FDA-cleared profile

aBSI

EXINI Diagnostics AB

aBSI marks lesions and quantifies skeletal disease burden on nuclear-medicine bone scans as a fraction of total skeletal weight for trained professionals and researchers.

Evidence status: each field shows source quality, applicability, and review date. Research pending, information not established in reviewed sources, and vendor documentation pending are distinct outcomes.

Clinical fit

What this tool is for

Start with the authorized purpose, then verify how it fits your service line and reading workflow.

Exact purpose
aBSI marks lesions and quantifies skeletal disease burden on nuclear-medicine bone scans as a fraction of total skeletal weight for trained professionals and researchers.
FDA source Exact FDA submission Checked 2026-09-03
Intended users
Trained healthcare professionals and researchers interpreting nuclear-medicine bone scans.
FDA source Exact FDA submission Checked 2026-09-03
Care setting and population
Healthcare clinics and research workflows using whole-body bone scintigraphy or SPECT.
FDA source Exact FDA submission Checked 2026-09-03
Workflow role
Cloud-based lesion marking, quantitative Bone Scan Index calculation, longitudinal display, and reporting.
Public source Exact FDA submission Checked 2026-09-03
Required input
DICOM 3 whole-body bone scans or SPECT images; CT and static partial bone scans are not accepted by this release.
FDA source Exact FDA submission Checked 2026-09-03
Output and human action
Marked hotspots, quantitative aBSI, image display, reports, and optional CSV research export.
FDA source Exact FDA submission Checked 2026-09-03
Limitations
aBSI is quantitative decision support, not a standalone metastasis diagnosis. Threshold-dependent staging performance can trade sensitivity against specificity, and scan counts, acquisition speed, urinary activity, protocol, and disease burden can affect results.
FDA source Exact FDA submission Checked 2026-09-03

Regulatory identity

FDA record and catalog context

The FDA listing establishes the regulatory identity. It does not by itself establish local workflow fit, pricing, security, or performance in your environment.

FDA submission
K191262
FDA source Exact FDA submission Checked 2026-08-31
Modality
PET/SPECT/Nuclear Medicine
FDA source Exact FDA submission Checked 2026-09-03
Anatomy
Bone
FDA source Exact FDA submission Checked 2026-09-03
Clearance type
510(k)
FDA source Exact FDA submission Checked 2026-08-31
Decision date
2019-08-05
FDA source Exact FDA submission Checked 2026-08-31
FDA status
FDA-cleared
FDA source Exact FDA submission Checked 2026-08-31

Implementation

Questions for IT, informatics, and operations

Use these fields to structure a vendor demo, security review, and implementation estimate.

Integration
Cloud service accessed through a personal login on Windows or macOS Chrome, with image upload from a local or network folder; validate DICOM transfer, identity, patient matching, longitudinal alignment, browser support, and result export.
Public source Exact FDA submission Checked 2026-09-03
Deployment and data flow
Cloud-hosted software service accessed by a supported browser; exact tenancy, region, retention, identity, audit, and support controls require vendor confirmation.
Public source Exact FDA submission Checked 2026-09-03
Security and privacy
K191262 describes cloud hosting and personal login but not a complete security architecture. Obtain current encryption, identity, audit, data residency, retention, vulnerability, backup, support-access, and incident-response evidence.
FDA source Exact FDA submission Checked 2026-09-03

Confirm the controls against the exact contracted architecture and release.

Training and support
Only trained healthcare professionals and researchers interpreting nuclear-medicine bone scans. should operate or interpret the system. Local onboarding should cover the exact release, supported population, limitations, failure examples, escalation, downtime, and competency documentation.
FDA source Exact FDA submission Checked 2026-09-03
Monitoring and change control
Monitor by exact hardware, software and model version, patient population, anatomy, protocol, operator, input quality, output edits or overrides, failed studies, repeat acquisition or rework, downstream impact, downtime, incidents, recalls, and updates. Track the limits that matter for this product: aBSI is quantitative decision support, not a standalone metastasis diagnosis. Threshold-dependent staging performance can trade sensitivity against specificity, and scan counts, acquisition speed, urinary activity, protocol, and disease burden can affect results.
Public source Exact FDA submission Checked 2026-09-03

Release and scope verification

Map the installed model, build, options, population, anatomy, inputs, and outputs to K191262 before acceptance.

exact submission · checked 2026-09-03

Later product-family features are not evidence that this cleared release includes them.

