AI-Rad Companion Engine

by Siemens Medical Solutions USA  · Based in United States → — AI-powered, augmented workflow solutions for multi-modality imaging decision support
Cardiology Pulmonology Radiology

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Regulatory Status Disclosed

Overview

The AI-Rad Companion Engine by Siemens Medical Solutions USA is a family of AI-powered, cloud-based augmented workflow solutions designed to enhance diagnostic precision and streamline routine tasks in medical image interpretation. It provides automatic post-processing of imaging datasets through advanced AI algorithms, helping to reduce the burden of repetitive tasks and potentially increase diagnostic accuracy.

The platform seamlessly integrates into existing clinical workflows, supporting DICOM communication for receiving imaging data from modalities, PACS systems, or DICOM gateways, and sending results back to configurable target nodes. It is deployed via the secure teamplay digital health platform, which facilitates regular updates and integration of new offerings.

The AI-Rad Companion Engine supports various clinical extensions for different modalities and organs, offering functionalities such as automatic segmentation, volumetric analysis, deviation mapping, and automated measurements to assist radiologists and physicians in their diagnostic tasks.

Reviewed by Pouyan Golshani, MD — Interventional Radiologist

Key Features

  • AI-powered algorithms for automatic post-processing
  • Multi-modality support (CT, MR, X-ray)
  • DICOM structured reports generation
  • Seamless integration with PACS, RIS, and imaging modalities
  • Automated segmentation of anatomical structures and lesions
  • Volumetric analysis and deviation mapping
  • Automated measurements of key indicators (e.g., coronary calcium, aortic diameters, lung nodules)
  • Cloud-based deployment via teamplay digital health platform
  • On-premise 'edge' deployment option
  • Vendor-neutral for processing imaging data from various manufacturers

Use Cases

  • Brain MR morphometry analysis for neurological conditions
  • Prostate MR for biopsy support and lesion marking
  • Chest CT analysis for pulmonary, cardiovascular, and musculoskeletal findings
  • Chest X-ray analysis for detecting lesions, pneumothorax, atelectasis, consolidation, and pleural effusion
  • Organs at risk (OARs) contouring for radiation therapy planning
  • Automated detection and quantification of incidental findings

What Physicians Need to Know

DICOM Support & Standards
AI-Rad Companion Engine supports DICOM communication and standards, enabling input/output of DICOM data and generating DICOM structured reports (e.g., DICOM SC for Chest CT, DICOM SR TID 5000 for Chest X-ray).
PACS Integration Method
The engine is designed for seamless integration into existing clinical workflows and PACS systems. It receives imaging data from modalities, auto-routing from PACS, or DICOM gateways, and sends results back to a configurable target node, including PACS, via DICOM standards. Integration is facilitated through the teamplay digital health platform.
Reading Room Workflow Impact
AI-Rad Companion aims to reduce the burden of repetitive tasks, increase diagnostic precision, and accelerate workflow by automating post-processing, measurements, and report preparation. It highlights abnormalities, segments anatomies, compares results to reference values, and can prioritize urgent cases, supporting radiologists in managing workload and focusing on critical issues.
AI Model Architecture (deep learning approach)
The platform utilizes deep learning algorithms, which are trained by Siemens Healthineers scientists on extensive clinical datasets. The algorithms leverage a large, in-house supercomputer with a repository of nearly a billion curated studies.
Processing Speed (per study)
While specific per-study speeds vary by module, AI-Rad Companion generally aims to speed up workflow. For AI-Rad Companion Organs RT, anecdotal evidence suggests a reduction in contouring time from approximately 20 minutes to just a few minutes.
FDA Clearance Pathway (510k/De Novo)
The AI-Rad Companion Engine and its various modules (e.g., Chest CT, Organs RT, Pulmonary) have received 510(k) clearances from the U.S. FDA, classifying them as Class II medical devices.
Supported Modalities (CT/MRI/X-ray/US)
The AI-Rad Companion family supports a multi-modality approach, including Computed Tomography (CT) for applications like Chest CT, Organs RT, and Pulmonary, Magnetic Resonance Imaging (MRI) for Brain MR, Prostate MR, and Organs RT (male pelvis), and X-ray for Chest X-ray.
Sensitivity & Specificity Data
For AI-Rad Companion Chest X-ray, studies show high accuracy with AUCs of 95-99% for target findings. Specific examples include: Pulmonary lesions (sensitivity 83%, specificity 83%, NPV 97% at CS u2265 6; case-level sensitivity 85.5%), Consolidations (sensitivity 88%, specificity 77%, NPV 98% at CS u2265 6), Pleural effusion (AI sensitivity 95.7% with AUC 99.4%), and Pneumothorax (AI sensitivity 78.7% vs. average reader 30%, with comparable specificity). For AI-Rad Companion Pulmonary (CT), average DICE coefficients for lung lobe segmentation ranged from 0.94 to 0.96.
RSNA/ACR Validation
AI-Rad Companion Chest CT and Organs RT have been presented and announced at the Radiological Society of North America (RSNA) annual meetings. The algorithms are trained on extensive datasets annotated by qualified clinical specialists, and multi-case multi-reader studies have been conducted to validate performance against average radiologist performance.
Physician Tip

