinkedIn: https://www.linkedin.com/in/robertwcarlsonsr/ Host: David Filby Founder and CEO of Elevra Consulting LinkedIn: https://www.linkedin.com/in/davidfilby/ 🔔 Subscribe to Diagnosing Dx for weekly conversations with leaders shaping the future of diagnostics and omics.
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September 9 · 39 min
Could More Frequent Blood Testing Transform How We Detect Disease?
In this episode of Diagnosing Dx, David Filby is joined by Octavian Florescu, CEO of In Diagnostics. An electrical engineer and microchip designer by training, Octavian has spent his career exploring how semiconductor technology can be applied to blood testing. After building and exiting his first diagnostics company, he took those lessons into In Diagnostics alongside his co-founder and wife, Ana. Octavian explains how the company is developing microchip-based blood testing from a drop of blood, why they are launching first in the veterinary market, and how a two-person “minimum viable company” is working towards profitability before expanding further into human diagnostics. We also discuss what founders learn when capital is scarce, why diagnostics may need different funding models, and how better access to longitudinal blood data could support more personalised healthcare. Key takeaways: 🔹 Why Octavian believes blood testing should become more frequent and accessible 🔹 How lessons from his first diagnostics company shaped In Diagnostics 🔹 Why the veterinary market offers an early route to revenue and product validation 🔹 The thinking behind building a two-person “minimum viable company” 🔹 Why diagnostics funding may need to move beyond traditional venture timelines Chapters: 01:02 Introduction and Octavian Florescu’s background 04:32 From microchip design to blood testing 06:33 Lessons from his first diagnostics company 11:20 Building In Diagnostics as a minimum viable company 13:52 Microchip-based blood testing and the unmet need for more data 19:15 Launching first in veterinary diagnostics 22:27 Building towards profitability without traditional VC funding 29:53 Upcoming milestones and the future of diagnostics Guest: Octavian Florescu CEO, In Diagnostics LinkedIn: https://www.linkedin.com/in/octavian-florescu-51b28817/ Host: David Filby Founder and CEO of Elevra Consulting LinkedIn: https://www.linkedin.com/in/davidfilby/ 🔔 Subscribe to Diagnosing Dx for weekly conversations with leaders shaping the future of diagnostics and omics.
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September 2 · 36 min
Why Are Vector-Borne Infections Still So Difficult to Diagnose?
In this episode of Diagnosing Dx, David Filby is joined by Nicole Bell, CEO of Galaxy Diagnostics. Nicole’s route into vector-borne disease diagnostics is deeply personal. After her husband was initially diagnosed with early-onset Alzheimer’s disease, she continued searching for answers and later discovered he had Lyme disease alongside Babesia and Bartonella infections. That experience led Nicole to Galaxy Diagnostics, where the company is working to improve direct detection of vector-borne infections using approaches including urine antigen testing and high-sensitivity PCR. Nicole discusses why these infections are so difficult to diagnose, how outdated and antibody-based testing can leave patients without clear answers, and Galaxy’s plans to take its Lyme urine antigen test through clinical studies towards FDA submission. Key takeaways: 🔹 Why Lyme, Bartonella and Babesia can be particularly difficult to detect 🔹 The limitations of relying on antibody testing for active infection 🔹 Why vector-borne disease exposure extends far beyond obvious tick bites 🔹 How Galaxy Diagnostics is approaching direct pathogen detection 🔹 The company’s path towards FDA approval, reimbursement and broader adoption Chapters: 00:57 Introduction and Nicole Bell’s background 02:43 The personal story behind Nicole’s move into vector-borne diagnostics 08:17 Why vector-borne infections are so difficult to diagnose 13:28 Galaxy Diagnostics and its direct detection approach 17:22 How widespread is the vector-borne disease problem? 22:05 Commercialisation, clinical studies and the path to FDA approval 27:13 Raising a Series A in a difficult diagnostics market 31:31 Upcoming milestones and the future of diagnostics Guest: Nicole Bell CEO, Galaxy Diagnostics LinkedIn: https://www.linkedin.com/in/nicoledaniellebell/ Learn more about Galaxy Diagnostics: https://www.galaxydx.com/ Host: David Filby Founder and CEO of Elevra Consulting LinkedIn: https://www.linkedin.com/in/davidfilby/ 🔔 Subscribe to Diagnosing Dx for weekly conversations with leaders shaping the future of diagnostics and omics.
