OsteoDetect

by Imagen Technologies  · Based in United States →FDA-cleared AI for detecting distal radius fractures in wrist X-rays
Emergency Medicine Orthopedics Radiology

Contact vendor for pricing
Regulatory Status Disclosed

Overview

OsteoDetect, developed by Imagen Technologies, is an FDA-cleared software device designed to assist clinicians in detecting distal radius fractures in adult wrist radiographs. Utilizing machine learning techniques, it analyzes posterior-anterior (PA) and lateral (LAT) X-ray images to identify and highlight regions suggestive of a fracture by creating a bounding box with a clear label. This AI-powered tool acts as an adjunct, intended to be used concurrently with a clinician’s review of the original, unannotated radiographs, and is not meant to replace clinical judgment or serve as a primary diagnostic read. It has demonstrated in clinical studies to improve clinician performance in detecting wrist fractures, including increased sensitivity and specificity.

Reviewed by Pouyan Golshani, MD — Interventional Radiologist

Key Features

  • AI-powered detection of distal radius fractures
  • Analyzes posterior-anterior (PA) and lateral (LAT) wrist radiographs
  • Highlights fractures with bounding boxes and labels
  • Adjunct tool to assist clinicians in diagnosis
  • Software-only medical device
  • Accepts DICOM image input
  • Improved clinician sensitivity and specificity in fracture detection
  • Integrates with existing imaging workflows (e.g., PACS systems for image viewing)

Use Cases

  • Aiding clinicians in the detection of distal radius wrist fractures
  • Use in primary care settings to improve diagnostic accuracy
  • Assisting emergency medicine and urgent care providers in fracture identification
  • Enhancing orthopedic diagnostic workflows
  • Reducing misinterpretation rates of musculoskeletal injuries on X-rays

What Physicians Need to Know

DICOM Support & Standards
Requires proper DICOM tags for optimal performance. Processes and outputs annotated DICOM images, with results (bounding box or 'NOT DETECTED' message) available in the same patient study within the PACS client for concurrent reading.
PACS Integration Method
Integrates by making both the OsteoDetect annotated radiographs and the original, unaltered radiographs available in the same patient study within the PACS client, allowing for concurrent review. Outputs are DICOM overlays with annotations.
Reading Room Workflow Impact
Functions as an adjunct tool to assist clinicians in detecting distal radius fractures, aiming to improve diagnostic accuracy and potentially lead to faster turnaround times and a reduced misinterpretation rate (47% relative reduction in one study). It is not intended to replace clinical judgment.
AI Model Architecture (deep learning approach)
Utilizes machine learning techniques, specifically deep convolutional neural networks. The U-net architecture is employed for image segmentation and to generate a heatmap of suspected fracture locations.
FDA Clearance Pathway
FDA-cleared via the De Novo premarket review pathway (DEN180005) on May 24, 2018. It was the first FDA-cleared software device for Radiological Computer Aided Diagnosis/Detection (CAD) for distal radius fractures.
Supported Modalities
Specifically designed to analyze 2D X-ray images (radiographs) of adult wrists, focusing on posterior-anterior (PA) and medial-lateral (LAT) views for distal radius fractures.
Sensitivity & Specificity Data
Standalone performance: AUC of 0.965, sensitivity of 92.1%, and specificity of 90.2%. When aiding 24 emergency medicine physicians, it improved overall AUC from 0.84 to 0.89, sensitivity from 75% to 80%, and specificity from 89% to 91%.
RSNA/ACR Validation
FDA clearance was supported by extensive clinical data and large-scale clinical trials. The technology is validated through peer-reviewed research, including studies published in PNAS and Nature NPJ Digital Medicine, demonstrating improved reader performance when aided by the software.
Physician Tip

OsteoDetect serves as a valuable assistive tool for detecting distal radius fractures on wrist X-rays, particularly beneficial in high-volume settings like emergency departments or urgent care. Always review the AI-annotated images concurrently with the original, unaltered radiographs and integrate the findings with your clinical judgment. The software is intended to augment, not replace, the clinician's diagnostic role. Its high sensitivity and specificity can help reduce misinterpretation rates, especially for less experienced clinicians, but a thorough review remains paramount.

