Products

3mensio Workstation
Pie Medical Imaging BV
Cardiology AI
3mensio Workstation by Pie Medical Imaging BV is an advanced AI-powered software for pre-operative sizing and planning in structural heart and vascular interventions, offering comprehensive visualization and analysis tools for cardiologists and vascular surgeons.

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About Pie Medical Imaging BV

Pie Medical Imaging (PMI) is a healthcare AI company specializing in the development and marketing of software for the diagnosis, treatment planning, guidance, and quantitative analysis of cardiovascular medical images. Their product portfolio, encompassing the Cardiovascular Angiographic Analysis System (CAAS) and 3mensio brands, supports the analysis of various imaging modalities including X-ray, CT, MRI, IVUS, OCT, and echocardiography. The company’s core mission is to provide highly accurate and reproducible data to cardiologists and radiologists, thereby enhancing patient treatment and assisting during interventional procedures. PMI emphasizes intuitive and integrated image analysis workflows, drawing on over 25 years of experience in optimizing cardiovascular patient care.

For physicians, PMI’s offerings are critical for achieving precise diagnostic and interventional outcomes in cardiovascular medicine. The CAAS product line, including CAAS Workstation, CAAS MR Solutions, CAAS X-ray, CAAS IntraVascular, and CAAS Qardia, delivers quantitative analysis across a spectrum of cardiovascular imaging. For example, CAAS Workstation aids in calculating cardiovascular structure dimensions, quantifying coronary vessel stenosis, optimizing C-arm positioning, assessing pressure drop, and improving stent visualization. The 3mensio suite provides advanced visualization and planning tools, particularly valuable for structural heart and vascular surgery applications like aortic valve planning. Furthermore, PMI integrates AI-driven workflows, as seen in their CAAS Qardia platform for echocardiography analysis, to streamline key clinical measurements and improve accessibility. These solutions are developed in collaboration with clinical and research partners, ensuring adherence to international standards and regulatory requirements.

Focus Areas

Cardiovascular image analysis quantitative analysis software medical diagnostics interventional cardiology structural heart disease vascular surgery cardiac diagnostics percutaneous intervention echocardiography X-ray imaging CT imaging MRI imaging IVUS imaging OCT imaging

Business Intelligence

Key InvestorsEsaote S.p.A. (parent company)
PartnershipsCardiovascular Research Foundation (CRF), Siemens Healthineers, Abbott, Boston Scientific, Canon Medical Systems, Cook Medical, Medtronic, Philips Healthcare, Shimadzu, Meril Life, Minneapolis Heart Institute Foundation
Acquisitions3mensio Medical Imaging (2011)
TechnologyAI-driven workflows, cloud-native (zero-footprint solution for CAAS Qardia), standalone software, integration with PACS, cathlabs, and MRI systems. Software development complies with IEC 62304:200/A1:2015 and ISO14971:2019.
FDA Clearances7 cleared products (estimated)

