Sep 27, 2026 · 42 min · 12 segments
"I hope in 20 or 30 years time, a clinical diagnosis is something that's rarely given because most everything has been caught before it rises to that stage,” says Andrew Lacy. Lacy is the CEO and…
Andrew LacyGuestJason WachobHostHe came with a genuine curiosity where there really wasn't much to talk, like in terms of, okay, we've got some baselines.
Colleen has had some baselines that were great for her to track to make sure things were, you know, collectively.
But there was this curiosity, like considering a probe, like let's figure this out.

also helped, by the way, because the radiology team does very standardized reporting.

And so if you do two MRI exams one year apart and there's a change, the most likely cause of that change is that you are imaged on different hardware and you have a different radiologist reading the second exam than the one that did the first exam.

And so we, by standardizing all the equipment and by standardizing the way that the radiologists read these exams, it might sound super boring, but it's so important for helping the clinicians really understand what actually has changed and what hasn't.
And so of the things that really matter from your view, like what is the MRI uniquely good at? Like what is Prenuvo uniquely good at? that in your view, no one else can touch? It's hard to

People need to, I think people need to understand, and my mission in some ways is to help educate folks on the fact that MRI is a very qualitative imaging modality.

So what you get at the end is a function of the hardware that's used, the acquisition protocols that are determined, the AI that's in the pipeline, the radiologist experience, the way the findings are sort of collated and communicated.

I mean, to have a great brain surgeon, you have to have all, you know, operating theater that's set up the right way and the team around them so that they can just do their best work.

And so when we first started the company, we deliberately said we needed to build the entire staff.

And the reason for that was that all of it is so important to create an incredible, not just medical clinical experience, but clinically accurate exam.
He came with a genuine curiosity where there really wasn't much to talk, like in terms of, okay, we've got some baselines.
Colleen has had some baselines that were great for her to track to make sure things were, you know, collectively.
But there was this curiosity, like considering a probe, like let's figure this out.

also helped, by the way, because the radiology team does very standardized reporting.

And so if you do two MRI exams one year apart and there's a change, the most likely cause of that change is that you are imaged on different hardware and you have a different radiologist reading the second exam than the one that did the first exam.

And so we, by standardizing all the equipment and by standardizing the way that the radiologists read these exams, it might sound super boring, but it's so important for helping the clinicians really understand what actually has changed and what hasn't.
And so of the things that really matter from your view, like what is the MRI uniquely good at? Like what is Prenuvo uniquely good at? that in your view, no one else can touch? It's hard to

People need to, I think people need to understand, and my mission in some ways is to help educate folks on the fact that MRI is a very qualitative imaging modality.

So what you get at the end is a function of the hardware that's used, the acquisition protocols that are determined, the AI that's in the pipeline, the radiologist experience, the way the findings are sort of collated and communicated.

I mean, to have a great brain surgeon, you have to have all, you know, operating theater that's set up the right way and the team around them so that they can just do their best work.

And so when we first started the company, we deliberately said we needed to build the entire staff.

And the reason for that was that all of it is so important to create an incredible, not just medical clinical experience, but clinically accurate exam.
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