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. 2021 Nov 26;126(1):4–9. doi: 10.1038/s41416-021-01633-1

Table 1.

List of AI-associated/associable equipped medical devices approved by the US FDA specifically for oncology-related fields.

Month of approval Name of the device Description of the device and its role Specific area of interest
1 February 2015 ER APP, Breast Cancer (Visiopharm A/S) Determination of oestrogen receptor positivity and negativity in breast cancer Pathology
2 February 2015 PR APP, Breast Cancer (Visiopharm A/S) Determination of progesterone receptor positivity and negativity in breast cancer Pathology
3 August 2015 Kaiku Health (Kaiku Oy) Outcome monitoring and symptom tracking for cancer patients Clinical Oncology
4 November 2015 ClearRead CT (Riverain Technologies LLC.) Assistance in review of multi-slice computed tomography exams of the chest and detection of potential nodules that radiologist should review Cancer Radiology
5 December 2015 Transpara (ScreenPoint Medical BV) Reading aid for physicians interpreting screening mammograms to identify regions suspicious for breast cancer Cancer Radiology
6 June 2016 SmartTarget (SmartTarget Ltd.) Image-guided interventional and diagnostic procedures involving the prostate gland Cancer Radiology
7 September 2016 Eclipse Treatment Planning System V15.6 (arian Medical Systems Inc.) Radiotherapy treatment planning for patients with malignant or benign diseases Radiation Oncology
8 August 2016 LungQ (Thirona Corp.) Support in diagnosis and documentation of pulmonary tissues images (eg, abnormalities) from CT thoracic datasets Cancer Radiology
9 March 2017 ColonFlag (Medial EarlySign Inc.) High risk colorectal cancer detection support for pre-symptomatic patients Gastroenterology
10 May 2017 AmCAD-US (AmCad BioMed Corporation) A software to visualise and quantify ultrasound image data with backscattered signals. Cancer Radiology
11 June 2017 C the Signs (C the Signs Ltd.) Assessment of symptoms to support cancer diagnosis Clinical Oncology
12 July 2017 QuantX (Quantitative Insights) An AI-equipped diagnosis system to aid in accurate diagnosis of breast cancer. Cancer Radiology
13 December 2017 Veye Chest (Aidence BV) Pulmonary nodule detection support from CT scans Cancer Radiology
14 January 2018 Arterys Oncology DL (Arterys) An AI-based, cloud-based medical imaging software that automatically measures and tracks lesions and nodules in MRI and CT. Cancer Radiology
15 January 2018 GI Genius (Medtronic Inc. (parent company: Medtronic plc.)) Colorectal cancer detection support Gastroenterology
16 January 2018 QVCAD (QView Medical Inc.) Aid to detect mammography-occult lesions in regions not known to have suspicious findings Cancer Radiology
17 February 2018 DLCExpert (Mirada Medical Ltd.) Contouring assistance for radiation therapy from CT scans Radiation Oncology
18 May 2018 HealthMammo (Zebra Medical Vision Inc.) Mammograms processed and analysed for suspected breast cancer lesions Cancer Radiology
19 July 2018 Arterys Oncology DL (Arterys Inc.) Support of oncological workflow by helping user confirm absence or presence of lesions; application supports anatomical datasets, such as CT or MR Cancer Radiology
20 October 2018 Hot Spot APP (Visiopharm A/S) Hotspot scoring method for various cancer applications Pathology
21 October 2018 Invasive Tumour Detection APP (Visiopharm A/S) Cytokeratin and p63 marker assessment for invasive and non-invasive tumour distinguishment Pathology
22 October 2018 AmCAD-UT (AmCad BioMed Corporation) Assistance in analysis of thyroid ultrasound images Cancer Radiology
23 October 2018 Mia -Mammography Intelligent Assessment (KheironMedical Technologies Ltd.) Breast cancer detection support from mammograms Cancer Radiology
24 October 2018 Arterys MICA (Arterys) An AI-based platform for analysing medical images such as MRI and CT. Cancer Radiology
25 November 2018 SubtlePET (Subtle Medical) An AI-powered technology that enables centers to deliver a faster and safer patient scanning experience, while enhancing exam throughput and provider profitability. Cancer Radiology
26 February 2019 DERM (Skin Analytics Ltd.) Skin cancer diagnosis support Clinical Oncology
27 February 2019 ART-Plan.annotate (heraPanacea SAS) Contouring of tumour and surrounding organs for radiotherapy Radiation Oncology
