A test applied to asymptomatic individuals to identify those likely to have a disease, enabling early intervention.Screening is a test applied to asymptomatic individuals to identify those likely to have a disease, enabling early intervention. In medicine, screening programs for conditions like cancer, cardiovascular disease, and infectious diseases aim to detect pathology before symptoms appear, improving treatment outcomes and reducing mortality. The concept also extends to other fields, such as astrophysics, where screening methods help distinguish genuine biosignatures from false positives in the search for life on exoplanets.
The modern concept of screening emerged in the mid-20th century with the advent of mass screening for tuberculosis and later for cervical cancer via Pap smears. The principles were formalized by the World Health Organization in the 1960s.
Screening tests are designed to be sensitive (catch most cases) and specific (avoid false alarms), often using biomarkers, imaging, or physiological measurements. A positive screening result typically leads to confirmatory diagnostic tests. The effectiveness of a screening program depends on the disease prevalence, test accuracy, and the availability of effective interventions for detected cases.
Screening is widely used in public health for early detection of breast, colorectal, and lung cancers, as well as in newborn screening for metabolic disorders.
The Pap smear, introduced in the 1940s, reduced cervical cancer incidence and mortality by up to 70% in countries with widespread screening programs.











