Incidental findings AI for Incidental Pulmonary Embolism and Vertebral Fractures on CT
A CT ordered for one reason can hold a finding related to something else entirely: a pulmonary embolism on a scan acquired for oncology staging, a vertebral compression fracture on a routine workup. Neither shows up on the reason for the exam, so neither gets flagged by default. CINA-iPE, CINA-VCF and CINA-VCF Quantix each run automatically on qualifying scans, surfacing these incidental findings even if nobody was looking for them.
Neither one suspected.
CINA-iPE
PE isn’t suspected: the chest, abdominal or CAP scan is acquired for staging or another indication, with non-arterial timing. CINA-iPE was built for exactly this context, flagging incidental clots before discharge.
CINA-VCF
A scan ordered for something else entirely, oncology staging or a routine workup, holds a vertebral compression fracture nobody was looking for. CINA-VCF flags it within 23 seconds, before the report is signed, so bone health management can start early.
CINA-VCF Quantix
The same opportunistic finding, quantified: outside the US, CINA-VCF Quantix measures vertebral height loss, all from the scan already acquired.
Validated in clinical practice.
At Gustave Roussy, 3,047 oncology surveillance scans: how often incidental PE was overlooked without AI, and what changed with CINA-iPE.
474 chest and abdominal CT scans of patients aged 50 and over, in several countries: 95.2% sensitivity, AUC 0.97.
A Customer’s Perspective
“We are very pleased with the integration of CINA-iPE into our teleradiology workflow. This demonstrates the concrete value of artificial intelligence as a complementary tool to human expertise, including unexpected incidental findings that would otherwise have been overlooked.”
Your questions, answered
What counts as an incidental, or “opportunistic”, finding?
A clinically significant finding on a scan that was ordered for an unrelated reason. The exam wasn’t looking for it, so it’s easy to overlook unless something is actively flagging it.
Does this integrate with our existing PACS?
Yes. All tools integrate via standard DICOM and run automatically on qualifying scans, with no manual trigger and no change to your existing workflow.
Who makes the final call?
The radiologist, always. CINA flags and prioritizes suspected cases so they reach the right reader faster. Every case is still reviewed, interpreted and confirmed by a radiologist.
See it in a real clinical case
Complete the form below to access the CINA-VCF Quantix case study.
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