Brainomix vs Pearl
Pearl is aimed at dentists and dental service organizations. Second Opinion marks caries, bone loss, calculus and restorations on bitewing, periapical and panoramic radiographs, and the vendor's FAQ names integrations with Open Dental, Eaglesoft, Dexis and Carestream. openFDA shows eight Second Opinion decisions, while the home page says 26 or more clearances. A 2026 Caries Research comparison of five commercial systems, Second Opinion among them, reported sensitivity of 0.327 to 0.487 for secondary caries on bitewings, a range over all five systems.
Brainomix serves hospital stroke and chest imaging services, and the vendor states ISO 27001 certification and GDPR compliance, with a data processing agreement on request.
Dental radiographs go to Pearl and stroke and lung CT go to Brainomix, which puts a dental group and a stroke network on opposite sides.
Radiology · Reviewed November 2, 2026
Brainomix
by Brainomix Limited · founded 2012
FDA-cleared AI scoring and large vessel occlusion flagging for stroke CT, CTA, CTP and MRI, plus CT lung quantification.
Pearl
by Pearl Inc. · founded 2019
FDA-cleared dental x-ray AI (Second Opinion) that marks caries, bone loss and restorations, for dentists and DSOs.
When to pick each one
Brainomix
- ISO 27001 and GDPR stated by the vendor
- Data processing agreement on request
- Stroke and lung CT software for hospitals
Pearl
- Second Opinion reads bitewing, periapical and panoramic films
- FAQ names Open Dental and Eaglesoft integrations
- Eight Second Opinion FDA decisions on openFDA
Score
Each row shows points earned of points available under the published rubric.
Brainomix
64of 100
Pearl
33of 100
| Dimension | Brainomix | Pearl | Difference |
|---|---|---|---|
| FDA clearance | 18 / 18 | 18 / 18 | 0 |
| HIPAA / SOC2 / BAA | 0 / 10 | 0 / 10 | 0 |
| EHR integrations (count) | 0 / 4.2 | 0 / 4.2 | 0 |
| Top-3 EHR coverage (Epic / Oracle / Athena) | 0 / 2.4 | 0 / 2.4 | 0 |
| Peer-reviewed papers | 18.2 / 18.2 | 0 / 18.2 | +18.2 |
| RCT / meta-analysis / systematic review | 0 / 7.8 | 0 / 7.8 | 0 |
| Funding & adoption signal | 8.4 / 12 | 3 / 12 | +5.4 |
| Pricing transparency | 2.5 / 5 | 2.5 / 5 | 0 |
| Years in market | 6 / 6 | 4.2 / 6 | +1.8 |
Scroll horizontally to see every column.
Pricing
Brainomix
| Tier | Monthly | Annual | Notes |
|---|---|---|---|
| Enterprise | n/a | n/a | No public price. |
Pearl
| Tier | Monthly | Annual | Notes |
|---|---|---|---|
| Enterprise | n/a | n/a | No public price. |
Evidence
Brainomix
FDA decisions
K260406 (opens in new tab)510(k)2026-06-12
Brainomix 360 Hyperdensity
K251983 (opens in new tab)510(k)2025-08-26
Brainomix 360 Triage Stroke
K242411 (opens in new tab)510(k)2025-02-19
Brainomix 360 e-Lung
K243294 (opens in new tab)510(k)2025-02-14
Brainomix 360 e-ASPECTS
K242123 (opens in new tab)510(k)2025-01-06
Brainomix 360 e-CTA
Show 8 more
K233875 (opens in new tab)510(k)2024-05-13
Brainomix 360 e-Lung
K232496 (opens in new tab)510(k)2023-11-21
Brainomix 360 Triage Stroke
K231837 (opens in new tab)510(k)2023-09-28
Brainomix 360 Triage LVO
K231656 (opens in new tab)510(k)2023-08-30
Brainomix 360 e-MRI
K231195 (opens in new tab)510(k)2023-07-27
Brainomix 360 Triage ICH
K223555 (opens in new tab)510(k)2023-06-01
Brainomix 360 e-CTP
K221564 (opens in new tab)510(k)2023-02-23
Brainomix 360 e-ASPECTS
K192692 (opens in new tab)510(k)2020-05-28
Brainomix 360 e-CTA
Peer-reviewed
5 PubMed records name Brainomix.
- Transforming Stroke Diagnosis with Artificial Intelligence: A Scoping Review of Brainomix e-Stroke, Aidoc, RapidAI, and Viz.ai. (opens in new tab)
- Real world clinical experience of using Brainomix e-CTA software in a medium size acute National Health Service Trust. (opens in new tab)
- Assessing the eligibility of Brainomix e-ASPECTS for acute stroke imaging. (opens in new tab)
Pearl
FDA decisions
K250525 (opens in new tab)510(k)2025-11-14
Second Opinion Panoramic
K243234 (opens in new tab)510(k)2025-06-12
Second Opinion CS
K243989 (opens in new tab)510(k)2025-05-23
Second Opinion 3D
K243230 (opens in new tab)510(k)2025-05-09
Second Opinion BLE
K243893 (opens in new tab)510(k)2025-05-05
Second Opinion Pediatric
Show 3 more
K242600 (opens in new tab)510(k)2025-04-11
Second Opinion Periapical Radiolucency Contours
K242522 (opens in new tab)510(k)2025-01-16
Second Opinion CC
K210365 (opens in new tab)510(k)2022-03-04
Second Opinion
Compliance and integrations
Documented from each vendor’s own pages.
| Spec | Brainomix | Pearl |
|---|---|---|
| Free tier | ||
| HIPAA | ||
| SOC 2 Type II | ||
| EHR integrations | Not specified | Not specified |
| Founded | 2012 | 2019 |
| HQ | GB | US |
Scroll horizontally to see both columns.
Common questions
Open the full radiology comparison
Acute-care triage, mammography screening, CCTA plaque analysis, mobile MRI. 30+ FDA-cleared platforms across stroke, oncology, cardiac. Enterprise sales only — we compared what's deployed where.