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Qure AI

qXR

  • X-ray
  • Chest reporting

 

qXR is a chest x-ray interpretation software which analyses chest radiographs. The device integrates with the radiology workflow, using image viewing and reporting tools. The software can detect, localize and provide the position of suspected abnormalities and provides results as clinically relevant tags. The software can :

  1. Identify normal chest X-rays.
  2. Detect the presence or absence of 23 abnormalities:    
    Atelectasis, Blunted Costophrenic Angle, Non-Aortic Calcification, Degenerative Spine Conditions, Hyperinflation/ Emphysema, Reticulonodular Pattern, Scoliosis, Tracheal shift, Elevated Hemidiaphragm, Cardiomegaly, Cavity, Consolidation, Fibrosis, Hilar Enlargement, Nodule, Opacity, Pleural Effusion, Pneumothorax, Rib Fractures, Lung Nodule Malignancy Score, Radiological signs of Tuberculosis and Mass.
  3. Measure the distance between the tip of the breathing tube (endotracheal or tracheostomy tube) and carina.1
Qure ai viewer

Images shown for illustrative purposes only.

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~29% and ~21% improved nodules detection

Riverain's AI suppression technology removes structures that can camouflage cancer and lung disease. 1,2

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Higher inter-reader agreement rates2

Clinical Workflow

clearread workflow

For CalanticTM software version 1.0.0 and older versions, no prior study will be examined.

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    AP or PA chest x-ray

    Resolution minimum of 1440 x 1440

    Gray level at least 10 bits

    Identify normal chest X-rays.

    Detect presence/absence of > 23 abnormalities: Atelectasis, blunted costophrenic angle, non-aortic calcification, degenerative spine conditions, hyperinflation/emphysema, reticulonodular pattern, tracheal shift, elevated hemidiaphragm, cardiomegaly, cavity, consolidation, scoliosis, fibrosis, hilar enlargement, nodule, opacity, pleural effusion, pneumothorax, rib fractures, lung nodule malignancy score, tuberculosis, mass.

    Measure distance between the tip of the breathing tube (endotracheal or tracheostomy tube) and carina.

    DICOM format outputs: A single series in secondary capture and/or GSPS format is returned to the PACS, without lines and labels of the target abnormalities. The target abnormality outlines and labels are marked out on image series.

    PDF formatted text reports: A text report (pdf format) is returned to the PACS indicating the names of all the target abnormalities detected. The .pdf report also contains text indicating the approximate location in the chest for any abnormalities on X-rays. For convenience, two type of PDF reports are presented to the user (free text and structured).

      Currently not made available with the Calantic Viewer. Separately distributed by Bayer.  

      Vendor             
      Qure.ai Technologies Pvt Ltd.

      EU risk class and CE marking                 
      qXR has CE marking (CE0123) and risk class IIb.

      Reimbursement status                 
      Not reimbursed.

      Contraindications                 
      Not applicable.

      Patient Target Group

      • Tuberculosis: 3 years of age or older.
      • Normal, Atelectasis, Blunted Costophrenic Angle, Non- Aortic Calcification, Degenerative Spine Conditions, Hyperinflation/Emphysema, Reticulonodular Pattern, Scoliosis, Tracheal shift, Elevated Hemidiaphragm, Cardiomegaly, Cavity, Consolidation, Fibrosis, Hilar Enlargement, Nodule, Opacity, Pleural Effusion, Pneumothorax and Mass: 15 years of age or older.
      • Rib Fractures, Lung Nodule Malignancy score, Endotracheal and Tracheostomy tubes: > 18 years old.

      Intended user                 
      Any physician trained and experienced in the independent review and interpretation of chest X-ray scans. This user may be a radiologist, surgeon, emergency care physician, intensivist or other clinical specialist with the appropriate training.

      Limitations

      • qXR is intended to be used by certified medical specialists trained and experienced to review and report Chest X-ray scans.
      • qXR is limited to analysis of imaging data and should not be used in-lieu of full patient evaluation or relied upon to make or confirm diagnosis.
      • The clinician is responsible for reviewing the device findings with the original image for any treatment initiation.
      • The device shall not be used for scans outside of the compatibility as defined in the instructions of use.
      • The localization and highlighting of abnormalities are a feature of the product and these markings appear on the image for clinician review, on X-ray/scans where these abnormalities are detected. However, clinical data supporting the accuracy of the localization for each target abnormality is limited.
        1.
        Instructions for Use qXR, software version 4.0
        2.
        Kaviani, Parisa, Subba R. Digumarthy, Bernardo C. Bizzo, Bhargava Reddy, Manoj Tadepalli, Preetham Putha, Ammar Jagirdar, Shadi Ebrahimian, Mannudeep K. Kalra, and Keith J. Dreyer. 2022. "Performance of a Chest Radiography AI Algorithm for Detection of Missed or Mislabeled Findings: A Multicenter Study" Diagnostics 12, no. 9: 2086. https://doi.org/10.3390/diagnostics12092086
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        Now available as part of Calantic’s Thoracic Service Line. Contact us today to learn more.

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