Authorized purpose: Automatically label and volumetrically quantify segmentable brain structures and white matter hyperintensities (WMH) from MR images in adults and adolescents aged 18 years and older, as a support tool for properly trained clinicians assessing structural MRIs; patient-management decisions must not rely solely on the device results.
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 label and volumetrically quantify segmentable brain structures and white matter hyperintensities (WMH) from MR images in adults and adolescents aged 18 years and older, as a support tool for properly trained clinicians assessing structural MRIs; patient-management decisions must not rely solely on the device results.
Overview status: Source-reviewed overview
What does this software do?Authorized purpose: Automatically label and volumetrically quantify segmentable brain structures and white matter hyperintensities (WMH) from MR images in adults and adolescents aged 18 years and older, as a support tool for properly trained clinicians assessing structural MRIs; patient-management decisions must not rely solely on the device results.
Which images or clinical context are in scope?Modality: MRI Anatomy or clinical context: Brain Input: DICOM-compatible MR images, including 3D T1-weighted Gradient Echo structural MRI for brain structures and T2 FLAIR MRI for WMH identification, from adults and adolescents aged 18 years and older; the application checks available sequences for compatibility before launching analysis.
Who uses it?Intended users: Clinicians with proper training
What does the software produce?Output: Volumes for gray matter, white matter, cerebrospinal fluid, and intracranial volume, plus WMH quantification, segmentation color overlays, morphometric reports, comparisons with age- and gender-matched normative percentile data when available, longitudinal reporting, and DICOM-formatted results displayable on DICOM workstations and PACS.
What is its most important limitation?Key limitation: The software is a support tool and patient-management decisions must not be based solely on its results. The FDA scope is limited to segmentable brain structures and WMH from the specified T1 and T2 FLAIR MRI inputs; WMH performance varies materially by lesion burden, and the packet does not establish a general diagnostic claim or a specific current PACS, RIS, EHR, or deployment configuration.
Clinical takeaway
Clinical role: Automatically label and volumetrically quantify segmentable brain structures and white matter hyperintensities (WMH) from MR images in adults and adolescents aged 18 years and older, as a support tool for properly trained clinicians assessing structural MRIs; patient-management decisions must not rely solely on the device results.
Evidence takeaway
Evidence from the reviewed source record: FDA K232231 reports software verification and validation against manual expert segmentation. For T1 brain structures, Dice scores and relative-volume differences were GM 0.983 and 2.846, WM 0.990 and 1.643, CSF 0.955 and 7.495, and ICV 0.994 and 0.496. For T2 FLAIR WMH, burden-stratified Dice scores were 0.506, 0.636, 0.774, and 0.885 for low, medium, high, and very high WMH, with corresponding absolute volume errors of 0.675, 2.544, 3.097, and 7.833 mL; the packet also reports Pearson correlation of 0.88 for WMH count. No sample size or clinical-outcome study is stated in the reviewed FDA packet.
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 label and volumetrically quantify segmentable brain structures and white matter hyperintensities (WMH) from MR images in adults and adolescents aged 18 years and older, as a support tool for properly trained clinicians assessing structural MRIs; patient-management decisions must not rely solely on the device results.
Automated structural-brain MRI segmentation, volumetric quantification, and WMH analysis with clinician review as a support tool; sequence compatibility is checked before analysis and results can be reviewed longitudinally.
DICOM-compatible MR images, including 3D T1-weighted Gradient Echo structural MRI for brain structures and T2 FLAIR MRI for WMH identification, from adults and adolescents aged 18 years and older; the application checks available sequences for compatibility before launching analysis.
Volumes for gray matter, white matter, cerebrospinal fluid, and intracranial volume, plus WMH quantification, segmentation color overlays, morphometric reports, comparisons with age- and gender-matched normative percentile data when available, longitudinal reporting, and DICOM-formatted results displayable on DICOM workstations and PACS.
The software is a support tool and patient-management decisions must not be based solely on its results. The FDA scope is limited to segmentable brain structures and WMH from the specified T1 and T2 FLAIR MRI inputs; WMH performance varies materially by lesion burden, and the packet does not establish a general diagnostic claim or a specific current PACS, RIS, EHR, or deployment configuration.
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
DICOM-compatible input and return/display of outputs on third-party DICOM workstations and PACS are described. Exact DICOM objects, interfaces, versions, routing, and current local compatibility are not established by the FDA packet.
Deployment category preserved from the prior exact-submission review; hosting region, data flow, and current commercial configuration still require vendor confirmation.
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 K232231 reports software verification and validation against manual expert segmentation. For T1 brain structures, Dice scores and relative-volume differences were GM 0.983 and 2.846, WM 0.990 and 1.643, CSF 0.955 and 7.495, and ICV 0.994 and 0.496. For T2 FLAIR WMH, burden-stratified Dice scores were 0.506, 0.636, 0.774, and 0.885 for low, medium, high, and very high WMH, with corresponding absolute volume errors of 0.675, 2.544, 3.097, and 7.833 mL; the packet also reports Pearson correlation of 0.88 for WMH count. No sample size or clinical-outcome study is stated in the reviewed FDA packet.
No contextualized exact-version metric has completed evidence review. Regulatory-document values, when available, are shown above with their limitations.
QP-Brain® regulatory performance study summary
DesignStand-Alone Performance
PopulationAdult
Scopeexact submission
Tested versionExact product version not reported; regulatory study summarized for FDA submission K232231
IndependenceIndependence not established
K232231
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 K232231 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 K232231. 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 K232231 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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