PowerLook Tomo Detection V2 Software

by iCAD  · Based in United States → — AI-powered detection for digital breast tomosynthesis, enhancing radiologist efficiency and confidence.
Radiology

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Regulatory Status Disclosed

Overview

PowerLook Tomo Detection V2 Software, developed by iCAD, is a computer-assisted detection and diagnosis (CAD) software device. It is specifically designed to be used concurrently by interpreting physicians while reading digital breast tomosynthesis (DBT) exams from compatible DBT systems. The software utilizes deep learning technology and artificial intelligence to analyze 3D DBT slices, detecting soft tissue densities (such as masses, architectural distortions, and asymmetries) and calcifications.

The system provides detections and ‘Certainty of Finding’ and ‘Case Scores’ to assist radiologists in identifying suspicious breast lesions, which can then be confirmed or dismissed by the interpreting physician. PowerLook Tomo Detection V2 was noted for its ability to optimize DBT reading efficiency, with clinical studies showing an average reduction in reading time by 29.2% without statistically significant impact on sensitivity, specificity, or recall rate. It was formerly branded as ProFound AI for Digital Breast Tomosynthesis 2.0 and is part of iCAD’s broader suite of breast health solutions.

Reviewed by Pouyan Golshani, MD — Interventional Radiologist

Key Features

  • AI-powered detection of soft tissue densities (masses, architectural distortions, asymmetries)
  • Detection of calcifications in 3D DBT images
  • Deep learning technology for feature computation and pattern recognition
  • Concurrent-read functionality for interpreting physicians
  • Provides 'Certainty of Finding' and 'Case Scores'
  • Optimizes digital breast tomosynthesis (DBT) reading efficiency
  • Aids in identifying suspicious breast lesions
  • Compatible with various DBT systems (e.g., Hologic Selenia Dimensions, GE Pristina)
  • Integration in standard reading environment (PACS)
  • DICOM Structured Report, GSPS, Secondary Capture output format

Use Cases

  • Concurrent reading of digital breast tomosynthesis (DBT) exams
  • Assisting radiologists in identifying suspicious breast lesions and calcifications
  • Improving radiologist efficiency and workflow in breast cancer screening
  • Enhancing diagnostic confidence in breast imaging
  • Reducing DBT exam interpretation time

What Physicians Need to Know

Key Capabilities
Detects soft tissue densities (masses, architectural distortions, asymmetries) and calcifications in 3D Digital Breast Tomosynthesis (DBT) images using deep learning and pattern recognition. Provides 'Certainty of Finding' and 'Case Scores' indicating the algorithm's confidence in malignancy. Generates CAD-enhanced 2D synthetic images for navigation and concurrent review by physicians.
Clinical Utility
Aids in the detection, localization, and characterization of breast lesions, leading to increased cancer detection rates. Reduces DBT reading time by an average of 29.2% (up to 36.5%) while maintaining or improving radiologist performance and accuracy. Improves workflow efficiency and radiologist confidence, helping to identify subtle lesions, especially in dense breasts. Can improve both sensitivity and specificity.
Integration Options
Compatible with various DBT systems, including Hologic Selenia Dimensions, GE Pristina, and Siemens systems. Adheres to DICOM 3.0 standard for interoperability and integrates into standard PACS reading environments, potentially providing case scores in worklists. Designed for local deployment on dedicated hardware.
Compliance Status
FDA 510(k) cleared (December 2018 for PowerLook Tomo Detection 2.0, March 2021 for ProFound AI 3.0) as a Class II medical device. CE Mark approved in Europe (March 2018) as a Class IIa medical device. Health Canada Licensed (mid-2018). Manufactured under EN ISO 13485 quality management system.
User Experience
Designed for concurrent use, providing visual overlays and navigation tools on tomosynthesis images. Aims to reduce radiologist fatigue and streamline workflow by optimizing reading efficiency and productivity. Offers configurable operating points for lesion and case scores.
Support Quality
iCAD offers customer support via phone and email with dedicated professionals experienced in PACS/RWS connectivity, CAD workflow, and DICOM integration. Provides a customer portal for self-service, including ticket management, knowledge base, user manuals, and product training. Emphasizes rapid response, remote diagnostics, and expert consultation.
Implementation Complexity
Designed as a standalone executable within the PowerLook AMP framework, typically deployed locally on dedicated hardware. iCAD emphasizes rapid implementation and flexible deployment options for smooth IT adoption.
Evidence Base
Supported by a pivotal multi-reader, multi-case study involving 24 radiologists and 260 DBT cases, demonstrating improved reader sensitivities. Standalone studies also evaluated performance. Deep learning algorithm trained using thousands of images. Verification and validation testing, including software unit, integration, and system testing, have been successfully completed.
Physician Tip