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August 26 · 36 min
What Can Diagnostics Founders Learn From Two Successful Exits? Andrew Miller
In this episode of Diagnosing Dx, David Filby is joined by Andrew Miller, a diagnostics founder, advisor and two-time exited CEO. A scientist by training, Andrew founded and led companies focused on rapid molecular diagnostics, taking Ionian Technologies through acquisition by Alere and later building NAT Diagnostics, which was acquired by Becton Dickinson in 2020. The technology developed at Ionian ultimately became central to Abbott’s ID NOW platform. Andrew shares what he learned from going through the acquisition process twice, why his second company was designed for sale from the outset, and the four risks he believes every diagnostics founder needs to manage: technology, operations, finance and commercial relevance. Key takeaways: 🔹 What Andrew learned from two successful diagnostics exits 🔹 Why Ionian chose acquisition rather than funding the full journey to FDA approval 🔹 How the lessons from his first exit shaped NAT Diagnostics from day one 🔹 Why founders need to prepare for due diligence long before an acquisition process begins 🔹 The four risks Andrew uses to assess early-stage diagnostics companies Chapters: 00:00 Introduction and Andrew Miller’s background 02:23 Two diagnostics exits and the opportunity in rapid molecular testing 04:03 Building Ionian Technologies 08:37 Why Ionian pursued an acquisition 15:00 Building NAT Diagnostics differently the second time 19:04 Designing a diagnostics company for acquisition 27:03 Advising founders and the four risks every startup faces 31:33 Where diagnostics is heading next Guest: Andrew Miller, PhD Diagnostics Founder, Advisor & Two-Time Exited CEO LinkedIn: https://www.linkedin.com/in/andrew-miller-2670811/ Host: David Filby Founder and CEO of Elevra Consulting LinkedIn: https://www.linkedin.com/in/davidfilby/ 🔔 Subscribe to Diagnosing Dx for weekly conversations with leaders shaping the future of diagnostics and omics.
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August 18 · 38 min
98% of Cancer Patients Outside the US Miss Genomic Testing. Can AI Change That?
In this episode of Diagnosing Dx, David Filby is joined by Travis Wold, Chief Executive Officer at Imagenomix. Travis brings experience across cancer diagnostics, genomics, liquid biopsy, and international commercialization. We explore how Imagenomix is using AI to help make genomic testing more accessible to cancer patients globally. With around 98% of cancer patients outside the US not receiving NGS testing, Travis explains how analysing standard H&E pathology images could help identify patients who are more likely to benefit from confirmatory genomic testing. We also discuss Imagenomix’s commercial strategy, digital pathology partnerships, and the longer-term potential for AI to support more precise treatment decisions in oncology. Key takeaways: 🔹 Why access to genomic testing remains extremely limited outside the US 🔹 How Imagenomix uses AI to identify mutation signals from standard H&E pathology images 🔹 Why AI screening could reduce the cost and volume of unnecessary NGS testing 🔹 How digital pathology partnerships could help Imagenomix scale globally 🔹 Why predicting treatment response could become the next major step for AI in precision oncology Chapters: 00:59 Introduction and Travis Wold’s background 05:29 From cancer diagnostics to the global genomic testing problem 09:42 The limitations of NGS and where AI fits into the workflow 13:36 Imagenomix’s mission and the 98% genomic testing gap 17:42 Funding, digital pathology partnerships, and commercial traction 20:36 Regulatory strategy, screening, and the path towards companion diagnostics 23:13 Can AI predict which cancer patients will respond to treatment? 32:56 Scaling Imagenomix globally and the milestones ahead Guest: Travis Wold Chief Executive Officer at Imagenomix LinkedIn: https://www.linkedin.com/in/travisjwold/ Host: David Filby Founder and CEO of Elevra Consulting LinkedIn: https://www.linkedin.com/in/davidfilby/ 🔔 Subscribe to Diagnosing Dx for weekly conversations with leaders shaping the future of diagnostics and omics.
