Scan statistics are applied to combine information on multiple contiguous g
enetic markers used in a genome screen for susceptibility loci. This inform
ation may be, for example, allele sharing proportions for sib pairs or loga
rithm of odds (lod) scores in general small families. We focus on a dichoto
mous outcome variable, for example, case and control individuals or affecte
d-affected versus affected-unaffected siblings, and suitable single-marker
statistics. A significant scan statistic based on the single-marker statist
ics represents evidence of the presence of a susceptibility gene. For a giv
en length of the scan statistic, we assess its significance by Monte Carlo
permutation tests. Comparing P values for varying lengths of scan statistic
s, we treat the smallest observed P value as our statistic of interest and
determine its overall significance level. We applied this method to a genom
e screen with autism families. The result was informative and surprising: A
susceptibility region was found (genome-wide significance level, P = 0.038
), which is missed with conventional approaches.