What Physicians Need to Know

Cardiovascular Image Analysis
Pie Medical Imaging (PMI) specializes in designing and delivering software solutions for comprehensive cardiovascular image analysis, driving next-generation research and diagnostics. They are recognized as a world market leader in quantitative analysis software for cardiology and radiology.
Quantitative Analysis Software
Their flagship CAAS (Cardiovascular Angiography Analysis System) products are known for accurate, reproducible, and extensively validated analysis results, representing the 'golden standard' in quantitative analysis.
Medical Diagnostics & Planning
PMI develops software for diagnosis, treatment planning, guidance, and quantitative analysis across various cardiovascular medical images. Their solutions assist physicians in understanding patient pathology and ensuring proper sizing of implants.
Interventional Cardiology
Solutions include the CAAS Workstation with workflows like vFFR, QCA (Quantitative Coronary Analysis), QVA (Quantitative Vascular Analysis), LVA & RVA (Left & Right Ventricular Analysis), and StentEnhancer, which aid in selecting optimal balloon/stent sizes during Percutaneous Coronary Intervention (PCI) and quantifying pressure drop.
Structural Heart Disease
The 3mensio Structural Heart product line offers dedicated workflows for pre-operative sizing and planning of procedures involving aortic, mitral, pulmonary, and tricuspid valves, as well as Left Atrial Appendage (LAA) closures, based on CT imaging.
Vascular Surgery
3mensio Vascular provides quick, easy, and reliable pre-operative sizing and planning for endovascular interventions such as EVAR (Endovascular Aneurysm Repair), TEVAR (Thoracic Endovascular Aneurysm Repair), and FEVAR (Fenestrated Endovascular Aneurysm Repair).
Cardiac Diagnostics (Echocardiography & MRI)
CAAS Qardia 2.0 is an innovative echocardiography software platform leveraging AI-driven workflows for comprehensive analysis, including myocardial strain, stress-echo, diastology, and valve analysis. CAAS MR Solutions offers advanced quantitative analysis for MRI, including 4D Flow, functional analysis, tissue characterization, and MR Strain.
Multi-Modality Imaging Support
PMI's software supports a wide range of imaging modalities including X-ray angiography (CAAS Workstation, CAAS A-Valve), CT imaging (3mensio products), MRI imaging (CAAS MR Solutions), IVUS imaging (CAAS IntraVascular), and OCT imaging (CAAS IntraVascular).
Key Differentiators
PMI stands out due to its 'golden standard' CAAS software, which is accurate, reproducible, extensively validated, fast, and easy to use. They have over 25 years of experience in optimizing patient care through intuitive and well-integrated image analysis workflows. Their strong R&D department and collaborations with core labs and research institutions ensure state-of-the-art solutions. Many products are FDA cleared and CE marked, demonstrating regulatory compliance.
Technology Stack (Inferred)
Their solutions are built on advanced image processing and 3D visualization algorithms. Newer products like CAAS Qardia and CAAS Workstation leverage client-server solutions and web-browser based access for flexibility and network deployment. CAAS Qardia 2.0 incorporates AI-driven workflows. All products are DICOM compatible and designed for integration with hospital environments (PACS, cath labs, MRI systems).
Physician Tip

For physicians, Pie Medical Imaging BV offers highly accurate and reproducible quantitative analysis tools that are considered a 'golden standard' in cardiovascular imaging. Their comprehensive suite of products, including CAAS and 3mensio, covers a vast array of cardiac and vascular procedures, from diagnostics to pre-operative planning and intra-procedural guidance across multiple imaging modalities (X-ray, CT, MRI, IVUS, OCT). The software is designed for efficiency and ease of use, with intuitive workflows and automated measurements, which can significantly streamline clinical practice and enhance patient education. The recent advancements, such as AI-driven workflows in CAAS Qardia 2.0 and browser-based access for the new CAAS Workstation, provide flexibility and improved accessibility within hospital networks. Furthermore, their commitment to extensive validation, regulatory compliance (FDA/CE), and ongoing research collaborations ensures reliable and cutting-edge solutions for improving patient treatment.

Pie Medical Imaging's solutions are designed for seamless integration into hospital environments. Their CAAS and 3mensio products can be used as standalone applications on standard PCs or provide full integration into hospital systems such as PACS, cath labs, and MRI systems. The newer CAAS Workstation and CAAS Qardia 2.0 offer client-server solutions with browser-based access, facilitating deployment in network environments and supporting multi-vendor echocardiography image sets.

Products by Pie Medical Imaging BV

1 product in the directory

3mensio Workstation
Pie Medical Imaging BV
Cardiology AI
3mensio Workstation by Pie Medical Imaging BV is an advanced AI-powered software for pre-operative sizing and planning in structural heart and vascular interventions, offering comprehensive visualization and analysis tools for cardiologists and vascular surgeons.

