FDA-cleared profile

qXR-LN

Qure.ai Technologies

Second-reader CADe to identify and mark suspected pulmonary nodules 6-30 mm in the incidental adult population

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
Second-reader CADe to identify and mark suspected pulmonary nodules 6-30 mm in the incidental adult population
FDA source Exact FDA submission Checked 2026-09-08
Intended users
Radiologists, emergency-room physicians, or pulmonologists who regularly review chest X-rays
FDA source Exact FDA submission Checked 2026-09-08
Care setting and population
Incidental adult chest-radiograph review in routine clinical workflow; the packet does not restrict the product to a named institutional setting
FDA source Exact FDA submission Checked 2026-09-08
Workflow role
Second-reader CADe detection and localization, operating as an adjunct to physician review rather than standalone clinical decision-making
FDA source Exact FDA submission Checked 2026-09-08
Required input
DICOM frontal AP or PA digital chest radiographs of adults; effective target nodule size 6-30 mm
FDA source Exact FDA submission Checked 2026-09-08
Output and human action
DICOM output with ROI markings on a duplicated input image showing the presence and location of suspected pulmonary nodules; output is for adjunctive review and does not rule out the target condition
FDA source Exact FDA submission Checked 2026-09-08
Limitations
Incidental adult population and frontal AP/PA digital chest radiographs only; target range 6-30 mm; adjunctive second-reader information, not standalone clinical decision-making and not a substitute for the original radiograph
FDA source Exact FDA submission Checked 2026-09-08

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
K231805
FDA source Exact FDA submission Checked 2026-08-31
Modality
X-ray/Radiography
FDA source Exact FDA submission Checked 2026-09-08
Anatomy
Chest/lung, focused on suspected pulmonary nodules
FDA source Exact FDA submission Checked 2026-09-08
Clearance type
510(k)
FDA source Exact FDA submission Checked 2026-08-31
Decision date
2023-12-22
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
Images are sent through a PACS or other radiological image-storage system, and the device is intended for use with any DICOM viewer or PACS; exact local interface/version compatibility is not established
FDA source Exact FDA submission Checked 2026-09-08
Deployment and data flow
On-premise
Public source Exact FDA submission Checked 2026-08-13

Deployment category preserved from the prior exact-submission review; hosting region, data flow, and current commercial configuration still require vendor confirmation.

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.

Input or output interoperability

DICOM is explicitly referenced in the described input, output, or workflow.

exact submission · checked 2026-09-01

The model card does not establish every supported DICOM object, transfer method, or local interface.

ACR exact-submission catalog context

ACR AI Central provides an exact-submission model card for qXR-LN; FDA labeling remains controlling for clinical use, limitations, and performance.

exact submission · checked 2026-09-08

Evidence

Performance evidence

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

Evidence summary
Standalone study covered 8 states and 40 US sites, with ground truth from five ABR-certified readers using chest radiographs plus CT and reports. qXR-LN nodule-level sensitivity was 84.1% (reported CI 77.97%-97.24%) and FPPI 0.18 (0.14-0.22). Scan-level AUC was 94.51 (92.64-96.66), sensitivity 93.83 (88.94-97.00), and specificity 81.09 (76.30-85.00). In the MRMC second-read study, AFROC was 0.8095 aided versus 0.7333 unaided, delta 0.07621, p<1e-5; nodule-level sensitivity improvement was 11.96 percentage points
FDA source Exact FDA submission Checked 2026-09-08
Reported sensitivity
93.83% (95% CI: 88.94%, 97%)
Public source Exact FDA submission Checked 2026-09-01

Model sensitivity reported by ACR AI Central. Review endpoint, threshold, study population, and tested version before comparison.

Reported specificity
81.09% (95% CI: 76.30%, 85%)
Public source Exact FDA submission Checked 2026-09-01

Model specificity reported by ACR AI Central. Review endpoint, threshold, study population, and tested version before comparison.

No contextualized exact-version metric has completed evidence review. Regulatory-document values, when available, are shown above with their limitations.

qXR-LN regulatory performance study summary

Stand-alone performance and reader study (ACR AI Central category) · Adult

exact submission · Tested version: Exact product version not reported; regulatory study summarized for FDA submission K231805 · 40 sites · Independence not established

K231805

ACR AI Central summarizes the regulatory study; consult the exact FDA materials before comparative use.

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 2026-09-08

No public price or quote for the exact K231805 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 K231805. 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.
Public source Exact FDA submission Checked 2026-09-08

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.

Exact FDA record reviewedStatus
2026-09-08Last searched
24Fields reviewed
9Source classes checked
0Unreviewed PubMed leads
2Unreviewed trial leads
0Unreviewed FDA recall leads

Exact-submission ACR model-card fields were normalized under the current provenance rules; vendor and independent-study confirmation remain distinct. Exact FDA scope controls clinical claims. ACR provides bounded exact-submission catalog context. Candidate literature metadata remains a discovery queue until full-text identity, endpoint, population, and version review is completed. Automated exact-name discovery found 0 PubMed and 2 ClinicalTrials.gov candidate records. Candidates require human product and version matching; zero candidates is not evidence that no studies exist. Native FDA recall identifiers produced 0 postmarket candidate records; 0 have been reviewed (0 published, 0 rejected) and 0 remain unreviewed.

Candidate leads remain unpublished until a human confirms the exact product and tested version.

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

Source ledger

Sources accessed through 2026-09-08.

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