28 March 2019 cmTriage (CureMetrix) An AI-based triage software for mammography. Cancer Radiology
29 April 2019 Deep Learning Image Reconstruction (GE Medical Systems) A deep-learning-based CT image reconstruction technology. Cancer Radiology
30 April 2019 Auto Lung Nodule Detection (Samsung Electronics Co. Ltd. (parent company: Samsung Group) Lung nodule detection for diagnostic support from X-ray images Cancer Radiology
31 May 2019 JPC-01K (JLK Inspection Inc.) Prostate cancer detection for diagnostic support from MRI images Cancer Radiology
32 May 2019 syngo.Breast Care (Siemens Healthcare GmbH (parent company: Siemens AG)) Reading and reporting for diagnostic support from mammograms Cancer Radiology
33 June 2019 Aquilion ONE (TSX-305A/6) V8.9 with AiCE (Canon MedicalSystems Corporation) A device to acquire and display cross-sectional volumes of the whole body, including the head, with the capability of imaging whole organs in a single rotation. Cancer Radiology
34 July 2019 ProFound AI for 2D Mammography (iCAD Inc.) Breast cancer detection assistance and workflow solution from 2D mammograms Cancer Radiology
35 July 2019 ProFound AI for Digital Breast Tomosynthesis (iCAD Inc.) Computer-assisted detection and diagnosis (CAD) software device intended to be used while reading digital breast tomosynthesis (DBT) exams Cancer Radiology
36 July 2019 RayCare 2.3 (RaySearch Laboratories) An oncology information system used to support workflows, scheduling and clinical information management for oncology care and follow-up. Cancer Radiology
37 August 2019 Ethos Radiotherapy Treatment (Varian Medical Systems Inc.) Managing and monitoring radiation therapy treatment plans and sessions Radiation Oncology
38 September 2019 AVEC (Automated Visual Evaluation of the Cervix) (MobileODT Ltd.) Cervical cancer screening support for diagnostic support Gynecology
39 September 2019 Breast-SlimView (Hera-MI SAS) Breast cancer detection for diagnostic support from mammograms Cancer Radiology
40 September 2019 Vara (Merantix Healthcare GmbH) Breast cancer screening support and triaging from mammograms Cancer Radiology
41 October 2019 ProFound AI Software V2.1 (iCAD) A CAD software device intended to be used concurrently by interpreting physicians while reading DBT Cancer Radiology
42 October 2019 DeepDx-Prostate Connect (Deep Bio Inc.) Recognition of acinar adenocarcinoma of the prostate Pathology
43 November 2019 Paige Prostate (Paige Inc.) Cancer detection in prostate needle biopsies Pathology
44 November 2019 Paige Insight (Paige Inc.) Digital pathology viewer for diagnostic support Pathology
45 December 2019 Transpara (ScreenPoint Medical) A device for use as a concurrent reading aid for physicians interpreting screening mammograms from compatible FFDM systems to identify regions suspicious for breast cancer and assess their likelihood of malignancy. Cancer Radiology
46 December 2019 QyScore software (Qynapse SAS) Automatic labelling, visualisation and volumetric quantification of segmentable brain structures and lesions from MR images Cancer Radiology
47 December 2019 Discovery AI (Pentax Medical GmbH (parent company: Pentax Corporation)) Polyp detection support during a colorectal examination Gastroenterology
48 December 2019 RayStation (RaySearch Laboratories AB) Treatment planning and analysis of radiation therapy Radiation Oncology
49 December 2019 RayCare 2.3 (RaySearch Laboratories AB) Support of workflows, scheduling and clinical information management for oncology care and follow-up Clinical Oncology
50 January 2020 JBD-01K (JLK Inspection Inc.) Breast cancer detection for diagnostic support from mammograms Cancer Radiology
51 January 2020 AI-Pathway Companion Prostate Cancer (Siemens Healthcare GmbH (parent company: Siemens AG) Prostate cancer detection for diagnostic support Clinical Oncology
52 January 2020 MRCAT Brain (Philips Medical Systems MR Finland (parent company: Philips NV)) Radiation therapy planning through automated image segmentation for brain tumour patients Radiation Oncology
53 February 2020 InferRead CT Lung (Beijing Infervision Technology Co. Ltd.) Lung cancer screening and management tool from CT scans Cancer Radiology
54 February 2020 b-box (b-rayZ GmbH) Assessment of mammography image quality and breast density from mammograms Cancer Radiology
55 February 2020 Metastasis Detection App (Visiopharm A/S) Metastasis detection in lymph nodes for colorectal and breast adenocarcinoma Pathology
