Authorized purpose: Automatically calculate linear and area-based cardiothoracic ratio from a CT study containing the heart to support clinician assessment of possible cardiomegaly; not for standalone clinical decision-making or diagnosis.
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: Automatically calculate linear and area-based cardiothoracic ratio from a CT study containing the heart to support clinician assessment of possible cardiomegaly; not for standalone clinical decision-making or diagnosis.
Overview status: Source-reviewed overview
What does this software do?Authorized purpose: Automatically calculate linear and area-based cardiothoracic ratio from a CT study containing the heart to support clinician assessment of possible cardiomegaly; not for standalone clinical decision-making or diagnosis.
Which images or clinical context are in scope?Modality: CT/CTA Anatomy or clinical context: Heart and thoracic cavity (cardiothoracic ratio) Input: A CT image study containing the heart; the software selects an axial slice containing the heart if present. The labeled population is adults and transitional adolescents aged 18-21 treated as adults.
Who uses it?Intended users: Physicians or other licensed practitioners in clinics, hospitals, healthcare facilities, residential care facilities, and long-term care services.
What does the software produce?Output: PDF and JSON summary reports containing linear-based CTR, area-based CTR or Heart to Chest Area Ratio, heart-area and inner-chest-area segmentations, patient information, and user-specified reference values.
What is its most important limitation?Key limitation: Results are not intended as the primary input for clinical decision-making or diagnosis and do not replace clinical assessment. The indication is limited to adults and transitional adolescents aged 18-21 treated as adults and to CT studies containing the heart; the FDA packet does not establish DICOM/PACS output or a clinical-disease detection claim.
Clinical takeaway
Clinical role: Automatically calculate linear and area-based cardiothoracic ratio from a CT study containing the heart to support clinician assessment of possible cardiomegaly; not for standalone clinical decision-making or diagnosis.
Evidence takeaway
Evidence from the reviewed source record: FDA K232613 reports technical performance against measurements from three board-certified radiologists. The testing set contained 275 unique patients from sites across 12 US states, aged 18-96 years, with varied scanners, protocols, contrast status, and CT types. Mean absolute difference was 0.009 for both CTR endpoints; 95% limits of agreement were [-0.033, 0.035] for CTR and [-0.028, 0.035] for Heart to Chest Area Ratio. Key-slice-position mean difference was 0.46 mm, and heart segmentation Dice was 0.95 (95% CI 0.950-0.956).
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
Automatically calculate linear and area-based cardiothoracic ratio from a CT study containing the heart to support clinician assessment of possible cardiomegaly; not for standalone clinical decision-making or diagnosis.
Automated heart and chest segmentation and CTR measurement; can run standalone or as part of another medical device, with clinician review of the summary report and all available information.
A CT image study containing the heart; the software selects an axial slice containing the heart if present. The labeled population is adults and transitional adolescents aged 18-21 treated as adults.
PDF and JSON summary reports containing linear-based CTR, area-based CTR or Heart to Chest Area Ratio, heart-area and inner-chest-area segmentations, patient information, and user-specified reference values.
Results are not intended as the primary input for clinical decision-making or diagnosis and do not replace clinical assessment. The indication is limited to adults and transitional adolescents aged 18-21 treated as adults and to CT studies containing the heart; the FDA packet does not establish DICOM/PACS output or a clinical-disease detection claim.
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
Command-line software that may run standalone or as part of another medical device and writes PDF and JSON reports. The FDA packet does not establish a PACS, DICOM, RIS, EHR, or other specific external interface.
The reviewed sources do not establish the current exact-release hosting topology, data flow, region, tenancy, or disaster-recovery configuration.
Security and privacy
Vendor documentation pending
Vendor confirmation
Exact FDA submission
Checked 2026-09-08
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 2026-09-08
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 2026-09-08
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 CT Cardiomegaly; 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 K232613 reports technical performance against measurements from three board-certified radiologists. The testing set contained 275 unique patients from sites across 12 US states, aged 18-96 years, with varied scanners, protocols, contrast status, and CT types. Mean absolute difference was 0.009 for both CTR endpoints; 95% limits of agreement were [-0.033, 0.035] for CTR and [-0.028, 0.035] for Heart to Chest Area Ratio. Key-slice-position mean difference was 0.46 mm, and heart segmentation Dice was 0.95 (95% CI 0.950-0.956).
No contextualized exact-version metric has completed evidence review. Regulatory-document values, when available, are shown above with their limitations.
CT Cardiomegaly regulatory performance study summary
DesignStand-Alone Performance
PopulationAdult
Scopeexact submission
Tested versionExact product version not reported; regulatory study summarized for FDA submission K232613
Samplen=275
IndependenceIndependence not established
K232613
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 2026-09-08
No public price or quote for the exact K232613 configuration was established in this review.
Reimbursement and coding
Not established in reviewed sources
Reviewed sources checked
Exact FDA submission
Checked 2026-09-08
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 K232613. 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 deployment and data flow: The reviewed sources do not establish the current exact-release hosting topology, data flow, region, tenancy, or disaster-recovery configuration.
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 K232613 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
21Fields 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
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