Authorized purpose: 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 coronary calcium score and category.
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: 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 coronary calcium score and category.
Overview status: Source-reviewed overview
What does this software do?Authorized purpose: 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 coronary calcium score and category.
Which images or clinical context are in scope?Modality: CT/CTA Anatomy or clinical context: Heart and coronary arteries Input: Routine non-gated, non-contrast CT studies containing the entire heart in adults aged 30 to 85; DICOM input. The validation data included CT slice thicknesses from 0.5 to 5 mm and four CT manufacturers.
Who uses it?Intended users: Radiologists and other interpreting clinicians, with further assessment available to cardiologists, general practitioners, or other clinicians.
What does the software produce?Output: An estimated coronary calcium score, an estimated category of Zero (0), Low (1-99), Medium (100-399), or High (>=400), representative axial images with calcified areas annotated for non-zero results, and status or error outputs for non-compliant, no-category, or failed studies.
What is its most important limitation?Key limitation: Results are informational and not intended as a stand-alone basis for risk attribution or clinical decision-making. The clinician must review the CT independently; the packet notes that calcium scoring on non-gated CT is less accurate than on gated CT. Input validation can produce non-compliant, no-category, or failure outcomes.
Clinical takeaway
Clinical role: 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 coronary calcium score and category.
Evidence takeaway
Evidence from the reviewed source record: FDA retrospective simulated-use standalone testing used a validation dataset of 436 cases from four healthcare institutions, with algorithm results returned for 427 cases (97.94% yield). Ground truth coronary-calcium category was the majority agreement of two of three U.S. board-certified radiologists. Overall categorical agreement was 89.46% (95% CI 86.15%-92.21%), with category agreements of 86.63% Zero, 87.65% Low, 87.36% Medium, and 98.85% High. The estimated score correlated with ground truth at Pearson r=0.959 (95% CI 0.9499-0.9655, p<0.0001).
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
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 coronary calcium score and category.
Parallel post-processing and coronary-calcium quantification in the standard workflow; results are for clinician review, and final diagnosis and clinical decisions remain independent clinician responsibilities.
Routine non-gated, non-contrast CT studies containing the entire heart in adults aged 30 to 85; DICOM input. The validation data included CT slice thicknesses from 0.5 to 5 mm and four CT manufacturers.
An estimated coronary calcium score, an estimated category of Zero (0), Low (1-99), Medium (100-399), or High (>=400), representative axial images with calcified areas annotated for non-zero results, and status or error outputs for non-compliant, no-category, or failed studies.
Results are informational and not intended as a stand-alone basis for risk attribution or clinical decision-making. The clinician must review the CT independently; the packet notes that calcium scoring on non-gated CT is less accurate than on gated CT. Input validation can produce non-compliant, no-category, or failure outcomes.
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
Receives DICOM studies from a storage or hosting application such as the Nanox Imaging Analytics Platform or another platform, validates the input, and returns successful analysis results to the hosting application; the packet does not establish every local interface or deployment model.
Deployment category preserved from the prior exact-submission review; hosting region, data flow, and current commercial configuration still require vendor confirmation.
ACR AI Central provides an exact-submission model card for HealthCCSng; 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 retrospective simulated-use standalone testing used a validation dataset of 436 cases from four healthcare institutions, with algorithm results returned for 427 cases (97.94% yield). Ground truth coronary-calcium category was the majority agreement of two of three U.S. board-certified radiologists. Overall categorical agreement was 89.46% (95% CI 86.15%-92.21%), with category agreements of 86.63% Zero, 87.65% Low, 87.36% Medium, and 98.85% High. The estimated score correlated with ground truth at Pearson r=0.959 (95% CI 0.9499-0.9655, p<0.0001).
No contextualized exact-version metric has completed evidence review. Regulatory-document values, when available, are shown above with their limitations.
HealthCCSng regulatory performance study summary
DesignStand-Alone Performance
PopulationAdult
Scopeexact submission
Tested version2
Samplen=400
IndependenceIndependence not established
K241440
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 K241440 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 K241440. 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 K241440 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
23Fields 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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