MedAI Verdict
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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

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

Nanox.AI logo

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
Read the full Hologic Genius AI review

Nanox.AI

  • Coronary calcium, vertebral fracture and liver fat on CT
  • Vendor says it connects to PACS, EMR and report systems
Read the full Nanox.AI review

Score

Each row shows points earned of points available under the published rubric.

Hologic Genius AI

35of 100

Competitive

Nanox.AI

35of 100

Competitive
Score by dimension for Hologic Genius AI and Nanox.AI
DimensionHologic Genius AINanox.AIDifference
FDA clearance18 / 1818 / 180
HIPAA / SOC2 / BAA0 / 100 / 100
EHR integrations (count)0 / 4.20 / 4.20
Top-3 EHR coverage (Epic / Oracle / Athena)0 / 2.40 / 2.40
Peer-reviewed papers0 / 18.20 / 18.20
RCT / meta-analysis / systematic review0 / 7.80 / 7.80
Funding & adoption signal8.4 / 128.4 / 120
Pricing transparency2.5 / 52.5 / 50
Years in market0 / 60 / 60

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How scores are computed

Pricing

Hologic Genius AI

TierMonthlyAnnualNotes
OEM-bundledn/an/aNo public price. Sold with Hologic 3D Mammography systems.

Nanox.AI

TierMonthlyAnnualNotes
Enterprisen/an/aNo public price.

Evidence

Hologic Genius AI

FDA decisions

Nanox.AI

FDA decisions

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Compliance and integrations

Documented from each vendor’s own pages.

SpecHologic Genius AINanox.AI
Free tierNo / unverifiedNo / unverified
HIPAANo / unverifiedNo / unverified
SOC 2 Type IINo / unverifiedNo / unverified
EHR integrationsNot specifiedNot specified
Foundedn/an/a
HQUSn/a

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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.