FDA-cleared profile

BriefCase

Aidoc Medical, Ltd.

Authorized purpose: Chest and abdominal CT triage and notification for suspected vertebral compression fractures in the standard-of-care bone-health workflow; notifications are non-diagnostic and clinicians review the original study.

Evidence status: each field states its source quality, applicability, and review date. Research pending, information not established, and vendor documentation pending remain distinct outcomes.

Product overview

Start with the essentials

Authorized purpose: Chest and abdominal CT triage and notification for suspected vertebral compression fractures in the standard-of-care bone-health workflow; notifications are non-diagnostic and clinicians review the original study.

Overview status: Source-reviewed overview

Clinical takeaway

Clinical role: Chest and abdominal CT triage and notification for suspected vertebral compression fractures in the standard-of-care bone-health workflow; notifications are non-diagnostic and clinicians review the original study.

Evidence takeaway

Evidence from the reviewed source record: K222692's exact FDA pivotal study evaluated 318 chest and abdominal CT cases at five U.S. sites against ground truth from three senior board-certified radiologists. The study reported observed AUC, sensitivity, specificity and notification-time results; its performance goals were thresholds and are kept separate from the observed values.

Clinical details

What this tool is for

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

Exact purpose
Chest and abdominal CT triage and notification for suspected vertebral compression fractures in the standard-of-care bone-health workflow; notifications are non-diagnostic and clinicians review the original study.
  • FDA source
  • Exact FDA submission
  • Checked 2026-09-07
Intended users
Hospital networks and appropriately trained medical specialists within the standard-of-care bone-health setting.
  • FDA source
  • Exact FDA submission
  • Checked 2026-09-07
Care setting and population
Hospital-network radiology workflows in the standard-of-care bone-health setting.
  • FDA source
  • Exact FDA submission
  • Checked 2026-09-07
Workflow role
Computer-aided triage and notification: a suspect case appears in a desktop feed with an unannotated compressed preview while the original PACS workflow continues.
  • FDA source
  • Exact FDA submission
  • Checked 2026-09-07
Required input
Filtered and de-identified DICOM chest and abdominal CT images, received, saved and processed chronologically by series.
  • FDA source
  • Exact FDA submission
  • Checked 2026-09-07
Output and human action
A desktop feed notification for a suspected VCFx case and a compressed, low-quality, grayscale, unannotated preview captioned for prioritization only; the original medical image is not altered.
  • FDA source
  • Exact FDA submission
  • Checked 2026-09-07
Limitations
The preview and notification are informational and not for diagnostic use beyond notification. Clinicians must review the full original images in local PACS with other patient information and professional judgment; the device does not replace diagnosis or disturb standard interpretation.
  • FDA source
  • Exact FDA submission
  • Checked 2026-09-07

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
K222692
  • FDA source
  • Exact FDA submission
  • Checked 2026-08-31
Modality
CT/CTA
  • FDA source
  • Exact FDA submission
  • Checked 2026-09-07
Anatomy
Chest/Lung
  • FDA source
  • Exact FDA submission
  • Checked 2026-09-07

The exact indication covers chest and abdominal CT; the controlled directory anatomy is normalized to Chest/Lung.

Clearance type
510(k)
  • FDA source
  • Exact FDA submission
  • Checked 2026-08-31
Decision date
2022-12-05
  • 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
Uses PACS and radiology-workstation workflow with DICOM acquisition, filtered/de-identified transfer to cloud processing, and a desktop feed/non-diagnostic viewer that sends the clinician back to local PACS for full-image review.
  • FDA source
  • Exact FDA submission
  • Checked 2026-09-07
Deployment and data flow
The exact FDA description uses an Aidoc Hospital Server/Orchestrator for acquisition, an Aidoc Cloud Server for processing and an Aidoc Desktop Application for workflow integration; the described server stack includes a DICOM module and de-identification before cloud processing.
  • FDA source
  • Exact FDA submission
  • Checked 2026-09-07

This is the submission-era architecture; current tenant, hosting, security and contract terms require vendor confirmation.

Security and privacy
Vendor documentation pending
  • Vendor confirmation
  • Exact FDA submission
  • Checked 2026-09-07

Cloud architecture and de-identification language do not establish formal security controls for a current installed configuration.