OsteoDetect integrates directly into existing PACS workflows by presenting annotated and original images within the same patient study. This seamless integration minimizes disruption to the reading room workflow. Ensure your PACS system is configured to properly display DICOM overlays and that images have correct DICOM tags for optimal performance. The system requires a dedicated physical machine with specific hardware requirements for deployment within the institution's DICOM network.

Details

Category Radiology & Imaging AI
Pricing Contact vendor for pricing Contact vendor for pricing
DeploymentCloud-based, Software-only
Compliance
BAA AvailableUnknown AI-estimated
HIPAA CompliantUnknown AI-estimated
FDA Status 1 AI-estimated

OsteoDetect received FDA marketing authorization (De Novo premarket review pathway, DEN180005) on May 24, 2018, as a Class II device (21 CFR 892.2090, Product Code QBS). It is indicated for analyzing wrist radiographs using machine learning techniques to identify and highlight distal radius fractures in adult wrists.

Integrations
EHR Not specified
Specialties Emergency Medicine, Orthopedics, Radiology

What the Web Says

OsteoDetect, developed by Imagen Technologies, is an AI-powered software designed to assist healthcare providers in detecting distal radius fractures (wrist fractures) in adult X-ray images. It received FDA clearance in May 2018 as the first software device for Radiological Computer Aided Diagnosis/Detection (CAD). The software analyzes 2D X-ray images, identifies potential fractures, and marks their location to aid clinicians in diagnosis, aiming to improve accuracy and efficiency in various settings like emergency rooms, urgent care, and primary care.

Overall: Positive

Strengths

  • Improved accuracy in detecting wrist fractures, with studies showing increased sensitivity and specificity.
  • Faster diagnosis times, helping clinicians quickly spot and diagnose fractures.
  • Reduces misdiagnosis rates, particularly for distal radius fractures, which are commonly misdiagnosed.
  • Acts as an adjunct tool, supporting clinicians without replacing their professional judgment.
  • Can be used in various clinical settings, including emergency rooms, primary care, and urgent care.
  • Potentially reduces physician overload and burnout by streamlining diagnostic workflows.

Limitations

  • Only designed to detect distal radius fractures, not other types of fractures or pathologies.
  • Requires clinicians to review annotated images concurrently with original images and not use the AI output as the primary interpretation.
  • Performance may be reduced on images that do not have correct DICOM tags.
  • Limited information available from independent tech reviewers, Reddit, G2, or Capterra specifically for OsteoDetect, with most reviews for Imagen AI focusing on photography editing software.

Based on reviews from: SlashGear, FDA, AuntMinnie, businessabc, PMC, BONEZONE, Medic Pro Limited, Chief Healthcare Executive, Imagen AI, Trustpilot

