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BrainSee

Darmiyan, Inc. • Neurology • 01/11/2024

De NovoIEC 62304 Class B
FDA Summary PDF

Device Purpose

BrainSee is an artificial intelligence-powered prognostic tool that analyzes volumetric features from brain MRIs and cognitive scores to predict the five-year likelihood of progression from amnestic mild cognitive impairment to Alzheimer's dementia. Its methodology aims to provide clinicians with a non-invasive, quantitative risk assessment to aid in early identification and management of high-risk patients.

Summary

BrainSee is a prognostic software tool developed to predict the likelihood of patients diagnosed with amnestic mild cognitive impairment (aMCI) progressing to Alzheimer’s dementia within a five-year timeframe. The system functions by requiring clinicians to upload a standard 3T brain MRI scan along with concise cognitive assessment scores for the patient. An artificial intelligence algorithm then processes this data, specifically analyzing volumetric features extracted from the MRI, such as hippocampal volume and cortical thickness, in conjunction with the provided cognitive metrics. The output is a similarity score, ranging from 0 to 100, which indicates the patient's neuro-cognitive profile resemblance to individuals known to convert to Alzheimer's dementia versus those who remain stable. The tool's predictive capabilities have been validated through studies on independent cohorts, demonstrating a sensitivity of approximately 71% and a specificity of around 83%. By leveraging machine learning techniques, BrainSee provides a non-invasive method for assessing the risk of progression. This assists neurologists and other relevant healthcare professionals in the early identification of aMCI patients who are at a higher risk of developing Alzheimer's dementia. Such early identification can facilitate more timely consideration for targeted therapeutic interventions, lifestyle modifications, or enrollment in pertinent clinical trials aimed at slowing or preventing disease progression.

AI Regulatory Concerns

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Jev reads the full FDA letter and returns calibrated concern probabilities per regulatory category. These are AI estimates, not regulatory advice.

Keywords

BrainSeeamnestic mild cognitive impairmentaMCIAlzheimer's dementiaprognostic toolbrain MRIcognitive scoresartificial intelligencevolumetric featuresmachine learning

Device Metadata

Submission Number
DEN220066
Company
Darmiyan, Inc.
Panel
Neurology
Product Code
N/A
Data Type
Images
Clinical Function
Assessment
AI Function
Analysis
AI Subclass
predictive

Relevant Clinical Questions

  • Q1. How does the AI algorithm precisely weight the volumetric MRI features against the cognitive scores in its calculation of the similarity score?; What specific cognitive tests are utilized for the 'concise cognitive scores', and how sensitive is the model to variations in these scores?; Beyond hippocampal volume and cortical thickness, what other specific neuroanatomical features are analyzed by the AI, and what is their relative prognostic contribution?; How does BrainSee's performance compare to other established biomarkers or prognostic methods for predicting progression from aMCI to Alzheimer's dementia?; What are the characteristics of the independent cohorts used for validation, and how might factors like age, education, or genetic predispositions influence BrainSee's predictive accuracy across diverse populations?

Risk Classification

ESL Analysis
FDA Device ClassII

FDA Class II via De Novo pathway; IEC 62304 Class B (software safety classification); Post-§524B but no clear network capability detected

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Cybersecurity Evidence

Powered by SBOMator™

Based on AI-generated device summaries, not the full FDA submission. Items not detected here may still be present in the complete submission package.

Cyber Score5/100
SBOM Evidence⚠ Not in summary - likely in full submission per §524B
Cyber Risk Assessment⚠ Not in summary - likely in full submission per §524B
Postmarket Plan⚠ Not in summary - likely in full submission per §524B
§524B ApplicableYes

Supply Chain BOM Evidence

Based on the CycloneDX / OWASP ECMA-424 xBOM ecosystem. Detection is from the AI-generated summary.

SBOMSoftware Bill of Materials
- Not detected
ML-BOMMachine Learning Bill of Materials(machine learning, algorithm)
✓ Detected
SaaSBOMSoftware-as-a-Service Bill of Materials
- Not detected
HBOMHardware Bill of Materials
- Not detected
CBOMCryptography Bill of Materials
- Not detected
VDR/VEXVulnerability Disclosure Report / Vulnerability Exploitability eXchange
- Not detected
OBOMOperations Bill of Materials
- Not detected

Analysis:

• Analysis is based on the AI-generated device summary, not the full FDA submission package. Click "Analyze Full FDA PDF" below to scan the actual submission document.

• Evidence of ML-BOM detected in AI-generated device summary.

• SBOM not mentioned in AI-generated device summary. Under §524B (effective Oct 2023), cyber devices must provide a SBOM.

• Cybersecurity risk assessment not referenced in AI-generated device summary. FDA cybersecurity guidance (2023) expects this for cyber devices.

• Postmarket cybersecurity monitoring plan not clearly documented in AI-generated device summary.

• Not detected in AI-generated device summary: SBOM, SaaSBOM, HBOM, CBOM, VDR/VEX, OBOM. These may be present in the full FDA submission.

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BrainSee - Darmiyan, Inc. | ESL FDA AI Device Intelligence