Canon Medical AI vs Pearl
Canon sells CT and MR scanners with AI reconstruction cleared alongside them, and Pearl reads dental radiographs for dentists and DSOs, so each has its own buyer. A hospital radiology department replacing a CT or MR scanner looks at Canon. A general dentist or a DSO reading bitewings looks at Pearl.
Canon groups its AI under the Altivity name, and its AiCE deep learning reconstruction is cleared as part of the scanner. openFDA lists 98 Canon Medical Systems clearances from 2018 onward, 28 with AiCE or AiCE-i in the device name, the newest K253625 for Vantage Fortian/Orian 1.5T V10.0 on March 27, 2026. The vendor's dose-reduction figure of up to 82.4% comes from a phantom model observer study. Canon lists no public price and sells with scanners.
Pearl has eight Second Opinion 510(k)s on openFDA. K243893 covers caries in patients 4 and older with primary or mixed dentition, and K243989 covers CBCT. Pricing runs through a demo request, and the FAQ names DEXIS, Open Dental and Eaglesoft among 40+ integrations.
Radiology · Reviewed November 2, 2026

Canon Medical AI
by Canon Medical Systems
Canon's AI imaging portfolio under the Altivity umbrella, led by AiCE deep-learning reconstruction cleared as part of CT and MR scanners.

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
Canon Medical AI
- AiCE reconstruction cleared inside CT and MR scanners
- Sold with scanners, no public price
- Altivity portfolio across CT, MR, PET and X-ray
Pearl
- Eight Second Opinion 510(k)s for dental radiographs
- FAQ names DEXIS, Open Dental and Eaglesoft
- Pediatric clearance K243893 covers patients 4 and older
Score
Each row shows points earned of points available under the published rubric.
Canon Medical AI
35of 100
Pearl
33of 100
| Dimension | Canon Medical AI | 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 | 0 / 18.2 | 0 / 18.2 | 0 |
| 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 | 0 / 6 | 4.2 / 6 | -4.2 |
Scroll horizontally to see every column.
Pricing
Canon Medical AI
| Tier | Monthly | Annual | Notes |
|---|---|---|---|
| Enterprise and OEM | n/a | n/a | No public price. Sold with scanners. |
Pearl
| Tier | Monthly | Annual | Notes |
|---|---|---|---|
| Enterprise | n/a | n/a | No public price. |
Evidence
Canon Medical AI
FDA decisions
K253625 (opens in new tab)510(k)2026-03-27
Vantage Fortian/Orian 1.5T V10.0 with AiCE
K250901 (opens in new tab)510(k)2025-07-22
Vantage Fortian/Orian 1.5T V10.0 with AiCE
K243335 (opens in new tab)510(k)2025-01-07
Vantage Galan 3T V10.0 with AiCE
K241496 (opens in new tab)510(k)2024-08-20
Vantage Galan 3T V10.0 with AiCE
K240238 (opens in new tab)510(k)2024-04-12
Vantage Fortian/Orian 1.5T V9.0 with AiCE
Show 10 more
K230355 (opens in new tab)510(k)2023-08-30
Vantage Galan 3T V9.0 with AiCE
K223726 (opens in new tab)510(k)2023-03-07
Aquilion Precision V10.14 with AiCE
K222819 (opens in new tab)510(k)2023-03-03
Aquilion Serve V1.2 with AiCE-i
K222968 (opens in new tab)510(k)2022-10-25
Vantage Fortian/Orian 1.5T V8.0 with AiCE
K220986 (opens in new tab)510(k)2022-09-12
Aquilion Precision V10.10 with AiCE
K222387 (opens in new tab)510(k)2022-08-31
Vantage Galan 3T V8.0 with AiCE
K220192 (opens in new tab)510(k)2022-04-08
Vantage Galan 3T V8.0 with AiCE
K220335 (opens in new tab)510(k)2022-04-05
Vantage Fortian/Orian 1.5T V8.0 with AiCE
K213305 (opens in new tab)510(k)2021-12-01
Vantage Fortian 1.5T V8.0 with AiCE
K212056 (opens in new tab)510(k)2021-08-04
Vantage Galan 3T V7.0 with AiCE
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 | Canon Medical AI | Pearl |
|---|---|---|
| Free tier | ||
| HIPAA | ||
| SOC 2 Type II | ||
| EHR integrations | Not specified | Not specified |
| Founded | n/a | 2019 |
| HQ | JP | US |
Scroll horizontally to see both columns.
Common questions
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