Interoperability acceptance

Cloud service accessed through a personal login on Windows or macOS Chrome, with image upload from a local or network folder; validate DICOM transfer, identity, patient matching, longitudinal alignment, browser support, and result export.

exact submission · checked 2026-09-03

Test representative identifiers, orientation, geometry, measurements, units, routing, failure handling, and round trips locally.

Clinical acceptance

Use a signed local test set for the supported population and workflow. Include common and difficult cases, exclusions, acquisition variation, failed or low-quality inputs, reviewer overrides, and downstream effects. aBSI is quantitative decision support, not a standalone metastasis diagnosis. Threshold-dependent staging performance can trade sensitivity against specificity, and scan counts, acquisition speed, urinary activity, protocol, and disease burden can affect results.

exact submission · checked 2026-09-03

Define stop-use, escalation, rollback, and revalidation triggers before production use.

Economic evaluation

Model capital and recurring cost against net staff time after review, throughput, repeat imaging or rework, room time, consumables, infrastructure, training, service, downtime, upgrade, and replacement costs.

product family · checked 2026-09-03

Vendor productivity claims are scenario inputs, not guaranteed local savings.

Lifecycle monitoring

Monitor by exact hardware, software and model version, patient population, anatomy, protocol, operator, input quality, output edits or overrides, failed studies, repeat acquisition or rework, downstream impact, downtime, incidents, recalls, and updates. Track the limits that matter for this product: aBSI is quantitative decision support, not a standalone metastasis diagnosis. Threshold-dependent staging performance can trade sensitivity against specificity, and scan counts, acquisition speed, urinary activity, protocol, and disease burden can affect results.

exact submission · checked 2026-09-03

Revalidate after material software, hardware, model, protocol, interface, or clinical-policy changes.

Evidence

Performance evidence

Metrics are shown only when they are tied to a source, endpoint, population, and tested product version.

Evidence summary
K191262 reports analytical, reproducibility, phantom, and two clinical studies. In a 721-patient phase III analysis, baseline aBSI was associated with overall survival and remained independently associated after adjustment; a separate 169-patient analysis found that an aBSI increase of 0.6 had the same 0.52 association with time to radiographic bone progression as PCWG criteria.
Public source Exact FDA submission Checked 2026-09-03
Reported sensitivity
Not applicable
Not applicable Not applicable Checked 2026-09-03

Sensitivity is not the primary applicable endpoint for this acquisition, reconstruction, segmentation, planning, guidance, or quantitative-biomarker function. Use the task-specific endpoints and tested population reported below.

Reported specificity
Not applicable
Not applicable Not applicable Checked 2026-09-03

Specificity is not the primary applicable endpoint for this acquisition, reconstruction, segmentation, planning, guidance, or quantitative-biomarker function. Use the task-specific endpoints and tested population reported below.

Phase III evaluable patients

721 patients

Association of baseline aBSI with outcomes in aBSI.

Tested version: aBSI version 3.4 cleared in K191262

Baseline aBSI overall-survival hazard ratio

1.2 hazard ratio

Overall survival per aBSI relationship in aBSI.

Tested version: aBSI version 3.4 cleared in K191262

Adjusted overall-survival hazard ratio

1.06 hazard ratio

Multivariable overall survival in aBSI.

Tested version: aBSI version 3.4 cleared in K191262

Progression association

0.52 Kendall tau

aBSI increase of 0.6 and radiographic progression in aBSI.

Tested version: aBSI version 3.4 cleared in K191262

Earlier-version linearity correlation

0.995 Pearson r

Simulated BSI from 0.10 to 13.0 in aBSI.

