MedAI Verdict
All comparisons

Artera vs GRAIL

The NHS-Galleri randomized trial missed its primary endpoint, per 2026 coverage in Cancer Discovery and the BMJ, while the FDA advisory panel still voted 7 to 2, with one abstention, that Galleri's benefits outweigh its risks. Galleri's own site says the test has not been cleared or approved by the FDA. Primary care physicians adding a cancer-signal blood test for patients over 50 would order it as an addition to guideline-recommended screening, and it looks for signals from more than 50 cancer types.

Artera suits a urologist with a prostate biopsy in hand. ArteraAI Prostate is a De Novo-authorized software device, and the commercial test runs in Artera's CLIA lab on the same platform. A Lancet Digital Health external validation in advanced prostate cancer and a BMC Cancer multicentre implementation trial back it, though many authors are Artera-affiliated. A primary care physician ordering a screening blood test and a urologist ordering a prostate prognosis are making separate purchases, one before any diagnosis and one after a biopsy.

Pathology · Reviewed November 2, 2026

Artera logo

Artera

by Artera

AI risk scores from H&E slides for prostate and breast cancer, run by a CLIA lab. ArteraAI Prostate software is FDA De Novo authorized.

GRAIL logo

GRAIL

by GRAIL

Galleri blood test for multi-cancer early detection, sold as a CLIA lab test. Not FDA cleared or approved.

When to pick each one

Artera

  • Lancet Digital Health validation in advanced prostate cancer
  • Multicentre implementation trial in BMC Cancer
Read the full Artera review

GRAIL

  • Multi-cancer blood test for adults 50 and older
  • Looks for signals from over 50 cancer types
Read the full GRAIL review

Score

Each row shows points earned of points available under the published rubric.

Artera

65of 100

Top-ranked

GRAIL

28of 100

Niche fit
Score by dimension for Artera and GRAIL
DimensionArteraGRAILDifference
FDA clearance18 / 180 / 18+18
HIPAA / SOC2 / BAA10 / 100 / 10+10
EHR integrations (count)0 / 4.20 / 4.20
Top-3 EHR coverage (Epic / Oracle / Athena)0 / 2.40 / 2.40
Peer-reviewed papers14.7 / 218.4 / 21+6.3
RCT / meta-analysis / systematic review7.8 / 7.87.8 / 7.80
Funding & adoption signal3 / 128.4 / 12-5.4
Pricing transparency2.5 / 50 / 5+2.5
Years in market0 / 60 / 60

Scroll horizontally to see every column.

How scores are computed

Pricing

Artera

TierMonthlyAnnualNotes
Enterprisen/an/aNo public price.

GRAIL

TierMonthlyAnnualNotes
Enterprisen/an/aNo public price verified.

Compliance and integrations

Documented from each vendor’s own pages.

SpecArteraGRAIL
Free tierNo / unverifiedNo / unverified
HIPAAYesNo / unverified
SOC 2 Type IIYesNo / unverified
EHR integrationsNot specifiedNot specified
Foundedn/an/a
HQUSUS

Scroll horizontally to see both columns.

Common questions

Open the full pathology comparison

Digital pathology workflows with FDA-cleared cancer detection (prostate, breast, colon), IHC scoring (HER2, Ki67), and AI-powered image management. Tempus, PathAI, Proscia dominate.