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: Second-reader CADe to identify and mark suspected pulmonary nodules 6-30 mm in the incidental adult population
Overview status: Source-reviewed overview
What does this software do?Authorized purpose: Second-reader CADe to identify and mark suspected pulmonary nodules 6-30 mm in the incidental adult population
Which images or clinical context are in scope?Modality: X-ray/Radiography Anatomy or clinical context: Chest/lung, focused on suspected pulmonary nodules Input: DICOM frontal AP or PA digital chest radiographs of adults; effective target nodule size 6-30 mm
Who uses it?Intended users: Radiologists, emergency-room physicians, or pulmonologists who regularly review chest X-rays
What does the software produce?Output: 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
What is its most important limitation?Key limitation: 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
Clinical takeaway
Clinical role: Second-reader CADe to identify and mark suspected pulmonary nodules 6-30 mm in the incidental adult population
Evidence takeaway
Evidence from the reviewed source record: 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
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
Second-reader CADe to identify and mark suspected pulmonary nodules 6-30 mm in the incidental adult population
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
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
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
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
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
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
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
DesignStand-alone performance and reader study (ACR AI Central category)
PopulationAdult
Scopeexact submission
Tested versionExact product version not reported; regulatory study summarized for FDA submission K231805
Sites40
IndependenceIndependence not established
K231805
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 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.
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 K231805 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
25Fields reviewed
9Source classes checked
0Screened PubMed leads
2Screened trial leads
0Unreviewed FDA recall leads
The refreshed discovery snapshot contains 0 PubMed and 2 ClinicalTrials.gov candidate records. Discovery metadata alone does not establish exact tested-product, version, population, and endpoint applicability, so all candidates remain quarantined and none was promoted. The current discovery snapshot contains 0 PubMed and 2 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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