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Genius AI Detection 2.0 with CC-MLO Correlation

Hologic, Inc. • Radiology • 05/23/2023

510(k)IEC 62304 Class B
FDA Summary PDF

Device Purpose

The Genius AI Detection 2.0 with CC-MLO Correlation is a software utilizing deep learning to aid radiologists in identifying and characterizing suspicious lesions in digital breast tomosynthesis exams. Its core methodology involves analyzing DBT images for potential abnormalities, providing confidence scores, and uniquely correlating findings between CC and MLO views to enhance diagnostic workflow and accuracy.

Summary

The Genius AI Detection 2.0 with CC-MLO Correlation is a software device designed to assist clinicians in interpreting digital breast tomosynthesis (DBT) exams for breast cancer screening and diagnosis. It functions as a computer-aided detection and diagnosis (CADe/CADx) tool, utilizing deep learning algorithms to analyze DBT images to identify and mark suspicious regions of interest, such as soft tissue densities (masses, architectural distortions, asymmetries) and calcifications; for each detected finding, it provides a location, an outline, a confidence score, and an overall case score for the exam, with these CAD findings presented concurrently to the interpreting physician for immediate assessment. This latest version introduces the CC-MLO Correlation feature, a significant enhancement that correlates suspected lesions in one mammographic view with corresponding findings in the orthogonal view, aiming to improve physician workflow and navigation. The system processes 1-mm 3D DBT slices and can co-register findings to 6-mm SmartSlices; the CC-MLO correlation feature's effectiveness in lesion detection and inter-view correlation was established through standalone performance testing on a dataset of 106 malignant and 561 negative cases, evaluated against expert radiologist-defined ground truth.

AI Regulatory Concerns

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Keywords

Genius AI Detection 2.0CC-MLO CorrelationDigital Breast Tomosynthesis (DBT)Deep LearningComputer-Aided Detection (CADe)Computer-Aided Diagnosis (CADx)MammographyLesion DetectionConfidence ScoreDICOM

Device Metadata

Submission Number
K230096
Company
Hologic, Inc.
Panel
Radiology
Product Code
N/A
Data Type
Images
Clinical Function
Assessment
AI Function
Analysis
AI Subclass
detection/diagnosis

Relevant Clinical Questions

  • Q1. How does the CC-MLO correlation algorithm handle cases with multiple lesions or highly dense breast tissue, and what is its reported accuracy in such scenarios compared to less complex cases?; What specific deep learning architectures are employed in Genius AI Detection 2.0, and how were they trained and validated to ensure generalizability across diverse patient populations and DBT systems?; Could the 'Certainty of Findings' and 'Case Score' be integrated with other clinical data (e.g., patient history, genetic markers) within the software to provide a more comprehensive risk assessment?; What were the quantitative performance metrics (e.g., sensitivity, specificity, area under the ROC curve) for the CC-MLO correlation feature specifically in the standalone evaluation with 106 malignant and 561 negative cases?; How does the concurrent display of CAD findings, particularly the correlated views, impact radiologist reading time and diagnostic accuracy in real-world clinical workflows compared to non-AI assisted reading or AI without correlation?

Risk Classification

ESL Analysis
FDA Device ClassII

FDA Class II via 510(k) pathway; IEC 62304 Class B (software safety classification); Authorized before §524B enforcement

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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 Score20/100
SBOM Evidence⚠ Not mentioned in summary
Cyber Risk Assessment⚠ Not mentioned in summary
Postmarket Plan✓ Detected in Summary
§524B ApplicableNo

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(deep learning, algorithm, dataset, ground truth)
✓ 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.

• This device was authorized before §524B took effect. Cybersecurity evidence requirements were less prescriptive at the time.

• 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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Genius AI Detection 2.0 with CC-MLO Correlation - Hologic, Inc. | ESL FDA AI Device Intelligence