eCART vs DermaSensor
A primary care physician can try DermaSensor on a monthly rental under a one-year device use agreement with a try-and-return option, and the vendor publishes no price for an outright purchase. FDA granted De Novo DEN230008 in January 2024 for use by physicians on lesions suspicious for skin cancer. The device scans a lesion already judged suspicious and returns "Monitor" or "Investigate Further" with a 1 to 10 score. Vendor figures give 96% sensitivity in DERM-SUCCESS, a multi-reader, multi-case study, and specificity of 33% in DERM-ASSESS III, a multicenter prospective blinded study, so many scans come back "Investigate Further". The vendor also says a dedicated CPT code has not yet been established and that EHR integration is still to come.
AgileMD sells to hospitals. eCART is cleared for hospitalized ward patients 18 and older, and the vendor cites 400+ hospitals. A primary care group scanning skin lesions and a hospital quality office scoring ward patients are buying for different clinical settings.
Decision support · Reviewed November 2, 2026

eCART
by AgileMD
Early warning software that scores hospitalized ward patients for risk of deterioration from EHR data, for use by trained clinicians.

DermaSensor
by DermaSensor · founded 2009
Handheld spectroscopy device giving primary care physicians an AI score on skin lesions already judged suspicious.
When to pick each one
eCART
- Cleared for hospitalized ward patients 18 and older
- Vendor cites 400+ hospitals and 150,000+ clinical users
DermaSensor
- De Novo DEN230008 for lesions already judged suspicious
- Monthly rental with one-year agreement and try-and-return
- No EHR integration yet
Score
Each row shows points earned of points available under the published rubric.
eCART
56of 100
DermaSensor
49of 100
| Dimension | eCART | DermaSensor | Difference |
|---|---|---|---|
| FDA clearance | 12 / 12 | 12 / 12 | 0 |
| HIPAA / SOC2 / BAA | 10 / 10 | 0 / 10 | +10 |
| EHR integrations (count) | 0 / 5.6 | 0 / 5.6 | 0 |
| Top-3 EHR coverage (Epic / Oracle / Athena) | 0 / 4.8 | 0 / 4.8 | 0 |
| Bidirectional write-back | 0 / 1.2 | 0 / 1.2 | 0 |
| Peer-reviewed papers | 21 / 21 | 14.7 / 21 | +6.3 |
| RCT / meta-analysis / systematic review | 0 / 9 | 4.5 / 9 | -4.5 |
| Funding & adoption signal | 3 / 12 | 3 / 12 | 0 |
| Pricing transparency | 1.3 / 2.5 | 1.3 / 2.5 | 0 |
| Years in market | 0 / 6 | 6 / 6 | -6 |
Scroll horizontally to see every column.
Pricing
eCART
| Tier | Monthly | Annual | Notes |
|---|---|---|---|
| Enterprise | n/a | n/a | No public price. There is no pricing page; the site offers a demo request only. |
DermaSensor
| Tier | Monthly | Annual | Notes |
|---|---|---|---|
| Enterprise | n/a | n/a | No published price for an outright purchase. Monthly rental subscription, one-year device use agreement with try-and-return option. |
Evidence
eCART
FDA decisions
K233253 (opens in new tab)510(k)2024-06-21
eCARTv5 Clinical Deterioration Suite (eCART)
Peer-reviewed
5 PubMed records name eCART.
- Early Warning Scores With and Without Artificial Intelligence. (opens in new tab)
- Multicenter Development and Prospective Validation of eCARTv5: A Gradient Boosted Machine Learning Early Warning Score. (opens in new tab)
- DETERIO-LLM: enhancing traditional deterioration risk scores with clinical context and advanced reasoning. (opens in new tab)
DermaSensor
FDA decisions
DEN230008 (opens in new tab)De Novo2024-01-12
DermaSensor
Peer-reviewed
3 PubMed records name DermaSensor.
- Learnings from the first AI-enabled skin cancer device for primary care authorized by FDA. (opens in new tab)
- Enhancing Diagnostic Precision in Primary Care: A Multireader Multicase (MRMC) Study of an AI-Powered Handheld Elastic Scattering Spectroscopy Device for Informed Referral Decisions in Melanoma Evaluation. (opens in new tab)
- Primary Care Physician Use of Elastic Scattering Spectroscopy on Skin Lesions Suggestive of Skin Cancer. (opens in new tab)
Compliance and integrations
Documented from each vendor’s own pages.
| Spec | eCART | DermaSensor |
|---|---|---|
| Free tier | ||
| HIPAA | ||
| SOC 2 Type II | ||
| EHR integrations | Not specified | Not specified |
| Founded | n/a | 2009 |
| HQ | US | US |
Scroll horizontally to see both columns.
Common questions
Open the full decision support comparison
Differential diagnosis, treatment guidance, drug interactions, evidence-grounded Q&A. The CDS landscape ranges from the UpToDate gold standard to physician-only OpenEvidence. We compared what clinicians actually use.