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August 11 · 45 min
Could 20-Minute Hormone Testing Transform Patient Care? Nedal Safwat, SVP at Canatu
In this episode of Diagnosing Dx, David Filby is joined by Nedal Safwat, Senior Vice President of Medical Diagnostics at Canatu and President of Canatu Inc. With more than 20 years in diagnostics, Nedal has held leadership roles across Cepheid, QIAGEN, bioMérieux and Luminex. He now leads Canatu’s expansion into medical diagnostics, taking the company’s carbon nanotube technology into point-of-care testing. Nedal explains why Canatu has chosen hormone testing and sepsis as its first areas of focus, and why the company started with the unmet clinical need rather than trying to find an application for its technology. We also discuss the opportunity for faster hormone testing, the shift towards decentralised diagnostics, reimbursement and design-to-cost, and how Canatu is combining the speed of a startup with the infrastructure and backing of an established company. Key takeaways: 🔹 Why Canatu is bringing carbon nanotube technology into medical diagnostics 🔹 Why hormone testing and sepsis were selected as the company’s first focus areas 🔹 Why diagnostics companies should start with the unmet need and work backwards 🔹 How point-of-care hormone testing could improve convenience and reduce patient drop-off 🔹 Why reimbursement, cost and customer validation need to be considered from the beginning Chapters: 00:53 Introduction and Nedal Safwat’s background 07:18 Canatu and the move into medical diagnostics 13:02 Why hormone testing and sepsis? 17:26 Starting with the unmet need and product-market fit 21:29 Partnerships, personalised hormone testing and patient demand 27:52 Product development and the path to commercialisation 32:57 Reimbursement, design-to-cost and startup culture 40:30 Future milestones and the diagnostics market outlook Guest: Nedal Safwat Senior Vice President, Medical Diagnostics at Canatu President, Canatu Inc. LinkedIn: https://www.linkedin.com/in/nedal-safwat/ Learn more about Canatu, Medical Diagnostics here: https://canatu.com/products/medical-diagnostics/ Host: David Filby Founder and CEO of Elevra Consulting LinkedIn: https://www.linkedin.com/in/davidfilby/ 🔔 Subscribe to Diagnosing Dx for weekly conversations with leaders shaping the future of diagnostics and omics.
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August 4 · 38 min
Could a $127M Seed Round Change Women's Health Forever? - Dean Remy, Co-Founder @ Mativa Dx
In this episode of Diagnosing Dx, David Filby is joined by Dean Remy, Co-Founder and Chief Commercial Officer at Mativa Diagnostics. Dean brings 35 years of experience across diagnostics, biotechnology, and therapeutics. He explains why pregnancy testing has barely changed in 50 years and how the traditional positive-or-negative result can leave women without critical information during the earliest weeks of pregnancy. Mativa is developing a reusable handheld device combining multiplex biomarker testing, graphene nanosensor technology, an AI-enabled app, and immediate care navigation. The company is also building a large longitudinal maternal biorepository to support future diagnostics, biomarker discovery, and therapeutic development. This is a practical conversation about maternal health innovation, consumer access, partnerships, regulation, data, and building a platform designed to support women throughout the pregnancy journey. Key takeaways: 🔹 Why the traditional pregnancy test does not provide women with enough early information 🔹 How Mativa plans to identify risks such as ectopic pregnancy and pre-eclampsia 🔹 Why a longitudinal maternal biorepository could transform diagnostics and therapeutic development 🔹 How retail, healthcare, pharmaceutical, and diagnostic partnerships could accelerate adoption 🔹 Why supporting the complete patient journey could define the next generation of diagnostics Chapters: 01:08 Introduction and Dean Remy’s background 03:24 Why maternal health urgently needs innovation 06:28 Mativa’s approach and the technology behind the platform 11:42 Building a comprehensive maternal biorepository 14:24 Commercial strategy and market positioning 17:13 Regulatory and reimbursement pathways 20:18 Capital raising and strategic partnerships 25:34 The future of Mativa and maternal diagnostics Guest: Dean Remy Co-Founder and Chief Commercial Officer at Mativa Diagnostics LinkedIn: https://www.linkedin.com/in/scisourceremy/ Host: David Filby Founder and CEO of Elevra Consulting LinkedIn: https://www.linkedin.com/in/davidfilby/ 🔔 Subscribe to Diagnosing Dx for weekly conversations with leaders shaping the future of diagnostics and omics.
