YSIO MAX

by SIEMENS MEDICAL SOLUTIONS USA  · Based in United States → — The most direct way to the image. Multiple Advances in X-ray.
Orthopedics Pediatrics Radiology
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Regulatory Status Disclosed

Overview

The YSIO MAX, from Siemens Medical Solutions USA (now Siemens Healthineers), is a high-end digital radiography (DR) system, not an AI tool for a physician directory as initially suggested. It is designed for diagnostic imaging in hospitals, clinics, and medical practices, enabling radiographic and tomographic exposures of the entire body, including the skull, chest, abdomen, and extremities. The system is suitable for pediatric, adult, and bariatric patients, and can be used for routine radiography, trauma/ER setups, advanced examinations like orthopedics, and small interventions such as biopsies or punctures. It is explicitly not intended for mammography.

Ysio Max integrates advanced features under the ‘MAX’ umbrella, which stands for Multiple Advances in X-ray. These include intelligent automation and user support features that act like a ‘personal intelligent assistant’ to optimize clinical workflows, enhance image quality, and reduce examination times. The system utilizes integrated or portable digital detectors (MAX wi-D, MAX mini, MAX static) for converting X-rays into electronic signals, ensuring high-precision imaging with low radiation dose levels.

Reviewed by Pouyan Golshani, MD — Interventional Radiologist

Key Features

  • MAXalign (automated detector angle display for accurate positioning, reduces repeat exposures)
  • MAXtouch (intuitive color touchscreen on tube for parameter changes and status messages)
  • Aim FAST (Free Axis Simultaneous Travel for fastest and safest positioning)
  • MAX wi-D, MAX mini, MAX static detectors (light, thin, fast wireless and static digital detectors)
  • MAXswap (detector sharing between multiple MAX systems)
  • Intelligent Automation (automated tube positioning, ceiling-mounted suspension, direct system autopositioning)
  • DiamondView MAX postprocessing (enhances image contrast and detail)
  • Over 1000 customizable organ programs (including 200+ pediatric programs)
  • Integration with HIS/RIS (retrieval of patient list and examination data)
  • Data protection features (whitelisting, 90-day patches, HD data encryption, optional advanced user management)

Use Cases

  • Routine radiography
  • Trauma and emergency room imaging
  • Orthopedic examinations
  • Pediatric imaging
  • Small interventions (e.g., biopsies, punctures)
  • Whole-body radiographic and tomographic exposures

What Physicians Need to Know

DICOM Support & Standards
YSIO MAX supports standard DICOM interfaces including Modality Worklist (MWL) for importing patient/examination data, Modality Performed Procedure Step (MPPS) for sending dose and examination data, DICOM Send/Storage Commitment (StC) for image transmission and archive confirmation, DICOM Print for printing, and DICOM Query/Retrieve for retrieving images from PACS. [8, 14, 17]
PACS Integration Method
The system integrates with PACS via standard DICOM network interfaces for image transmission, archiving, and retrieval. [8, 14] For AI findings, integration typically involves the AI system analyzing images routed from PACS (DICOM C-STORE) and returning results as DICOM Structured Reports (SR) or annotated images, which can then be viewed within the radiologist's PACS viewer, potentially via hanging protocols. [21, 23]
Reading Room Workflow Impact
YSIO MAX's 'MAX assistance' features, such as MAXalign and MAXtouch, aim to optimize workflow by providing intelligent assistance for tube and detector positioning, reducing guesswork, and minimizing repeat exposures. [1, 2, 7, 9, 12] The optional AI-based soft tissue enhancement (e.g., Riverain ClearRead) for chest X-rays can facilitate more accurate and timely diagnosis by enhancing image processing. [3, 12] Automation features contribute to faster examination times and increased patient throughput. [6, 19]
AI Model Architecture (deep learning approach)
While specific architecture details for the optional AI (e.g., Riverain ClearRead) are not publicly detailed for YSIO MAX, AI in medical imaging, particularly for tasks like image analysis and enhancement, commonly utilizes deep learning approaches such as Convolutional Neural Networks (CNNs) and transformer-based architectures. [29, 30, 31, 32]
Processing Speed (per study)
The YSIO MAX system itself is designed for rapid image acquisition, with image preview available in less than two seconds for its detectors. [7, 9] For the optional AI-based image processing, specific processing speed per study is not explicitly stated in the provided information, but AI tools generally aim to streamline workflows and provide faster insights. [21]
FDA Clearance Pathway (510k/De Novo)
The YSIO MAX digital radiography system received 510(k) clearance from the U.S. Food and Drug Administration (FDA) in February 2014. [1, 2, 3, 4, 5, 15] Any integrated or optional AI software components, such as Riverain ClearRead, would have their own separate FDA clearances, typically via the 510(k) pathway for similar predicate devices. [3]
Physician Tip

Leverage YSIO MAX's 'MAX assistance' features like MAXalign and MAXtouch to standardize X-ray positioning and reduce variability, which can lead to fewer repeat exposures and lower patient dose. For chest X-rays, consider utilizing the optional AI-based soft tissue enhancement (e.g., Riverain ClearRead) to potentially improve diagnostic confidence and efficiency in identifying subtle findings. Familiarize yourself with how AI results are presented in your PACS to optimize reading workflow, whether as overlays or structured reports. Remember that while AI assists, clinical judgment remains paramount.

