FDA-cleared profile

Genius AI Detection 2.0

Hologic, Inc.

Genius AI Detection 2.0 analyzes compatible digital breast tomosynthesis exams to identify and mark soft-tissue densities (masses, architectural distortions, asymmetries) and calcifications, providing lesion location/outline, confidence or Certainty of Findings, and a case score for concurrent review; the interpreting physician confirms or dismisses findings.

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
Genius AI Detection 2.0 analyzes compatible digital breast tomosynthesis exams to identify and mark soft-tissue densities (masses, architectural distortions, asymmetries) and calcifications, providing lesion location/outline, confidence or Certainty of Findings, and a case score for concurrent review; the interpreting physician confirms or dismisses findings.
FDA source Exact FDA submission Checked 2026-09-06
Intended users
MQSA-qualified interpreting physicians and radiologists
FDA source Exact FDA submission Checked 2026-09-06
Care setting and population
Screening and diagnostic DBT for symptomatic or asymptomatic women, including implant cases in the described dataset
FDA source Exact FDA submission Checked 2026-09-06
Workflow role
Concurrent detection and diagnostic support
FDA source Exact FDA submission Checked 2026-09-06
Required input
Compatible digital breast tomosynthesis exams, including 1 mm Clarity HD and 6 mm SmartSlices from the Hologic Envision platform and compatible Hologic Selenia Dimensions exams; DICOM input is described.
FDA source Exact FDA submission Checked 2026-09-06
Output and human action
Lesion location, lesion outline, Certainty of Findings confidence score, and an exam-level Case Score, packaged as a DICOM Mammography CAD SR for display on DICOM-compliant review workstations; findings include soft-tissue densities and calcifications.
FDA source Exact FDA submission Checked 2026-09-06
Limitations
Concurrent adjunctive support only; the interpreting physician must confirm or dismiss findings and remains responsible for interpretation.
FDA source Exact FDA submission Checked 2026-09-06

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
K243341
FDA source Exact FDA submission Checked 2026-08-31
Modality
Mammography/DBT
FDA source Exact FDA submission Checked 2026-09-06
Anatomy
Breast
FDA source Exact FDA submission Checked 2026-09-06
Clearance type
510(k)
FDA source Exact FDA submission Checked 2026-08-31
Decision date
2025-07-31
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
The submission describes DICOM Mammography CAD SR output for DICOM-compliant review workstations and worklist use; local Hologic platform, workstation, and version compatibility require confirmation.
FDA source Exact FDA submission Checked 2026-09-06
Deployment and data flow
On-premise
Public source Exact FDA submission Checked 2026-09-06

Baseline deployment category preserved; current hosting region, retention, and commercial configuration were not established.

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

No scoped current security or data-flow documentation was established.

Training and support
Vendor documentation pending
Vendor confirmation Exact FDA submission Checked 2026-09-07

Current onboarding, competency, and support commitments were not established.

Monitoring and change control
Vendor documentation pending
Vendor confirmation Exact FDA submission Checked 2026-09-07

Local acceptance testing, production monitoring, update control, and drift review were not established.

DICOM CAD SR workflow

The exact submission packages findings as a DICOM Mammography CAD SR for DICOM-compliant review workstations and worklist display.

exact submission · checked 2026-09-06

Hologic family workstation context

Hologic's official Genius family page describes display through SecurView 12.0 and worklist workflow; exact K243341 deployment and local compatibility require confirmation.

product family · checked 2026-09-07

Evidence

Performance evidence

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

Evidence summary
Retrospective multicenter validation included 1,475 subjects from 15 locations with biopsy-proven cancers, benign cases, screening-negative cases, and diagnostic cases; the FDA packet reports no significant ENV-SOC versus ENV-ECS reader-study AUC difference.
FDA source Exact FDA submission Checked 2026-09-06
Reported sensitivity
Implant subset sensitivity 76% (95% CI 68%-84%) in 480 cases.
FDA source Exact FDA submission Checked 2026-09-06
Reported specificity
Implant subset specificity 67% (95% CI 62%-72%) in 480 cases.
FDA source Exact FDA submission Checked 2026-09-06

AUC difference

-0.0017 AUC difference

ENV-SOC versus ENV-ECS reader-study AUC in 1,475 DBT subjects from 15 locations.

Tested version: Genius AI Detection 2.0 submitted in K243341; build not stated

Sensitivity

76 percent

Implant-subset sensitivity in 480 implant cases.

Tested version: Genius AI Detection 2.0 submitted in K243341; build not stated

Specificity

67 percent

Implant-subset specificity in 480 implant cases.

Tested version: Genius AI Detection 2.0 submitted in K243341; build not stated

Genius AI Detection 2.0 multicenter DBT reader study

Retrospective multicenter reader study and standalone validation · 1,475 subjects from 15 locations, including 200 biopsy-proven cancers, benign cases, screening-negative cases, and diagnostic cases

exact submission · Tested version: Genius AI Detection 2.0 submitted in K243341; build not stated · n=1475 · 15 sites · Independence not established

K243341

Two MQSA radiologists interpreted cases; a separate implant subset contained 480 cases.

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
Vendor documentation pending
Vendor confirmation Exact FDA submission Checked 2026-09-07

No public amount, range, currency, geography, or contract term was established.

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

No payer or CMS policy review was performed in this worker cohort.

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
25Fields reviewed
10Source classes checked
0Reviewed PubMed leads
0Reviewed trial leads
0Unreviewed FDA recall leads

No stored PubMed or ClinicalTrials.gov candidate identifiers for this submission in the 2026-09-01 snapshot; exact-submission recall candidate review was also zero. This metadata screen is not a full paper review. 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, vendor product page, literature index, trial registry, fda device recall, pubmed, clinical trials, openfda device recall

Sources

Source ledger

Sources accessed through 2026-09-07.

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