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July 28 · 38 min
Red Drop’s Bet on Pain-Free Blood Collection and the Next Wave of Diagnostics
In this episode of Diagnosing Dx, David Filby is joined by Thomas Briggs, Chief Growth Officer at RedDrop Dx. Thomas brings more than 25 years of diagnostics and healthcare growth experience, spanning pharma, big diagnostics, medtech, and startup environments. In this conversation, we explore one of the most overlooked parts of diagnostics: blood collection, and why the process still looks far too similar to what it did decades ago. Thomas breaks down where arm-based micro-sampling could genuinely change patient experience, from paediatrics and neurodivergent patients to home testing, clinical trials, and difficult vein access. We also get into the commercial reality behind a product like this: where the most promising markets are, why education still matters, how labs and platforms need to adapt, and what it takes to build a medtech business without following the usual VC-heavy playbook. This is a practical conversation about workflow, access, patient experience, and what happens when a simple shift in blood collection could unlock broader changes across diagnostics and healthcare delivery. Key takeaways: 🔹 Why blood collection remains one of the least-innovated parts of diagnostics 🔹 Where arm-based micro-sampling could have the biggest clinical and commercial impact 🔹 Why paediatrics, neurodivergent patients, and difficult vein access are such important use cases 🔹 How home sampling could change clinical trials, routine monitoring, and direct-to-consumer care 🔹 What it takes to commercialise a medtech product in both consumer and managed-care settings Chapters: 01:51 Thomas Briggs’ background in diagnostics, pharma, and medtech 06:28 Moving from big corporates into startups 11:04 What RedDrop Dx is building and how the device works 14:39 Where the biggest commercial opportunities are for arm-based micro-sampling 18:48 Why education and awareness are still a major challenge 21:22 RedDrop Dx’s story so far and why it was bootstrapped 26:05 How the company is building for growth across different market segments 30:10 Future milestones, home collection clearance, and expansion into Europe 31:31 Thomas’s outlook on diagnostics, home testing, and micro-sampling in 2026 Guest: Thomas Briggs Chief Growth Officer at RedDrop Dx LinkedIn: https://www.linkedin.com/in/thomas-briggs-959865177/ Host: David Filby Founder and CEO of Elevra Consulting LinkedIn: https://www.linkedin.com/in/davidfilby/ 🔔 Subscribe to Diagnosing Dx for weekly conversations with leaders shaping the future of diagnostics and omics.
