Intended Use

Koios Decision Support (DS) for Breast is a software application designed to assist trained interpreting physicians in analyzing breast ultrasound images of patients with soft tissue breast lesions, referred for further diagnostic ultrasound examination. It automatically classifies user-selected lesion regions into four BI-RADS-aligned categories (Benign, Probably Benign, Suspicious, Probably Malignant) and classifies lesion shape and orientation.

Technology

Koios DS for Breast is a web-based ASP.NET application that processes user-selected regions of interest from breast ultrasound DICOM images via a machine learning algorithm. It analyzes imaging features referencing a large validated database, producing BI-RADS-aligned categorical outputs along with shape and orientation classifications in under 2 seconds, accessible from any DICOM compliant device.

Performance

Clinical testing involved 15 physicians reading 900 patient cases, showing an increase in diagnostic accuracy (AUC improvement of 0.037) and a significant reduction in inter- and intra-operator variability. Bench testing showed an AUC of 88.2% for malignancy classification and statistical equivalence of shape and orientation classifications compared to expert radiologists.

Predicate Devices

No predicate devices specified

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