Training and support
Vendor documentation pending
  • Vendor confirmation
  • Exact FDA submission
  • Checked 2026-08-13

Training, onboarding, competency, and support commitments are commercial implementation details that require current vendor documentation.

Monitoring and change control
Vendor documentation pending
  • Vendor confirmation
  • Exact FDA submission
  • Checked 2026-08-13

Local acceptance testing, production monitoring, drift review, update control, and incident escalation require a current vendor and site-specific governance plan.

Exact DICOM triage and cloud-processing path

The exact FDA record describes Aidoc Hospital Server acquisition, de-identification and filtering, Aidoc Cloud Server processing, and a desktop feed/non-diagnostic viewer that prompts review of original images in local PACS.

exact submission · checked 2026-09-07

Current Aidoc VCF family workflow

Aidoc's current neuro solution page lists vertebral compression fractures among CT algorithms in its Full Brain AI Solution and describes facility-level CT processing with deep integration and aiOS orchestration.

product family · checked 2026-09-07

Current family platform context does not establish the exact K222692 release, configuration or contractual interfaces.

Current Aidoc workstation and enterprise integrations

Aidoc's current radiology platform page describes a workstation Widget with key images and AI-result summaries, direct worklist marking, and integrations with PACS, EHR, scheduling and reporting.

product family · checked 2026-09-07

Family-level buyer workflow context only; exact K222692 compatibility requires site and vendor confirmation.

Evidence

Performance evidence

Metrics are shown only when they are tied to a source, endpoint, population, and tested product version. Candidate literature without exact product and version linkage is not shown as product evidence.

Evidence summary
K222692's exact FDA pivotal study evaluated 318 chest and abdominal CT cases at five U.S. sites against ground truth from three senior board-certified radiologists. The study reported observed AUC, sensitivity, specificity and notification-time results; its performance goals were thresholds and are kept separate from the observed values.
  • FDA source
  • Exact FDA submission
  • Checked 2026-09-07
Reported sensitivity
95.11% (95% CI: 90.92%, 97.74%)
  • Public source
  • Exact FDA submission
  • Checked 2026-09-01

Model sensitivity reported by ACR AI Central. Review endpoint, threshold, study population, and tested version before comparison.

Reported specificity
93.28% (95% CI: 87.63%, 96.88%)
  • Public source
  • Exact FDA submission
  • Checked 2026-09-01

Model specificity reported by ACR AI Central. Review endpoint, threshold, study population, and tested version before comparison.

Study-level AUC (normalized from FDA-reported 97.6%)

0.976 proportion

  • EndpointROC discrimination for vertebral compression fractures
  • PopulationChest and abdominal CT cases from five U.S. clinical sites
  • Tested versionBriefCase vertebral-compression-fracture triage release reviewed in FDA submission K222692

Sensitivity

95.11 percent

  • EndpointDetection of suspected vertebral compression fractures
  • PopulationChest and abdominal CT cases from five U.S. clinical sites
  • Tested versionBriefCase vertebral-compression-fracture triage release reviewed in FDA submission K222692

Specificity

93.28 percent

  • EndpointExclusion of suspected vertebral compression fractures
  • PopulationChest and abdominal CT cases from five U.S. clinical sites
  • Tested versionBriefCase vertebral-compression-fracture triage release reviewed in FDA submission K222692

Mean time-to-notification

117.2 seconds

  • EndpointDICOM receipt, de-identification, cloud upload, analysis and desktop notification for a true-positive case
  • PopulationTrue-positive cases in the K222692 time-to-notification analysis
  • Tested versionBriefCase vertebral-compression-fracture triage release reviewed in FDA submission K222692

K222692 BriefCase VCFx pivotal study

  • DesignRetrospective, blinded, multicenter FDA submission study comparing BriefCase with ground truth from three senior board-certified radiologists.
  • Population318 chest and abdominal CT cases from five U.S.-based clinical sites; pivotal cases were distinct in time or center from training data.
  • Scopeexact submission
  • Tested versionBriefCase vertebral-compression-fracture triage release reviewed in FDA submission K222692
  • Samplen=318
  • Sites5
  • IndependenceIndependence not established

K222692

The FDA summary reports the study and vendor submission; independent-investigator status was not established.