YSIO MAX offers robust DICOM compliance for seamless integration with existing PACS and RIS for patient data, image transfer, and reporting. When integrating AI tools, ensure your PACS can effectively display AI-generated annotations and structured reports. Discuss with your IT department and vendors about leveraging DICOM Query/Retrieve and Modality Performed Procedure Step (MPPS) to ensure comprehensive data flow and to track AI utilization and its impact on dose reporting. Consider the overall IT infrastructure and network capabilities to support efficient data transfer for AI processing, especially if cloud-based AI solutions are utilized.

Details

Category Radiology & Imaging AI
Pricing Contact vendor
DeploymentOn-premise (stationary medical device)
Compliance
BAA AvailableUnknown AI-estimated
HIPAA Compliant Yes AI-estimated
FDA Status 1 AI-estimated

The Ysio Max received 510(k) clearance (K133259) from the U.S. Food and Drug Administration (FDA) on February 28, 2014, as a stationary X-ray system.
Integrations
EHR Not specified
Specialties Orthopedics, Pediatrics, Radiology

What the Web Says

The Siemens Healthineers YSIO MAX is a digital radiography system designed to enhance imaging efficiency and quality through automation, advanced detectors, and image processing. It aims to streamline workflows, increase precision and safety, and standardize outcomes for consistent image quality across various patient types and examinations. The system is modular and customizable, allowing healthcare providers to tailor it to their specific needs.

Overall: Positive

Strengths

  • Unique automation for fast, simple, and safe workflows, including direct system autopositioning and automatic detector identification.
  • Consistent and high MAX image quality for all patients and staff, based on MAX detectors and DiamondView MAX postprocessing.
  • Customizable system with over 60 configurations, allowing institutions to pay only for what they need and add components later.
  • Features like MAXalign and MAXtouch enhance positioning accuracy, reduce repeat exposures, and provide intuitive control.
  • Lightweight and thin wireless detectors (MAX wi-D and MAX mini) with easy swapping capabilities between multiple MAX systems.
  • Supports a wide range of applications, including routine radiography, trauma/ER, pediatrics, bariatrics, and advanced examinations like Ortho.

Limitations

  • One recall event in 2015 related to software version VE10E, which could lead to deleted images and sporadic connection with portable detectors.
  • Limited external reviews from independent tech reviewers, G2, or Capterra were found.
  • Some Reddit users reported encountering unfamiliar icons on images after years of use, indicating potential usability questions or a need for better documentation/training.

Based on reviews from: Siemens Healthineers, Fokus Diagnostic Indonesia, Cassling, FDA, Imaging Technology News, Sasha Health Care, Reddit, International Medical Devices Database

Last updated: 2026-07-23

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Videos

Product demos, reviews, and walkthroughs for YSIO MAX.

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Frequently Asked Questions

The YSIO MAX incorporates 'MAX assistance' features, acting as an intelligent assistant to streamline workflow and enhance image acquisition. Features like MAXalign guide precise X-ray tube positioning to reduce repeat exposures and patient dose, while MAXtouch allows for quick adjustment of imaging parameters directly at the tube.
YSIO MAX's AI primarily focuses on optimizing image acquisition and workflow efficiency, rather than direct diagnostic interpretation or anomaly detection. While Siemens Healthineers generally uses AI for workflow and image reconstruction, the YSIO MAX's 'MAX assistance' features are geared towards supporting technologists in obtaining high-quality, standardized images.
The YSIO MAX received FDA 510(k) clearance in February 2014 and complies with international standards such as IEC 60601-1 and ISO 14971 for medical devices and risk management. For data security, it includes features like whitelisting, 90-day patches, HD data encryption, and optional advanced user management with role-based access and audit trails.
Key competitors to YSIO MAX in the digital radiography market include systems from GE HealthCare (e.g., GE Discovery XR656 Plus), Philips, Canon Medical Systems, and Carestream Health. While YSIO MAX excels in automated positioning and workflow assistance, some competitors, like GE's XR656 Plus, offer advanced software features such as VolumeRad for 3D image reconstruction, which YSIO MAX does not.
The YSIO MAX is considered a premium-level digital X-ray system, with new units typically ranging from $90,000 to $190,000. Its modular design allows facilities to tailor the system to their specific needs, meaning you only pay for the components required, with options to add more in the future.
The AI in YSIO MAX is primarily focused on enhancing workflow and image acquisition, not on providing direct diagnostic interpretations or clinical decision support. It does not offer features like automated detection of specific pathologies, which means the diagnostic responsibility remains entirely with the physician.

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Suggest an Edit → | Last Verified: 2026-04-20 | First Added: 2026-04-20
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