AI-Rad Companion is designed as an augmented reading aid, not a replacement for radiologist expertise. Physicians should use the AI-generated results concurrently with original images for review, confirmation, and integration into final reports. The automated measurements, highlighting of abnormalities, and structured reporting can significantly enhance efficiency and precision, allowing more focus on complex cases and patient care. Always exercise clinical judgment and verify AI findings.

The AI-Rad Companion Engine is a cloud-based platform deployed via the teamplay digital health platform, ensuring seamless integration into existing clinical IT environments. It supports DICOM standards for robust communication with imaging modalities and PACS, and offers flexibility for integration into standard reading environments, AI marketplaces, or as a standalone web-based solution. The system also supports both cloud and edge deployments for processing clinical data.

Details

Category Radiology & Imaging AI
Pricing Contact vendor
DeploymentCloud-based (via teamplay digital health platform) and on-premise 'edge' deployment
Compliance
BAA AvailableUnknown AI-estimated
HIPAA CompliantUnknown AI-estimated
FDA Status 1 AI-estimated

The AI-Rad Companion Engine (K193294, cleared 07/10/2020) is an FDA-cleared software platform that provides basic visualization and enables external post-processing extensions for medical images used for diagnostic purposes. It supports technicians and trained physicians in qualitative and quantitative measurement and analysis of clinical data. Various modules within the AI-Rad Companion family have also received FDA clearance, including for Chest CT, Brain MR, Prostate MR, and Organs RT.

Integrations
EHR Not specified
Specialties Cardiology, Pulmonology, Radiology

What the Web Says

The Siemens Healthineers AI-Rad Companion Engine is a cloud-based, FDA-cleared software platform designed to enhance radiology workflow efficiency and diagnostic precision through automated image post-processing and structured reporting across multiple modalities. It acts as an interface for incoming and outgoing DICOM data, supporting various AI-powered clinical extensions for different anatomies like pulmonary, musculoskeletal, brain, and cardiovascular. The platform aims to standardize measurements, reduce manual tasks, and integrate AI insights directly into existing PACS and reporting systems.

Overall: Positive

Strengths

  • Enhances radiology workflow efficiency and diagnostic precision.
  • Automates image post-processing and generates structured reports.
  • Supports multiple modalities and anatomies (e.g., CT/CTA for chest, heart, aorta, pulmonary, musculoskeletal; MRI for brain, prostate).
  • Integrates with existing PACS and reporting systems.
  • Offers both cloud and on-premise (edge) deployment options.
  • FDA-cleared for various applications.

Limitations

  • Limited information available from independent physician reviews, healthcare IT, tech reviewers, Reddit, G2, or Capterra.
  • Specific pricing details are not readily available in the search results.
  • The usefulness of AI applications may become so ubiquitous that they are no longer even called u201cAIu201d within a few years, potentially making it harder to distinguish specific AI benefits.
  • Some applications are still under development and not yet for sale in all countries.
  • Requires additional input beyond imaging for comprehensive patient reports and clinical follow-up recommendations.

Based on reviews from: Siemens Healthineers, accessdata.fda.gov, Physician AI Tools, Innolitics, Scribd, Acta Radiologica, u56fdu7acbu533bu85acu54c1u98dfu54c1u885bu751fu7814u7a76u6240 u533bu7642u6a5fu5668u90e8