56 February 2020 Galen Prostate (Ibex Medical Analytics Ltd) Identification of suspected cancer on prostate core needle biopsies Pathology
57 February 2020 densitasAI (Densitas Inc.) Breast density assessment support from mammograms Cancer Radiology
58 March 2020 Broncholab (Fluidda Inc) Support in diagnosis and documentation of pulmonary tissue images(eg, abnormalities) from CT thoracic datasets Cancer Radiology
59 March 2020 Syngo.CT Lung CAD (Siemens Medical Solutions Inc. (parent company: Siemens AG)) Assistance in detection of solid pulmonary nodules during review of multi-detector computed tomography examinations of the chest Cancer Radiology
60 March 2020 MammoScreen (Therapixel SA) Help to identify findings on screening FFDM acquired with compatible mammography systems and assess level of suspicion Cancer Radiology
61 March 2020 CAD EYE (FUJIFILM Europe GmbH) Colonic polyps detection and characterisation support during a colonoscopy Gastroenterology
62 May 2020 NaviCam Capsule Endoscope System with NaviCam Stomach Capsule (AnX Robotica, Inc.) A magnetically maneuvered capsule endoscopy system consists of an ingestible capsule and magnetic controller and is used for visualisation of the stomach and duodenum. The magnetic controller is used outside of the patient and is magnetically coupled with the capsule to control its location and viewing direction. Gastroenterology
63 June 2020 Cobas® EZH2 Mutation Test (Roche Molecular System, Inc.) The test is intended for the identification of follicular lymphoma patients with an EZH2 mutation for treatment with TAZVERIK (tazemetostat); coupled with the cobas z 480 analyzer. Pathology
64 July 2020 Her2 dual ish dna probe cocktail It is intended to determineHER2 gene amplification status by enumeration of the ratio of the HER2 gene to Chromosome 17 by light microscopy. Pathology
65 October 2020 Cintec plus cytology (Ventana Medical Systems, Inc.) Qualitative immunocytochemical assay for the simultaneous detection of the p16INK4a and Ki-67 proteins in cervical specimens, intended for the diagnosis of cervical cancer. Pathology
66 November 2020 Genius AI Detection (Hologic, Inc.) Software device intended to identify potential abnormalities in breast tomosynthesis images Cancer Radiology
67 November 2020 FoundationOne Liquid CDx (Foundation Medicine, Inc.) It is a qualitative NGS-based test interrogating 311 genes. It utilises circulating cell-free DNA (cfDNA) isolated from plasma of cancer patients, and is intended to be used as a companion diagnostic to identify patients who may benefit from treatment with targeted therapies (targets identified with NGS) Pathology
68 January 2021 Visage Breast Density (Visage Imaging) The software application is intended for use with compatible full-field digital mammography to aid radiologists in the assessment of breast tissue composition Cancer Radiology
69 January 2021 Imagio Breast Imaging System (Seno Medical Instruments, Inc.) Allows an improved classification of breast masses compared to ultrasound alone; includes an AI-based software. Cancer Radiology
70 April 2021 VENTANA MMR RxDx Panel (Ventana Medical Systems, Inc.) CDx for identifying patients with endometrial cancer with dMMR status who may benefit from treatment with Jemperli (dostarlimab-gxly). Pathology
71 April 2021 GI Genius (Cosmo Artificial Intelligence—AI, LTD) It is a computer-assisted reading tool designed to aid endoscopists in detecting colonic mucosal lesions (such as polyps and adenomas) in real time during standard white-light endoscopy. Gastroenterology

Summary of the different oncology-related medical areas of all AI-associated devices approved by FDA: 39 cancer radiology (54.9%); 14 pathology (19.7%); 6 radiation oncology (8.5%); 6 gastroenterology (8.5%); 5 clinical oncology (7.0%), gynecology 1 (1.4%).

Summary of the different tumour types investigated by the presented devices: 24 general cancers (33.8%); 22 breast cancer (31.0%); 6 lung cancer (8.5%); 6 prostate cancer (8.5%); 5 colorectal cancer (7.0%); 2 brain tumours (2.8%); 6 others (6 types): 1.4% each.

AI artificial intelligence, US FDA United States Food and Drug Administration, CT computed tomography, MRI magnetic resonance imaging, ECG electrocardiogram, CAD computer-aided detection/diagnosis, DBT digital breast tomosynthesis, FFDM full-field digital mammography.