Costs and setup

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 2026-09-07

No public exact-submission price or procurement terms were reviewed.

Reimbursement and coding
Research pending
  • Needs research
  • Exact FDA submission
  • Checked 2026-09-07

CMS policy research was not performed by this worker; no coverage conclusion is made.

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
Not established in reviewed sources
  • Reviewed sources checked
  • Exact FDA submission
  • Checked 2026-09-04

No native submission-identifier match was found in the checked openFDA radiology recall snapshot. Product-name, manufacturer, and adverse-event searches remain necessary; this does not establish that no recall or safety report 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
2026-09-07Last searched
26Fields reviewed
13Source classes checked
20Screened PubMed leads
6Screened trial leads
0Unreviewed FDA recall leads

The stored PubMed and ClinicalTrials candidate metadata were screened in the exact stored order; this was metadata triage, not full-text paper or registry-record review, and no candidate was promoted. The stored recall query returned no records, so no event was promoted and no absence claim is made. The current discovery snapshot contains 20 PubMed and 6 ClinicalTrials.gov candidate records; its dated, count-matched human screening remains current. Unlinked candidates remain quarantined. Native FDA recall identifiers produced 0 postmarket candidate records; 0 have been reviewed (0 published, 0 rejected) and 0 remain unreviewed.

Candidate leads were screened against the exact product and tested version. Unlinked records remain quarantined.

Source classes: fda ai list, fda decision summary, acr ai central product, vendor product page, vendor clinical study, vendor press release, literature index, trial registry, stored candidate metadata, stored recall candidates, pubmed, clinical trials, openfda device recall

Sources & history

How this profile was documented

Open the ledger for source dates, scope, and research-record updates.

View source ledger and history

Source ledger

  1. K222692 FDA decision source

    U.S. Food and Drug Administration - Accessed 2026-08-31

    Scope: regulatoryIdentity, purpose, modality, anatomy

  2. Artificial Intelligence-Enabled Medical Devices

    U.S. Food and Drug Administration - Accessed 2026-08-31

    Scope: regulatoryIdentity, modalityContext

  3. BriefCase-Vertebral Compression Fracture Triage model card (K222692)

    American College of Radiology - Published 2026-08-17 - Accessed 2026-09-01

    Scope: intendedUsers, careSetting, output, limitations, reportedSensitivity, reportedSpecificity, evidenceSummary, integration, anatomy, evidenceStudies, implementationCapabilities

  4. PubMed biomedical literature index

    U.S. National Library of Medicine - Accessed 2026-09-01

    Scope: evidenceDiscovery

  5. ClinicalTrials.gov study registry

    U.S. National Library of Medicine - Accessed 2026-09-01

    Scope: evidenceDiscovery, studyStatus

  6. openFDA Device Recall API

    U.S. Food and Drug Administration - Accessed 2026-09-02

    Scope: recallDiscovery, nativeSubmissionMatching

  7. FDA 510(k) decision summary K222692: BriefCase VCFx triage

    U.S. Food and Drug Administration - Published 2022-12-05 - Accessed 2026-09-07

    Scope: identity, clinicalUse, purpose, modality, anatomy, input, output, limitations, deployment, integration, evidenceSummary, evidenceMetrics, evidenceStudies

  8. Aidoc radiology platform and workflow integrations

    Aidoc - Accessed 2026-09-07

    Scope: product_family, workflow, PACS_integration, EHR_integration, worklist, implementationCapabilities

  9. Aidoc neuro AI solution and vertebral compression fracture workflow

    Aidoc - Accessed 2026-09-07

    Scope: product_family, vertebral_compression_fracture, CT_workflow, PACS_integration, implementationCapabilities

Research history

  1. K222692 FDA decision

    Regulatory record

    510(k)

  2. Source-review record updated

    Research record

    human reviewed

  3. Reader overview source-reviewed

    Editorial review

    Source-reviewed editorial overlay

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Chest CT (with or without contrast) triage and notification for suspected three or more acute rib fractures in adults or transitional adolescents age 18 or older; notifications...

Modality
CT/CTA
Anatomy
Chest/Lung
Decision
2023-02-01