Last updated: 2026-07-19

Ratings & Reviews

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Press & Coverage

Imaging Technology News
FDA Clears Modules of AI-Rad Companion Chest CT From Siemens Healthineers
The FDA cleared three modules of Siemens Healthineers' AI-Rad Companion Chest CT, including the AI-Rad Companion Engine, in September 2019. This intelligent software assistant uses AI for computed tomography (CT) to help radiologists interpret chest images quickly and accurately, and to automatically document findings in structured reports.
2019-09
Siemens Healthineers
Artificial Intelligence for MRI - Siemens Healthineers
This article from June 2019 discusses the role of AI in MRI, highlighting the AI-Rad Companion as a platform for integrating AI into routine PACS-based reading. It notes that the AI-Rad Companion Engine has received 510(k) clearance.
2019-06
accessdata.fda.gov
Siemens Medical Solutions USA, Inc. July 10, 2020 Lauren Bentley Senior Manager, Regulatory Affairs 40 Liberty Blvd. Mail Co
A July 2020 FDA document details the AI-Rad Companion Engine as a software platform providing basic visualization and enabling external post-processing extensions for medical images. It supports technicians and physicians in qualitative and quantitative analysis of clinical data and integrates with Siemens Healthineers' clinical processing extensions.
2020-07
accessdata.fda.gov
December 6, 2021 Siemens Medical Solutions USA, Inc. Alaine Medio Regulatory Affairs Professional 810 Innovation Drive KNOXV
An FDA document from December 2021 describes the AI-Rad Companion (Pulmonary) as image processing software for quantitative and qualitative analysis of CT DICOM images, with the AI-Rad Companion (Engine) platform serving as the interface for data. It also mentions the introduction of an edge deployment option for on-premises processing.
2021-12
Siemens Healthineers Latinoamu00e9rica
Diagnostic Imaging - Siemens Healthineers Latinoamu00e9rica
This page from Siemens Healthineers Latinoamu00e9rica states that the AI-Rad Companion Engine has received 510(k) clearance. It also mentions that the Pulmonary and Cardiovascular extensions are 510(k) pending and not yet commercially available in the United States.
unknown
Innolitics
AI-Rad Companion Engine | FDA Radiology AI Device
Innolitics provides an overview of the AI-Rad Companion Engine, noting its FDA 510(k) clearance in July 2020. It highlights the engine as a software platform that integrates with Siemens Healthineers clinical extensions.
2020-07
accessdata.fda.gov
K222361.pdf - accessdata.fda.gov
An FDA 510(k) summary from October 2022 discusses the AI-Rad Companion (Musculoskeletal) and its reliance on the AI-Rad Companion Engine. It details an edge deployment option for on-premises processing of clinical data while remaining connected to the cloud for monitoring.
2022-10
u56fdu7acbu533bu85acu54c1u98dfu54c1u885bu751fu7814u7a76u6240 u533bu7642u6a5fu5668u90e8
u4ee4u548c 4 u5e74u5ea6 uff21uff29u30fbu30e2u30d0u30a4u30ebu7528u30a2u30d7u30eau30b1u30fcu30b7u30e7u30f3u7b49 u6700u5148u7aefu533bu7642u6a5fu5668u8abfu67fbu7b49u4e8bu696d u5831u544au66f8 u4ee4u548c 5 u5e74 - u56fdu7acbu533bu85acu54c1u98dfu54c1u885bu751fu7814u7a76u6240 u533bu7642u6a5fu5668u90e8
A Japanese report from August 2022 on advanced medical device research, including AI and mobile applications, lists the AI-Rad Companion Engine from Siemens Medical Solutions USA, Inc. as an FDA-cleared radiology device.
2022-08

Videos

Product demos, reviews, and walkthroughs for AI-Rad Companion Engine.

View all on YouTube

Frequently Asked Questions

The AI-Rad Companion Engine serves as a software platform for a family of AI-powered solutions designed to automate post-processing of medical images from various modalities like CT, MR, and X-ray. It aims to reduce repetitive tasks, enhance diagnostic precision through automated segmentation, measurement, and highlighting of abnormalities, and generate structured reports to support radiologists and other physicians.
Several modules of the AI-Rad Companion family have received FDA clearance, indicating their adherence to regulatory standards for medical devices. The system is DICOM compliant, ensuring interoperability with existing clinical workflows, and Siemens Healthineers states it adheres to FDA guidance on cybersecurity requirements to protect patient data.
The AI-Rad Companion is intended as a diagnostic aid and should not replace a radiologist's comprehensive review or be used as a standalone diagnostic tool. It may occasionally produce false positives or miss findings, and some module validations, particularly for MR contouring, have been specific to Siemens Healthineers' scanner data.
The radiology AI market includes various alternatives from companies like GE HealthCare (e.g., AIR Recon DL, Hepatic VCAR), Philips (SmartSpeed), Canon (AiCE), and startups such as Aidoc, InformAI, and Viz.ai. These solutions often focus on image acquisition enhancement, workflow optimization, and specific diagnostic aids across different imaging modalities.
While specific pricing details often require direct inquiry from the manufacturer, the AI-Rad Companion Chest X-ray module, for instance, operates on a subscription-based model, with costs determined by the number of analyses performed. Generally, AI solutions in healthcare can involve various licensing or usage-based fees.
Yes, the AI-Rad Companion Engine is designed for seamless integration into existing clinical workflows and is DICOM compliant. It receives imaging data from modalities or PACS systems and sends its analysis results back to a configurable target node, often integrating with reporting templates and PACS for radiologist review.
The AI-Rad Companion family supports multi-modality imaging, including CT, MR, and X-ray datasets, across various anatomical regions. Specific modules address areas such as the chest (lungs, heart, aorta), brain, prostate, musculoskeletal system (vertebrae), and organs at risk for radiation therapy planning.

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Suggest an Edit → | Last Verified: 2026-04-19 | First Added: 2026-04-19
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