AI Radiology
Pearl alternatives
21 tools that we compared head to head with Pearl in a written verdict. Each row says who the tool suits, according to that verdict, and links to the full comparison.
The list is not a ranking. Tools in the same category come first, then every group is in alphabetical order. A tool that is no longer sold is left out.
Aidoc
PE tool studied on 30,000 CTPA; hospital CT pulmonary angiography workflow
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Airs Medical
SwiftMR was one of three protocols in a liver MRI study; body-composition software cleared October 2026 (K261612)
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Brainomix
ISO 27001 and GDPR stated by the vendor; data processing agreement on request
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Canon Medical AI
AiCE reconstruction cleared inside CT and MR scanners; sold with scanners, no public price
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Circle Cardiovascular Imaging
Stroke CT tools with FDA K250221 and K212261; integrated solutions with GE Healthcare and Siemens
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Clarius
Scanner for MSK, cardiac, bladder, OB and vascular work; t-Mode anatomy guidance with a Primary Care variant, per vendor
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Eyenuk
Vendor reports 96% sensitivity, 88% specificity for more than mild DR; fAQ cites CPT 92229 with a Medicare national price
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Gleamer
BoneView for fractures, ChestView for chest X-ray; vendor claims 3,500+ clinical sites in 50+ countries
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Harrison.ai
Chest X-ray, head CT and chest CT reading; nine openFDA decisions, press says twelve
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Hologic Genius AI
Sold with Hologic 3D Mammography systems; lesion outlines and case score on tomosynthesis, K243341
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icometrix
Brain MRI volumetry and lesion tracking over time; aMA CPT III codes 0865T and 0866T for icobrain
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Magentiq Eye
Works with Olympus, Fujinon, Pentax and Sonoscape video; monthly rental, the vendor says low upfront cost
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Nanox.AI
Coronary calcium, vertebral fracture and liver fat on CT; twelve openFDA AI records under Zebra and Nanox names
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Optellum Virtual Nodule Clinic
Lung nodule risk score on CT, K202300 March 2021; trust center lists ISO 13485 and ISO 27001
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Qure.ai
Chest X-ray nodule detection, K231805; ten openFDA records, head CT to lung CT
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ScreenPoint Transpara
Detection on 2D and 3D mammograms; eight Transpara 510(k)s since 2018
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Subtle Medical
SubtleHD lines for MR, PET and CT; eleven FDA clearances, latest May 15, 2026
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Tempus AI Imaging
Oncology lesion tracking on CT and MR; cardiac MR T1 and T2 maps from raw data
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TeraRecon
Advanced visualization for CT and MRI; runs third-party AI in one platform
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Ultromics EchoGo
HFpEF flag from one apical four-chamber clip; vendor lists CPT Category III 0932T
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United Imaging uAI
Head CT triage and rib triage software; deep-learning reconstruction for United Imaging scanners
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Full comparison