Tested version: EXINI bone BSI version 2

Earlier-version interobserver agreement

0.96 kappa

Automated change interpretation in aBSI.

Tested version: EXINI bone BSI version 2

Staging sensitivity at BSI greater than 0

100 %

Metastasis classification against available reference in aBSI.

Tested version: EXINI Bone version 1.6.2

Staging specificity at BSI greater than 0

36.2 %

Metastasis classification against available reference in aBSI.

Tested version: EXINI Bone version 1.6.2

K191262 FDA performance package for aBSI

Manufacturer analytical validation plus prospective planned phase III and retrospective clinical-outcome analyses · Men with metastatic castration-resistant prostate cancer

exact submission · Tested version: aBSI version 3.4 cleared in K191262 · n=721 · 241 sites · Sponsor or vendor study

K191262

Manufacturer evidence submitted for substantial equivalence; local clinical, technical, and workflow acceptance remains necessary.

Analytic validation of automated Bone Scan Index

Independent analytic simulation, repeat-scan, and follow-up agreement studies · Simulated bone scans and patients with metastatic prostate cancer

product family · Tested version: EXINI bone BSI version 2; not exact aBSI 3.4 · n=173 · Independent study

PMC4975929

Algorithm-family evidence with an earlier version; includes a documented bladder-region blind spot.

Economics and lifecycle

Budget and ongoing governance

These are common procurement questions; unknown values remain visible until a source supports them.

Pricing and total cost
Not established in reviewed sources
Reviewed sources checked Exact FDA submission Checked 2026-09-03

No public list price for the exact cleared configuration was found. Obtain a written quote separating hardware or license basis, enabled features, implementation, interfaces, infrastructure, training, service, upgrades, renewal, consumables, and exit costs.

Reimbursement and coding
No separate named-product Medicare payment was identified in the reviewed CMS coverage material. Evaluate the device within the applicable imaging or surgical service line and verify payer, site-of-service, and coding assumptions independently.
Public source Not applicable Checked 2026-09-03

No product-specific code

No separate named-product payment identified in reviewed public material

Centers for Medicare & Medicaid Services · United States

Build a local total-cost and value model; do not infer reimbursement from FDA clearance.

Safety and lifecycle

Postmarket record

Recall and adverse-event records are shown only after product matching. Adverse-event reports do not establish incidence or causality.

Postmarket safety review
The 2026-09-02 openFDA device-recall snapshot contained no record matched to K191262 by exact submission identifier.
Public source Exact FDA submission Checked 2026-09-03

A zero-result exact-identifier search does not prove that no recall, correction, adverse-event report, or product-family safety signal exists.

Buyer worksheet

Open questions to take to the vendor

Open evaluation checklist

Research record

What has been checked

This audit distinguishes completed source review from fields that have not yet been researched.

Human reviewedStatus
2026-09-04Last searched
24Fields reviewed
8Source classes checked
20Unreviewed PubMed leads
10Unreviewed trial leads
0Unreviewed FDA recall leads

Recovered from the prior exact-submission extraction and normalized under the current provenance rules. Exact FDA materials, current product-family sources, selected clinical literature, reimbursement context, and exact-identifier recall candidates were reviewed. Pricing, contracted services, enabled options, final security architecture, and local interoperability remain organization-specific evidence. Automated exact-name discovery found 20 PubMed and 10 ClinicalTrials.gov candidate records. Candidates require human product and version matching; zero candidates is not evidence that no studies exist. Native FDA recall identifiers produced 0 postmarket candidate records; 0 have been reviewed (0 published, 0 rejected) and 0 remain unreviewed.

Candidate leads remain unpublished until a human confirms the exact product and tested version.

Source classes: fda ai list, fda decision summary, peer reviewed publication, reimbursement policy, fda device recall, pubmed, clinical trials, openfda device recall

Sources

Source ledger

Sources accessed through 2026-09-03.

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