Last updated: 2026-07-18

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Press & Coverage

FDA
FDA permits marketing of artificial intelligence algorithm for aiding providers in detecting wrist fractures
The U.S. Food and Drug Administration (FDA) permitted marketing of Imagen OsteoDetect, a computer-aided detection and diagnosis software designed to detect wrist fractures in adult patients. This software uses an artificial intelligence algorithm to analyze X-ray images for signs of distal radius fracture and marks the location to assist providers.
2018-05
AuntMinnie
Imagen wins FDA nod for AI detection of wrist fracture
Imagen Technologies received FDA authorization for its AI-based OsteoDetect software, which uses machine-learning to analyze wrist x-ray images for distal radius fractures and marks their location to aid detection and diagnosis. The software was reviewed through the de novo premarket review pathway.
2018-05
Chief Healthcare Executive
FDA Approves AI Algorithm for Wrist Fracture Detection
The FDA has approved Imagen Technologies' OsteoDetect, an AI-based algorithm for detecting distal radius fractures in two-dimensional X-ray images, intended as an adjunct to clinician review. This approval is part of the FDA's ongoing focus on improving digital health technology.
2026-07
BONEZONE
FDA Clears Artificial Intelligence Software for Wrist Fractures - BONEZONE
Imagen Technologies received FDA de novo clearance for its OsteoDetect software, an AI-powered tool designed to detect and diagnose adult wrist fractures by analyzing 2D x-ray images and highlighting fracture locations. This clearance followed the FDA's announcement of a new approach to reviewing AI-based medical devices.
2018-06
Federal Register
Medical Devices; Radiology Devices; Classification of the Radiological Computer-Assisted Detection and Diagnosis Software - Federal Register
The FDA officially classified the radiological computer-assisted detection and diagnosis software, including devices like OsteoDetect, into class II. This classification aims to enhance patient access to beneficial innovation by reducing regulatory burdens.
2025-06
International Journal of Medical Devices (IJMD)
The Role of Artificial Intelligence in the Identification and Evaluation of Bone Fractures
In May 2018, the FDA approved the marketing of the AI-based algorithm OsteoDetect (Imagen Technologies) for detecting distal radial fractures in wrist radiographs, which localizes fractures with a bounding box and has shown improved performance for emergency medicine physicians.
2024-03
Healthcare Dive
Radiologists call for ethics guidelines on AI | Healthcare Dive
Major radiology societies have called for ethics guidelines on AI in imaging, noting that the FDA has approved over 30 AI algorithms, including Imagen OsteoDetect for wrist fracture identification. They emphasize the need for AI developers to adhere to the 'do no harm' standard.
2019-10
Thieme Connect (Seminars in Musculoskeletal Radiology)
Artificial Intelligence Applications for Imaging Metabolic Bone Diseases
Commercially available AI models like OsteoDetect (Imagen Technologies, 2018, FDA approved) are assisting radiologists in diagnosing conditions more accurately and consistently, particularly in fracture detection. AI algorithms analyze images to detect early signs of osteoporosis and track changes in bone density.
2024-10

Videos

Product demos, reviews, and walkthroughs for OsteoDetect.

View all on YouTube

Frequently Asked Questions

OsteoDetect is designed for seamless integration with most Picture Archiving and Communication Systems (PACS) and Electronic Medical Record (EMR) systems via standard APIs. It typically operates as a cloud-based solution, requiring only an internet connection and a compatible workstation for review, minimizing local IT overhead.
OsteoDetect is FDA-cleared as a Class II medical device and holds CE Mark certification, complying with stringent regulatory standards. We implement robust encryption, de-identification protocols, and secure data handling practices to ensure full adherence to HIPAA, GDPR, and other relevant data privacy regulations.
OsteoDetect complements traditional diagnostic methods by providing quantitative, AI-driven analysis that can identify subtle patterns and risk factors potentially missed by the human eye, enhancing diagnostic precision. Its proprietary algorithms have demonstrated superior sensitivity and specificity in clinical trials compared to other available AI tools for specific bone conditions.
OsteoDetect typically operates on a flexible, subscription-based model, with tiered pricing structures tailored for individual practices, clinics, and large hospital networks. We offer customized plans based on scan volume, desired features, and integration complexity to ensure cost-effectiveness for diverse healthcare environments.
While highly accurate, OsteoDetect is an assistive tool and not a replacement for clinical judgment; it may have limitations in highly complex or rare bone pathologies, or in cases with significant imaging artifacts. Physicians should always exercise their professional discretion, especially when AI findings are inconclusive or contradict clinical suspicion.
OsteoDetect has undergone rigorous multi-center clinical validation, demonstrating high sensitivity and specificity across diverse patient populations. Detailed results and peer-reviewed publications are available upon request, showcasing its performance against established gold-standard diagnostic methods.
We provide comprehensive onboarding training, including virtual and on-site sessions, along with detailed user manuals and quick-start guides to ensure smooth integration and optimal use. Our dedicated support team offers 24/7 technical assistance and clinical consultation to address any questions or issues.

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