FDA-cleared profile

Automatic Anatomy Recognition (AAR)

Quantitative Radiology Solutions, LLC

AAR generates initial organ-at-risk contours from adult noncontrast CT of the head, neck, and thorax for transfer into radiation treatment planning.

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
AAR generates initial organ-at-risk contours from adult noncontrast CT of the head, neck, and thorax for transfer into radiation treatment planning.
FDA source Exact FDA submission Checked 2026-09-03
Intended users
Technicians and trained physicians involved in radiation-therapy planning.
FDA source Exact FDA submission Checked 2026-09-03
Care setting and population
Radiation-oncology departments using DICOM-compliant CT and third-party treatment-planning systems.
FDA source Exact FDA submission Checked 2026-09-03
Workflow role
Automatic initial organ-at-risk contouring independent of treatment modality, delivery method, or treatment intent.
Public source Exact FDA submission Checked 2026-09-03
Required input
Adult DICOM 3.0 noncontrast CT studies of head and neck or thorax.
FDA source Exact FDA submission Checked 2026-09-03
Output and human action
DICOM contours for display and editing in a third-party treatment-planning system.
FDA source Exact FDA submission Checked 2026-09-03
Limitations
Not for patients younger than 18, abdomen or pelvis, contrast CT, dose calculation, registration, plan optimization, or contour editing. A third-party TPS must display and edit every contour.
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
K203610
FDA source Exact FDA submission Checked 2026-08-31
Modality
Radiotherapy Planning Imaging
FDA source Exact FDA submission Checked 2026-09-03
Anatomy
Head/Neck/Chest
FDA source Exact FDA submission Checked 2026-09-03
Clearance type
510(k)
FDA source Exact FDA submission Checked 2026-08-31
Decision date
2021-04-20
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 software on Linux with DICOM 3.0 CT input and TPS output; validate transfer, structure naming, supported anatomy, noncontrast protocols, editing, approval, and failed-case quarantine.
Public source Exact FDA submission Checked 2026-09-03
Deployment and data flow
Software-only cloud platform with Linux processing and third-party treatment-planning integration.
Public source Exact FDA submission Checked 2026-09-03
Security and privacy
Vendor documentation pending
Vendor confirmation Exact FDA submission Checked 2026-09-03

Public materials reviewed for this batch do not establish the complete security posture for the exact release. Request data-flow, identity, audit, encryption, retention, support-access, vulnerability-management, backup, and incident-response evidence.

Training and support
Only technicians and trained physicians involved in radiation-therapy planning. 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: Not for patients younger than 18, abdomen or pelvis, contrast CT, dose calculation, registration, plan optimization, or contour editing. A third-party TPS must display and edit every contour.
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 K203610 before acceptance.

exact submission · checked 2026-09-03

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

Interoperability acceptance

Cloud software on Linux with DICOM 3.0 CT input and TPS output; validate transfer, structure naming, supported anatomy, noncontrast protocols, editing, approval, and failed-case quarantine.

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. Not for patients younger than 18, abdomen or pelvis, contrast CT, dose calculation, registration, plan optimization, or contour editing. A third-party TPS must display and edit every contour.

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: Not for patients younger than 18, abdomen or pelvis, contrast CT, dose calculation, registration, plan optimization, or contour editing. A third-party TPS must display and edit every contour.

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
K203610 reports unit, integration, system, and segmentation-performance testing using Dice and 95% Hausdorff distance but no public numerical results or clinical study. Developer-affiliated peer-reviewed AAR research provides broader algorithm context across 216 planning CTs and more than 2,600 objects, not exact-release clinical validation.
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.

No contextualized exact-version metric has completed evidence review. Regulatory-document values, when available, are shown above with their limitations.

K203610 FDA performance package for Automatic Anatomy Recognition (AAR)

Manufacturer nonclinical software and segmentation verification · Adult noncontrast head, neck, and thoracic radiotherapy-planning CT

exact submission · Tested version: Automatic Anatomy Recognition release cleared in K203610 · Sponsor or vendor study

K203610

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

Automatic anatomy recognition in radiotherapy planning CT

Developer-affiliated retrospective algorithm evaluation · 216 radiotherapy planning CT examinations with more than 2,600 delineated objects

product family · Tested version: AAR research implementation; exact K203610 build not established · n=216 · Independent study

PMC6122857

Supports algorithm-family context only; artifact burden, anatomy, and contour definition affect performance.

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 radiation-oncology material. Evaluate net planning or delivery value within the radiotherapy service line.
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 K203610 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
0Unreviewed 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 0 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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