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Press & Coverage

Pie Medical Imaging
3mensio 10.9 release
Pie Medical Imaging announced the release of 3mensio 10.9, an update to their structural heart disease management software with new features, automation, and a refined user experience. This release focuses on enhancing planning precision and streamlining workflows for complex structural heart interventions.
2026-07
Pie Medical Imaging
Pie Medical Imaging Expands Utrecht Office to Support the Continued Growth of 3mensio
Pie Medical Imaging has expanded its Utrecht office by 50% to accommodate the continued growth of its 3mensio product line, which focuses on structural heart disease management. This expansion aims to foster collaboration and innovation to deliver better solutions for clinicians and partners worldwide.
2026-05
GOV.UK
Field Safety Notices: 4 to 8 May 2026 - GOV.UK
The Medicines and Healthcare products Regulatory Agency (MHRA) issued a field safety notice regarding Pie Medical Imaging B.V.'s 3mensio Workstation, Model 10.7, including service packs 1-5. This regulatory announcement was published on May 12, 2026.
2026-05
Pie Medical Imaging
CAAS Qardia 2.2 release
Pie Medical Imaging announced the release of CAAS Qardia 2.2, an update to their echocardiography software platform. This release continues to enhance their offerings in cardiovascular analysis.
2026-04
FDA
Pie Medical Imaging B.V. receives 510(k) clearance for 3mensio Workstation
Pie Medical Imaging B.V. received 510(k) clearance from the U.S. FDA for its 3mensio Workstation, classified as a medical image management and processing system. The decision was made on November 3, 2025.
2025-11
PubMed (Frontiers in Cardiovascular Medicine)
Coronary angiography: a review of the state of the art and the evolution of angiography in cardio therapeutics
This review article, co-authored by Pie Medical Imaging BV, discusses the advancements and future directions of quantitative coronary angiography (QCA) and non-invasive fractional flow reserve (FFR) indices in assessing coronary artery disease. It highlights the critical role of QCA in cardiovascular diagnostics and the potential of AI integration.
2024-11
PR Newswire
Pie Medical Imaging announces enrollment completion of the FASTIII clinical trial
Pie Medical Imaging announced the completion of enrollment in the FASTIII clinical trial, a multi-center randomized study investigating the use of angiography-based vessel fractional flow reserve (CAAS vFFR) in coronary revascularization procedures. The trial is funded by Pie Medical Imaging and Siemens Healthineers.
2024-06
FDA
Pie Medical Imaging B.V. receives 510(k) clearance for CAAS Workstation
Pie Medical Imaging B.V. received 510(k) clearance from the U.S. FDA for its CAAS Workstation, classified as an angiographic X-ray system. The clearance was granted on April 9, 2024.
2024-04

Frequently Asked Questions

Pie Medical Imaging offers a comprehensive suite of quantitative analysis software, including the CAAS (Cardiovascular Angiography Analysis System) product line for X-ray, MRI, and intravascular imaging (IVUS/OCT). They also provide CAAS Qardia for echocardiography analysis and 3mensio Structural Heart and Vascular for pre-operative planning in structural heart disease and vascular surgery. These solutions support various imaging modalities like X-ray, CT, MRI, IVUS, and OCT.
Pie Medical Imaging BV maintains a quality management system that is ISO13485:2016 and ISO13485:2016 MDSAP certified, with software development adhering to IEC 62304:200/A1:2015 standards. Many of their products, such as CAAS A-Valve, CAAS MR Solutions, and CAAS Qardia, have received 510(k) clearance from the U.S. FDA and are CE marked, demonstrating compliance with international medical device regulations.
Specific pricing information for Pie Medical Imaging BV's software solutions is not publicly disclosed. Healthcare institutions interested in their products can request a demo or a trial license directly through their website's contact form. This allows for a personalized discussion of needs and associated costs.
Pie Medical Imaging BV offers extensive technical support via phone and email during business hours, including remote support sessions. They also provide a comprehensive service program encompassing software updates, training through their PMI Academy e-learning platform, web sessions with application specialists, on-site training, and support for audits and data handling.
Yes, Pie Medical Imaging BV actively engages in global business and research partnerships to enhance product development and customer service. Notable collaborations include an agreement with the Cardiovascular Research Foundation (CRF) for clinical research and trials, and a distribution partnership with Meril Life in India. These partnerships ensure continuous innovation, broader access to their solutions, and enhanced support for healthcare providers.
Established in 1988, Pie Medical Imaging BV is recognized as a world leader in quantitative analysis software for cardiology and radiology. The company is a wholly-owned subsidiary of Esaote S.p.A., a prominent producer of medical diagnostic systems, indicating strong corporate backing. They maintain a significant presence in cardiovascular imaging, focusing on high-precision diagnostic tools.
Yes, Pie Medical Imaging's CAAS and 3mensio products are designed for flexible deployment, offering both standalone use on standard PCs and seamless integration into hospital environments. They provide connectivity options for receiving images from X-ray systems and PACS, and can also be fully integrated into third-party systems like cath labs and MRI systems.

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