PowerLook Tomo Detection V2 (now ProFound AI for DBT) is a concurrent-read CAD solution, meaning it's intended to be used by the interpreting physician while reading DBT exams, not as a standalone diagnostic tool. Leverage the 'Certainty of Finding' and 'Case Scores' as a guide to prioritize suspicious areas, but always integrate with your clinical judgment. The software's ability to reduce reading time can be particularly beneficial for managing high volumes of DBT studies and potentially reducing radiologist fatigue. Note that while it aids in detecting both soft tissue densities and calcifications, its initial design focused on soft tissue densities.

The software is designed for seamless integration into existing breast imaging workflows, supporting common DBT systems (Hologic, GE, Siemens) and adhering to DICOM standards. It can integrate with PACS and provide scores in worklists, but typically requires local deployment on dedicated hardware. Ensure your current imaging infrastructure is compatible and consider the IT resources needed for local deployment and ongoing maintenance.

Details

Category Oncology AI, Radiology & Imaging AI
Pricing Contact vendor — Not publicly available; contact iCAD for pricing information.
DeploymentLocally on dedicated hardware
Compliance
BAA AvailableUnknown AI-estimated
HIPAA Compliant Yes AI-estimated
FDA Status Yes AI-estimated

PowerLook Tomo Detection V2 Software received FDA clearance (K182373) on December 6, 2018. It is classified as a Class II medical device under 21 CFR 892.2090, Radiological Computer Assisted Detection/Diagnosis Software for Lesions Suspicious For Cancer.

Integrations
EHR Not specified
Specialties Radiology

What the Web Says

PowerLook Tomo Detection V2 Software by iCAD Inc. is an AI-based computer-assisted detection (CAD) and diagnosis tool designed to help physicians identify suspicious lesions and calcifications in digital breast tomosynthesis (DBT) images. It utilizes deep learning techniques to analyze 3D DBT slices, providing detection marks and confidence scores (0-100%) to assist radiologists in evaluating findings, improving accuracy, and reducing reading time during breast cancer screening exams. The software is intended to be used concurrently by interpreting physicians while reading DBT exams from compatible systems like Hologic Selenia Dimensions and GE Pristina.

Overall: Positive

Strengths

  • Significantly reduces radiologist reading time (average of 29.2%, up to 50%).
  • Improves radiologist accuracy and diagnostic performance (AUC) in detecting breast cancer.
  • Increases sensitivity in cancer detection, including subtle and small lesions, and those in dense breasts.
  • Maintains or improves specificity and can reduce recall rates in non-cancer cases.
  • Provides confidence scores for detected lesions, aiding in evaluation.
  • Streamlines workflow and enhances the overall reading experience for radiologists.

Limitations

  • May increase false-positive rates, potentially leading to unnecessary additional imaging, radiation exposure, biopsy, and patient anxiety.
  • The CAD does not detect microcalcifications and may miss some soft tissue densities, requiring a complete review of all images.
  • Safety and effectiveness have not been established for non-standard mammographic views or in patients with breast implants for views that include the implant.
  • Can be criticized for generating multiple annotations per case, potentially leading to high false-positive rates and radiologists disregarding marks.
  • Some AI systems, in general, have been reported to be wrong frequently on various findings.
  • Initial versions were only available for specific DBT platforms (e.g., GE Healthcare), though later versions expanded compatibility.

