Table 1 List of AI-associated/associable equipped medical devices approved by the US FDA specifically for oncology-related fields.

From: Artificial intelligence in oncology: current applications and future perspectives

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

  1. 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%).
  2. 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.
  3. 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.