Intended Use

qXR-CTR is a deep-learning based software for use by hospitals and clinics for automated assessment of the CTR on chest X-ray (CXRs) scans. It measures the ratio of the maximal transverse diameter of the heart and the maximal inner transverse diameter of the thoracic cavity on posterior-anterior chest views using AI. Intended for physicians or licensed practitioners for adult patients ≥22 years, results aid clinical assessment but are not standalone for decision making.

Technology

qXR-CTR operates as a radiological computer-assisted image processing software installed on standard computers. It automatically analyzes DICOM PA chest X-ray images using AI algorithms to measure cardiac and thoracic diameters and calculates the CTR. Outputs include annotated X-rays and structured reports in DICOM and JSON formats. It functions similarly to the predicate device with no notable technological differences.

Performance

Clinical validation on 435 PA chest X-rays from US-based data compared qXR-CTR's measurements to ground truth from experienced thoracic radiologists. qXR-CTR achieved root mean squared errors of 7.55 mm for cardiac diameter and 5.43 mm for thoracic diameter, outperforming predicate device metrics. Mean absolute errors were 5.66 mm and 4.04 mm respectively. Software verification, validation and testing followed FDA guidance and showed the device meets specifications with moderate level of concern.

Predicate Devices

No predicate devices specified

Device Timeline

  • 1

    Submission

    4/21/2023

    5 months
  • 2

    FDA Approval

    9/22/2023

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