Based on reviews from: iCAD Inc., X-ray Interpreter, PubMed Central (PMC), Imaging Technology News, GlobeNewswire, Medium, Oncodaily, Reddit, G2, Capterra, accessdata.fda.gov

Last updated: 2026-07-20

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Press & Coverage

X-ray Interpreter
PowerLook Tomo Detection V2 Software | FDA Radiology AI Device - X-ray Interpreter
PowerLook Tomo Detection V2 Software by iCAD Inc. is an AI-based computer-assisted detection and diagnosis tool that helps physicians identify suspicious lesions and calcifications in digital breast tomosynthesis images. It provides confidence scores to assist in evaluating findings, improving radiologist accuracy and reducing reading time during breast cancer screening exams.
2018-12
accessdata.fda.gov
December 6, 2018 iCAD Inc. John Delucia VP, Regulatory Affairs, Clinical Affairs and Quality Assurance 98 Spit Brook Rd. Suite
This FDA document details the 510(k) clearance for PowerLook Tomo Detection V2 Software, outlining its intended use as a computer-assisted detection and diagnosis (CAD) software for digital breast tomosynthesis (DBT) exams. It highlights the system's ability to detect soft tissue densities and calcifications, providing 'Certainty of Finding and Case Scores' to aid interpreting physicians.
2018-12
Theranostics
Theranostics and artificial intelligence: new frontiers in personalized medicine
This peer-reviewed article discusses current and emerging AI applications in theranostics, listing PowerLook Tomo Detection V2 Software by iCAD Inc. as an FDA-approved AI-based radiological software system for the identification of suspicious breast lesions.
2024-03
PMC (PubMed Central)
Artificial Intelligence in Breast Cancer Screening: Evaluation of FDA Device Regulation and Future Recommendations - PMC
This article evaluates FDA device regulation for AI in breast cancer screening, including PowerLook Tomo Detection V2 Software (iCAD, Inc.), noting its clearance based on clinical studies using previously collected datasets and its role in suspicious lesion identification.
unknown
ResearchGate
Current Trends and Future Prospects of Artificial Intelligence in Transforming Radiology
This review article includes iCAD's PowerLook Tomo Detection V2 Software in a list of FDA-approved AI tools, highlighting AI's role in enhancing diagnostic accuracy and improving patient care in radiology.
2024-11
accessdata.fda.gov
Hologic, Inc. November 18, 2020 Ms. Deborah Thomas Regulatory Affairs Manager 250 Campus Drive MARLBOROUGH MA 01752 Re: K
This FDA document references PowerLook Tomo Detection V2 Software as the predicate device for Hologic's Genius AI Detection, noting both devices share a similar intended use in aiding the detection, localization, and characterization of disease-specific findings in medical images.
2020-11
PMC (PubMed Central)
Performance evaluation methods for improvements at post-market of artificial intelligence/machine learning-based computer-aided detection/diagnosis/triage in the United States - PMC
This article discusses performance evaluation methods for post-market improvements of AI/ML-based medical devices, mentioning PowerLook Tomo Detection V2.0 (iCAD Inc.) was initially approved in December 2018 and subsequently updated to add compatible devices and improve specificity.
2023-03
Orthogonal
SaMD Cleared by the FDA: The Ultimate Running List - Orthogonal
This comprehensive list of FDA-cleared Software as a Medical Devices (SaMD) includes PowerLook Tomo Detection V2 Software, noting its clearance date of December 6, 2018, and its classification under radiology.
2024-10

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Suggest an Edit → | Last Verified: 2026-04-18 | First Added: 2026-04-18

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