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510(k) Data Aggregation
(97 days)
PowerLook Tomo Detection V2 Software
PowerLook® Tomo Detection V2 Software is a computer-assisted detection and diagnosis (CAD) software device intended to be used concurrently by interpreting physicians while reading digital breast tomosynthesis (DBT) exams from compatible DBT systems. The system detects soft tissue densities (masses, architectural distortions and asymmetries) and calcifications in the 3D DBT slices. The detections and Certainty of Finding and Case Scores assist interpreting physicians in identifying soft tissue densities and calcifications that may be confirmed or dismissed by the interpreting physician.
PLTD V2 detects malignant soft-tissue densities and calcifications in digital breast tomosynthesis (DBT) image. The PLTD V2 software allows a interpreting physician to quickly identify suspicious soft tissue densities and calcifications by marking the detected areas in the tomosynthesis images. When the PLTD V2 marks are displayed by a user, the marks will appear as overlays on the tomosynthesis images. The PLTD V2 marks also serve as a navigation tool for users, because each mark is linked to the tomosynthesis plane where the detection was identified. Users can navigate to the plane associated with each mark by clicking on the detection mark. Each detected region will also be assigned a "score" that corresponds to the PLTD V2 algorithm's confidence that the detected region is a cancer (Certainty of Finding Score). Certainty of Finding scores are relative scores assigned to each detected region and a Case Score is assigned to each case regardless of the number of detected regions. Certainty of Finding and Case Scores are computed by the PLTD V2 algorithm and represent the algorithm's confidence that a specific finding or case is malignant. The scores are represented on a 0% to 100% scale. Higher scores represent a higher algorithm confidence that a finding or case is malignant. Lower scores represent a lower algorithm confidence that a finding or case is malignant.
Here's a breakdown of the acceptance criteria and the study proving the device meets them, based on the provided text.
1. Acceptance Criteria and Reported Device Performance
The device is a Computer-Assisted Detection and Diagnosis (CAD) software for digital breast tomosynthesis (DBT) exams. The acceptance criteria are largely demonstrated through the multi-reader multi-case (MRMC) pivotal reader study and standalone performance evaluations.
Table of Acceptance Criteria and Reported Device Performance:
Criteria Category | Metric | Acceptance Criteria (Implied / Stated) | Reported Device Performance (with CAD vs. without CAD) |
---|---|---|---|
Pivotal Reader Study (Human-in-the-Loop) | |||
Radiologist Performance | Case-level Area Under the Receiver Operating Characteristic (ROC) Curve (AUC) | Non-inferiority to radiologist performance without CAD. Implicit superiority is also a desirable outcome. | AUC with CAD: 0.852 |
AUC without CAD: 0.795 | |||
Average difference: 0.057 (95% CI: 0.028, 0.087); p |
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