Intended Use

Rho is a software application intended for use opportunistically with standard frontal radiographs of the lumbar spine, thoracic spine, chest, pelvis, knee, or hand/wrist performed in patients aged 50 years and older to aid in identifying possible low bone mineral density (BMD) at L1-L4 or the femoral neck to prompt a clinical assessment of bone health.

Technology

Rho is a machine learning-based software integrated with PACS that uses patient age, sex, and frontal X-ray DICOM images to estimate BMD at femoral neck or lumbar vertebrae with a locked algorithm trained on patient data. It outputs a binary classification and generates a report for clinical use.

Performance

Clinical performance was evaluated retrospectively using multiple datasets with paired DXA (gold standard) comparison showing high specificity (~0.90+) but moderate to low sensitivity. The device met performance goals for specificity and AUC but had lower sensitivity in some subgroups and datasets. Postmarket monitoring is planned to assess real-world generalizability.

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