CINA-iPE
Overview
CINA-iPE by Avicenna.AI is an advanced AI-powered triage and notification software designed to detect incidental pulmonary embolisms (iPE) on CT scans. This innovative tool analyzes contrast-enhanced CT scans performed for other clinical indications, such as chest, abdomen-pelvis, thoraco-abdominal, or whole-body scans, that include at least a portion of the lungs.
By automatically identifying and flagging unsuspected pulmonary embolisms that might otherwise go unnoticed, CINA-iPE enables radiologists to prioritize urgent cases, accelerate clinical decision-making, and initiate early treatment. This proactive approach helps prevent missed diagnoses, reduce emergency readmissions, and improve overall patient outcomes.
The solution integrates seamlessly into existing radiology workflows, including PACS and RIS, automatically triggering and reporting algorithm results through systems already used by clinicians. It boasts high sensitivity (87.8-91.1%) and specificity (91.8-92%) and is compatible with various CT scanner models from leading manufacturers.
Reviewed by Pouyan Golshani, MD — Interventional Radiologist
Key Features
- Automated detection of incidental Pulmonary Embolism (iPE) on CT scans.
- Triage and prioritization of critical cases.
- Analyzes various CT scan types (chest, abdomen-pelvis, thoraco-abdominal, whole-body).
- Seamless integration into existing radiology workflows (PACS, RIS).
- Rapid processing time (10-60 seconds).
- High sensitivity (87.8-91.1%) and specificity (91.8-92%).
- DICOM input/output (DICOM SC, GSPS).
- Notification and worklist order output.
- Compatible with multiple CT scanner models and manufacturers.
Use Cases
- Early detection of unsuspected pulmonary embolisms.
- Prioritizing urgent patients in radiology workflows.
- Reducing diagnosis time and accelerating access to treatment.
- Preventing missed diagnoses and emergency readmissions.
- Optimizing patient management and care coordination.
- Supporting radiologists in handling increased workloads.
What Physicians Need to Know
CINA-iPE is a valuable triage and notification tool for detecting incidental pulmonary embolisms on routine CT scans, particularly in non-dedicated PE protocols. It can significantly enhance workflow efficiency by prioritizing critical cases, potentially reducing diagnostic delays and improving patient outcomes. Physicians should remember that the AI serves as an assistive tool, and final diagnostic responsibility remains with the interpreting clinician. Leverage the rapid alerts to expedite review of flagged studies, especially in high-risk populations like oncology patients. Be aware that the device is not designed to detect PE in subsegmental arteries.
CINA-iPE is designed for seamless integration into existing clinical workflows and IT infrastructure. It supports DICOM, HL7, and FHIR standards for interoperability. Deployment options include cloud-based, local dedicated hardware, or locally virtualized environments (VM, Docker). It can be integrated directly with PACS systems or through AI marketplaces and distribution platforms like TeraRecon's Eureka Clinical AI, deepcOSu00ae, Blackford Analysis, CARPL.AI, Incepto, Philips Healthcare, Sectra, and Viz.ai One. This flexibility aims to minimize disruption and simplify IT operations.
Details
| Category | Radiology & Imaging AI, Triage & ER/ICU AI |
| Pricing |
Subscription
|
| Deployment | Cloud-based, Locally on dedicated hardware, Locally virtualized (virtual machine, Docker). |
| Compliance | |
| BAA Available | Unknown AI-estimated |
| HIPAA Compliant | Unknown AI-estimated |
| FDA Status |
Yes AI-estimated CINA-iPE received 510(k) clearance from the US Food and Drug Administration on March 13, 2024 (K233968). It is a radiological computer-aided triage and notification software indicated for incidental Pulmonary Embolism (iPE) detection on contrast-enhanced CT scans. |
| Integrations | |
| EHR | Not specified |
| Specialties | Emergency Medicine, Pulmonology, Radiology |
What the Web Says
CINA-iPE by Avicenna.AI is an FDA-cleared and CE-marked AI-powered tool designed to detect incidental pulmonary embolisms (iPEs) on contrast-enhanced CT (CECT) scans performed for other clinical indications. It aims to improve the detection rate of iPEs, which are often overlooked in routine CT scans, particularly in oncology patients where they can be a significant cause of mortality. The software integrates into existing clinical workflows, providing rapid analysis and notification to help prioritize cases for interpretation.
Overall: PositiveStrengths
- High sensitivity and specificity in detecting iPEs, with studies reporting sensitivity as high as 97.3% and specificity up to 97.74%.
- Rapid processing time, with results available to physicians within minutes (average of 1.5 minutes).
- Aids in early detection and treatment of iPEs, potentially improving patient outcomes and reducing delayed care.
- Validated across a wide range of CT scanner models from multiple manufacturers, ensuring broad compatibility.
- Reduces the rate of missed pulmonary embolisms, acting as an effective safety net for radiologists.
- Particularly beneficial for vulnerable patient populations, such as oncology patients, where iPEs are a significant concern.
Limitations
- Some false positives have been observed, with common causes including artifacts and lymph nodes.
- While diagnostic accuracy is high, the direct impact on clinical workflow efficiency and cost-effectiveness requires further prospective trials.
- The device missed some pulmonary embolisms, with a percentage of these being complex cases subject to disagreement among reviewers.
- The prevalence of iPE can be low in some study populations, which might affect the positive predictive value.
- Differences in CT scanner models and reconstruction methods may potentially reduce the accuracy of detecting iPE.
Based on reviews from: Radiology Advances, Avicenna.AI, BioWorld, Xtalks, Applied Radiology, Sectra Amplifier Marketplace, Blackford Analysis, PubMed, G2, Capterra, Reddit
Last updated: 2026-07-21
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