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July 21 · 51 min
Why Cancer Patients Still Die From Infections We Can't Diagnose - Karius
In this episode of Diagnosing Dx, David Filby is joined by Alec Ford, Chief Executive Officer at Karius. Alec brings decades of leadership experience across therapeutics, vaccines, and genomics. In this conversation, we explore how Karius is bringing genomics into infectious disease and why the company has focused so sharply on immunocompromised patients. The scale of the unmet need is staggering. Alec explains that 52% of cancer deaths in the US are due to infection rather than the underlying malignancy, rising to more than 60% in hematologic malignancies. He also shares that there are around 4 million hospital admissions for infection among cancer patients in the US each year, yet the standard hospital workup can still fail to identify the cause in far too many cases. We also discuss the company’s growth, physician adoption, and why outpatient infectious disease testing could become a major next step. This is a practical conversation about infectious disease diagnostics, commercialization, and building in one of the most important unmet areas in healthcare. Key takeaways: 🔹 Why infectious disease remains one of the biggest threats to immunocompromised patients 🔹 How Karius is using microbial cell-free DNA to diagnose infection from a simple blood draw 🔹 Why focus and disciplined market selection have been central to Karius’ growth 🔹 How physician confidence and education shape adoption of new diagnostics 🔹 Why outpatient infectious disease testing could become a major next step for the field Chapters: 01:00 Introduction and Alec Ford’s background 04:20 Transition from therapeutics to genomics 08:34 The founding story of Karius and how the technology works 14:52 Why Karius focused on immunocompromised patients 19:41 Scaling the company and driving adoption 27:20 Reimbursement, capital strategy, and path to profitability 34:40 The outpatient opportunity and Karius’ next chapter 45:03 Alec’s view on the diagnostics industry and what needs to change Guest: Alec Ford Chief Executive Officer at Karius LinkedIn: https://www.linkedin.com/in/alec-ford-b578003/ Host: David Filby Founder and CEO of Elevra Consulting LinkedIn: https://www.linkedin.com/in/davidfilby/ Learn more about Karius here: https://kariusdx.com/ 🔔 Subscribe to Diagnosing Dx for weekly conversations with leaders shaping the future of diagnostics and omics.
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July 15 · 36 min
Can AI Rescue Cancer Drugs That Clinical Trials Say Have Failed?
In this episode of Diagnosing Dx, David Filby is joined by Alexander Bagaev, Chief Product Officer at BostonGene. Alexander has spent more than a decade helping build BostonGene from an early-stage team into a global precision medicine company. In this conversation, we explore why oncology is moving beyond single biomarkers and how BostonGene has expanded from diagnostics into AI-powered treatment selection and clinical trial support. We also discuss the challenge of bringing more comprehensive diagnostics into routine use, the role of multimodal data in better decision-making, and how BostonGene is working with pharma to design smarter trials from the outset. This is a practical conversation about precision oncology, multimodal diagnostics, AI in drug development, and turning complex biology into clinically useful decisions. Key takeaways: 🔹 Why single-gene and narrow-panel testing often misses the full picture in oncology 🔹 How BostonGene is combining genomics, transcriptomics, and immune profiling to improve treatment selection 🔹 Why reimbursement still lags behind the scientific need for integrated diagnostics 🔹 How multimodal AI and foundation models could reshape drug development and clinical trial design 🔹 What precision medicine companies need to understand about flexibility, regulation, and real-world adoption Chapters: 00:00 Introduction to Alexander Bagaev 03:25 Journey from physics to immunology 05:07 The evolution of BostonGene 07:55 Precision medicine and patient-centric treatment selection 10:28 Challenges in drug development and clinical trials 13:02 Growth and milestones of BostonGene 15:19 Navigating diagnostics and the role of AI 20:48 Future opportunities and advice for early-stage companies Guest: Alexander Bagaev Chief Product Officer at BostonGene LinkedIn: https://www.linkedin.com/in/alexander-bagaev-5548166b/ Host: David Filby Founder and CEO of Elevra Consulting LinkedIn: https://www.linkedin.com/in/davidfilby/ 🔔 Subscribe to Diagnosing Dx for weekly conversations with leaders shaping the future of diagnostics and omics.
