MedAI Verdict
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Hologic Genius AI vs Tempus AI Imaging

For a health system choosing a breast detection engine on Hologic tomosynthesis units, Tempus Pixel loses. Genius AI Detection is compatible with Selenia Dimensions and 3Dimensions, with Envision named in its latest clearance summary, has four mammography AI clearances running through K243341 in 2025, and feeds a SecurView 12.0 worklist. Tempus names iCAD ProFound AI among the third-party engines behind Pixel's breast, lung and prostate tools, so the breast detection there belongs to someone else. Tempus fits a cancer center tracking lesions across CT and MR with RECIST-style response reports, or a cardiac MR group, and Pixel carries a 2025 510(k) under the Arterys applicant name (K252539). An oncology service that wants lung nodule detection in the US would be using a third-party engine, since Pixel's own Lung clearance is not indicated for it.

Radiology · Reviewed November 2, 2026

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

Tempus AI Imaging logo

Tempus AI Imaging

by Tempus AI

Tempus Pixel (formerly Arterys): cloud imaging AI for radiology and oncology reads, with cardiac MR, lung, breast and prostate tools.

When to pick each one

Hologic Genius AI

  • Compatible with Selenia Dimensions and 3Dimensions
  • Four mammography AI clearances, latest 2025
Read the full Hologic Genius AI review

Tempus AI Imaging

  • RECIST-style lesion tracking on CT and MR
  • Cardiac MR with inline T1 and T2 maps
Read the full Tempus AI Imaging review

Score

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

Hologic Genius AI

35of 100

Competitive

Tempus AI Imaging

32of 100

Competitive
Score by dimension for Hologic Genius AI and Tempus AI Imaging
DimensionHologic Genius AITempus AI ImagingDifference
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 / 126 / 12+2.4
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.

Tempus AI Imaging

TierMonthlyAnnualNotes
Enterprisen/an/aNo public price.

Evidence

Hologic Genius AI

FDA decisions

Tempus AI Imaging

FDA decisions

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Compliance and integrations

Documented from each vendor’s own pages.

SpecHologic Genius AITempus AI Imaging
Free tierNo / unverifiedNo / unverified
HIPAANo / unverifiedNo / unverified
SOC 2 Type IINo / unverifiedNo / unverified
EHR integrationsNot specifiedNot specified
Foundedn/an/a
HQUSUS

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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.