Hologic Genius AI vs Nanox.AI
Nanox.AI reads CT scans acquired for other reasons and looks for coronary calcium (HealthCCSng), vertebral height loss and bone density (HealthOST) and liver fat (HealthFLD). A 2025 Diagnostics validation of HealthOST reported 92.0% sensitivity for vertebral compression fractures at the 20% height-loss threshold, with specificity figures from 52.7% in the abstract. openFDA lists twelve AI records under the Zebra, Nanoxai and Nano-X AI names, while Nanox's AI page says seven FDA clearances and lists three current solutions. Hologic's Genius AI Detection gives each tomosynthesis exam a case score and, per its product page, a Reading Priority Indicator that flags about 8 to 10% of the most concerning cases. Nanox's AI page lists CT solutions for cardiac, bone and liver findings, bought by a radiology department running opportunistic screening on CTs it already has, while Hologic's product reads mammograms for a breast imaging service. The two do not compete for one purchase. openFDA also lists a 2020 mammography notification record, HealthMammo (K200905), under the Zebra name, and Nanox's AI page does not state whether it is still sold.
Radiology · Reviewed November 2, 2026

Hologic Genius AI
by Hologic
Genius AI family from Hologic: Genius AI Detection for 3D mammography and Genius Cervical AI for cytology.

Nanox.AI
by Nano-X Imaging
CT AI for opportunistic screening: coronary calcium, vertebral fractures and liver fat on routine CT scans, for radiology departments.
When to pick each one
Hologic Genius AI
- Case score on every tomosynthesis exam
- Reading Priority Indicator flags 8 to 10% of cases
Nanox.AI
- Coronary calcium, vertebral fracture and liver fat on CT
- Vendor says it connects to PACS, EMR and report systems
Score
Each row shows points earned of points available under the published rubric.
Hologic Genius AI
35of 100
Nanox.AI
35of 100
| Dimension | Hologic Genius AI | Nanox.AI | 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 | 8.4 / 12 | 0 |
| Pricing transparency | 2.5 / 5 | 2.5 / 5 | 0 |
| Years in market | 0 / 6 | 0 / 6 | 0 |
Scroll horizontally to see every column.
Pricing
Hologic Genius AI
| Tier | Monthly | Annual | Notes |
|---|---|---|---|
| OEM-bundled | n/a | n/a | No public price. Sold with Hologic 3D Mammography systems. |
Nanox.AI
| Tier | Monthly | Annual | Notes |
|---|---|---|---|
| Enterprise | n/a | n/a | No public price. |
Evidence
Hologic Genius AI
FDA decisions
K243341 (opens in new tab)510(k)2025-07-31
Genius AI Detection 2.0
DEN210035 (opens in new tab)De Novo2024-01-31
Genius Digital Diagnostics System with Genius Cervical AI algorithm
K230096 (opens in new tab)510(k)2023-05-23
Genius AI Detection 2.0 with CC-MLO Correlation
K221449 (opens in new tab)510(k)2022-10-06
Genius AI Detection 2.0
K201019 (opens in new tab)510(k)2020-11-18
Genius AI Detection
Nanox.AI
FDA decisions
K241440 (opens in new tab)510(k)2024-08-19
HealthCCSng
K233080 (opens in new tab)510(k)2024-02-08
HealthFLD
K213944 (opens in new tab)510(k)2022-04-22
HealthOST
K211803 (opens in new tab)510(k)2021-12-15
HealthPPT
K210085 (opens in new tab)510(k)2021-09-15
HealthCCSng
Show 7 more
K202487 (opens in new tab)510(k)2020-12-04
HealthJOINT
K200905 (opens in new tab)510(k)2020-07-16
HealthMammo
K192901 (opens in new tab)510(k)2020-05-12
HealthVCF
K192320 (opens in new tab)510(k)2019-11-26
HealthCXR
K190424 (opens in new tab)510(k)2019-06-13
HealthICH
K190362 (opens in new tab)510(k)2019-05-06
HealthPNX
K172983 (opens in new tab)510(k)2018-06-13
HealthCCS
Compliance and integrations
Documented from each vendor’s own pages.
| Spec | Hologic Genius AI | Nanox.AI |
|---|---|---|
| Free tier | ||
| HIPAA | ||
| SOC 2 Type II | ||
| EHR integrations | Not specified | Not specified |
| Founded | n/a | n/a |
| HQ | US | n/a |
Scroll horizontally to see both columns.
Common questions
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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.