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July 7 · 29 min
What If We Could Test Depression Drugs Before Patients Take Them? Dr Talia Cohen Solal - NeuroKaire
In this episode of Diagnosing Dx, David Filby is joined by Talia Cohen Solal, CEO at NeuroKaire. Talia is a neuroscientist by training who spent more than a decade in academia, including time at Oxford, UCL, and Columbia, before moving into the startup world to get closer to real patient impact. In this conversation, we explore why precision medicine has transformed fields like oncology but still has so far to go in psychiatry, and how NeuroKaire is trying to change that. We discuss the limits of current antidepressant prescribing and how NeuroKaire is using patient-derived neurons to predict which treatments are most likely to work for each individual. This is a practical conversation about precision psychiatry, commercialization, clinical evidence, and what it takes to bring better mental health diagnostics into real patient care. Key takeaways: 🔹 Why psychiatry still lacks the precision medicine approach seen in other fields 🔹 How NeuroKaire is using patient-derived neurons to guide antidepressant treatment 🔹 Why clinical trials and guideline change are essential for real adoption 🔹 How the company is balancing commercial growth with platform expansion and pharma partnerships 🔹 What the future could look like for diagnostics in depression, anxiety, ADHD, and beyond Guest: Talia Cohen Solal CEO at NeuroKaire LinkedIn: https://www.linkedin.com/in/talia-cohen-solal-5b49a78/ Host: David Filby Founder and CEO of Elevra Consulting LinkedIn: https://www.linkedin.com/in/davidfilby/ Chapters: 00:00 Introduction to Talia Cohen Solal and her background 08:23 Transitioning from academia to startups 09:52 The vision behind NeuroKaire and precision psychiatry 12:38 Clinical trials and validation of NeuroKaire’s technology 14:37 Commercialization, distribution, and reimbursement 16:46 Education and awareness in the medical community 19:44 Future growth, market potential, and new indications 26:47 Outlook on diagnostics and the future of neurodiagnostics 🔔 Subscribe to Diagnosing Dx for weekly conversations with leaders shaping the future of diagnostics and omics.
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June 30 · 31 min
Why AI Multiomics Will Replace Ultrasound in Liver Cancer Screening with Bharat Tewarie
In this episode of Diagnosing Dx, David Filby is joined by Bharat Tewarie, MD, MBA, CEO at Helio Genomics. Bharat has led Helio Genomics since July 2025, bringing decades of global healthcare leadership across pharma, biotech, diagnostics, and digital health. In this conversation, we explore why liver cancer surveillance still relies too heavily on outdated imaging, why so many high-risk patients fall through the cracks, and how Helio Genomics is trying to change that with HelioLiver, its blood-based test designed to improve early detection. We discuss the limitations of ultrasound in liver cancer screening, the promise of AI-powered multiomics, and why early detection only matters if patients can actually access it. Bharat also shares how his clinical and commercial background shapes Helio’s strategy, from workflow design and physician adoption to partnerships, awareness, and the infrastructure needed to move from scientific validation to real clinical impact. This is a practical conversation about liver cancer, access, commercialization, and what it takes to turn better diagnostics into better outcomes. Key takeaways: 🔹 Why liver cancer surveillance still leaves too many high-risk patients undetected 🔹 How AI-powered multiomics and HelioLiver could improve early liver cancer detection 🔹 Why access and workflow matter just as much as scientific performance 🔹 How partnerships can accelerate commercialization and patient reach 🔹 What Helio Genomics is building beyond HelioLiver as it expands its platform Guest: Bharat Tewarie, MD, MBA CEO at Helio Genomics LinkedIn: https://www.linkedin.com/in/bharattewarie/ Host: David Filby Founder and CEO of Elevra Consulting LinkedIn: https://www.linkedin.com/in/davidfilby/ Chapters: 00:00 Introduction to Bharat Tewarie and Helio Genomics 01:42 Bharat’s journey from medicine to business 06:25 The evolution of diagnostics, omics, and AI 10:36 Helio Genomics’ mission and differentiators 12:03 Unmet needs in liver cancer surveillance 14:01 Awareness, access, and clinical workflow challenges 19:10 The role of partnerships in commercialization 26:27 Growth strategy and the future of diagnostics 🔔 Subscribe to Diagnosing Dx for weekly conversations with leaders shaping the future of diagnostics and omics.
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