Authorized purpose: Four-category coronary artery calcification (CAC) assessment of plaques on non-cardiac-gated, non-contrast CT images that include the heart; preview images are informational and the result is not for stand-alone clinical decision-making.
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: Four-category coronary artery calcification (CAC) assessment of plaques on non-cardiac-gated, non-contrast CT images that include the heart; preview images are informational and the result is not for stand-alone clinical decision-making.
Overview status: Source-reviewed overview
What does this software do?Authorized purpose: Four-category coronary artery calcification (CAC) assessment of plaques on non-cardiac-gated, non-contrast CT images that include the heart; preview images are informational and the result is not for stand-alone clinical decision-making.
Which images or clinical context are in scope?Modality: CT/CTA Anatomy or clinical context: Heart and coronary arteries Input: Filtered routine DICOM images from non-cardiac-gated, non-contrast CT studies that include the heart in adults aged 30 years and older.
Who uses it?Intended users: Hospital networks and appropriately trained medical specialists (physicians).
What does the software produce?Output: Very low, low, medium, or high CAC category corresponding to Agatston ranges 0, 1-100, 101-400, and at least 400; a preliminary report with warnings, category, and number of CAC-containing slices; and PACS images showing the represented calcium alongside original slices.
What is its most important limitation?Key limitation: Technically inadequate studies, including motion artifacts, severe metal artifacts, or suboptimal/inadequate field of view, are excluded; the comparison table lists axial slice thickness up to 5.0 mm and a 130 HU calcium threshold. Results are preliminary, preview images are non-diagnostic, and clinicians must review full images and other clinical information; the device is not for stand-alone decisions.
Clinical takeaway
Clinical role: Four-category coronary artery calcification (CAC) assessment of plaques on non-cardiac-gated, non-contrast CT images that include the heart; preview images are informational and the result is not for stand-alone clinical decision-making.
Evidence takeaway
Evidence from the reviewed source record: FDA packet: retrospective, blinded, multicenter pivotal study of 433 cases from 6 U.S. clinical sites, with ground truth finalized by a senior U.S. board-certified radiologist when reviewers disagreed. Overall CAC-category agreement was 87.1%; category agreement was very low 95.1%, low 81.3%, medium 81.5%, and high 89.3%. These are agreement endpoints; the packet does not report sensitivity, specificity, or AUC.
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
Four-category coronary artery calcification (CAC) assessment of plaques on non-cardiac-gated, non-contrast CT images that include the heart; preview images are informational and the result is not for stand-alone clinical decision-making.
Very low, low, medium, or high CAC category corresponding to Agatston ranges 0, 1-100, 101-400, and at least 400; a preliminary report with warnings, category, and number of CAC-containing slices; and PACS images showing the represented calcium alongside original slices.
Technically inadequate studies, including motion artifacts, severe metal artifacts, or suboptimal/inadequate field of view, are excluded; the comparison table lists axial slice thickness up to 5.0 mm and a 130 HU calcium threshold. Results are preliminary, preview images are non-diagnostic, and clinicians must review full images and other clinical information; the device is not for stand-alone decisions.
The FDA listing establishes the regulatory identity. It does not by itself establish local workflow fit, pricing, security, or performance in your environment.
Use these fields to structure a vendor demo, security review, and implementation estimate.
Integration
The FDA packet describes filtered DICOM CT input to a Linux-based cloud server and transfer of analysis to PACS or a desktop image-review application; exact local interface versions and compatibility are not established.
Deployment category preserved from the prior exact-submission review; hosting region, data flow, and current commercial configuration still require vendor confirmation.
Exact-release security controls, data retention, hosting boundaries, and scoped assurance documentation require vendor confirmation.
Training and support
Vendor documentation pending
Vendor confirmation
Exact FDA submission
Checked 2026-09-09
Current training prerequisites, competency checks, and support commitments for the exact configuration require vendor confirmation.
Monitoring and change control
Vendor documentation pending
Vendor confirmation
Exact FDA submission
Checked 2026-09-09
Current drift, quality, uptime, alert, escalation, and incident-response commitments for the exact configuration require vendor confirmation.
ACR exact-submission catalog context
ACR AI Central provides an exact-submission model card for BriefCase-Quantification; FDA labeling remains controlling for clinical use, limitations, and performance.
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
FDA packet: retrospective, blinded, multicenter pivotal study of 433 cases from 6 U.S. clinical sites, with ground truth finalized by a senior U.S. board-certified radiologist when reviewers disagreed. Overall CAC-category agreement was 87.1%; category agreement was very low 95.1%, low 81.3%, medium 81.5%, and high 89.3%. These are agreement endpoints; the packet does not report sensitivity, specificity, or AUC.
No contextualized exact-version metric has completed evidence review. Regulatory-document values, when available, are shown above with their limitations.
BriefCase-Quantification for Coronary Artery Calcification (CAC) regulatory performance study summary
DesignStand-Alone Performance
PopulationAdult
Scopeexact submission
Tested versionExact product version not reported; regulatory study summarized for FDA submission K231631
Samplen=433
Sites6
IndependenceIndependence not established
K231631
ACR AI Central summarizes the regulatory study; consult the exact FDA materials before comparative use.
These are common procurement questions; unknown values remain visible until a source supports them.
Pricing and total cost
Vendor documentation pending
Vendor confirmation
Exact FDA submission
Checked 2026-09-09
No public price or quote for the exact K231631 configuration was established in this review.
Reimbursement and coding
Not established in reviewed sources
Reviewed sources checked
Exact FDA submission
Checked 2026-09-09
No exact-product payer policy, coding instruction, or payment determination was established; eligibility must be evaluated by payer, site of service, and use case.
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 exact-identifier FDA recall query returned no native recall record for K231631. This limited result does not establish absence of recalls or other safety information and does not cover later versions, family records, MAUDE reports, corrections, or field notices.
Verify security and privacy controls: Exact-release security controls, data retention, hosting boundaries, and scoped assurance documentation require vendor confirmation.
Verify training: Current training prerequisites, competency checks, and support commitments for the exact configuration require vendor confirmation.
Verify pricing and total cost: No public price or quote for the exact K231631 configuration was established in this review.
Verify reimbursement and coding relevance: No exact-product payer policy, coding instruction, or payment determination was established; eligibility must be evaluated by payer, site of service, and use case.
Verify local validation and lifecycle monitoring: Current drift, quality, uptime, alert, escalation, and incident-response commitments for the exact configuration require vendor confirmation.
This audit distinguishes completed source review from fields that have not yet been researched.
Exact FDA record reviewedStatus
2026-09-20Last searched
22Fields reviewed
9Source classes checked
0Screened PubMed leads
0Screened trial leads
0Unreviewed FDA recall leads
The refreshed discovery snapshot contains no PubMed or ClinicalTrials.gov candidates; no external evidence was promoted. The current discovery snapshot contains 0 PubMed and 0 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, fda device recall, literature index, trial registry, 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 history7 sources - 3 history items
Non-invasive post-processing of routine non-gated, non-contrast CT studies containing the entire heart in adults aged 30 to 85 to evaluate coronary calcified plaque and estimate...
Provides quantitative coronary-plaque analysis using Agatston scoring, RCA/LCA segmentation, and calcium-score, gender, and age percentile risk stratification.
syngo.CT CaScoring analyzes noncontrast standard- or low-dose cardiac CT, marks calcified coronary lesions, allocates them to the right coronary, left main, left anterior...