Brainomix faq

Frequently Asked Questions

What is Brainomix 360?
Down arrow icon
Brainomix 360 is a suite of FDA-cleared, CE-marked AI imaging tools that help clinicians make faster, more confident decisions — across stroke and lung disease. The platform is used in 400+ hospitals worldwide and is the only stroke AI proven to increase treatment rates in a large-scale real-world study.
What products does Brainomix offer?
Down arrow icon
The platform covers two clinical areas and an analytics dashboard:

• Brainomix 360 Stroke — AI decision support for NCCT, CTA, CTP, and MRI across the acute stroke pathway
• Brainomix 360 e-Lung — AI-powered CT analysis for Interstitial Lung Disease (ILD) and Progressive Pulmonary Fibrosis (PPF)
• Brainomix 360 Vantage — enterprise analytics dashboard for network-wide clinical and operational insights
Is Brainomix 360 a replacement for clinical judgement?
Down arrow icon
No. Every Brainomix module is a decision support tool — designed to enhance clinical decision-making by providing objective, reproducible, and quantitative results. All final decisions remain with the treating clinician.
What regulatory clearances does Brainomix 360 hold?
Down arrow icon
• FDA-cleared (USA)
• CE-marked Class IIa medical device (EU)
• EU MDR certified
• ISO 13485 certified (Quality Management)
• ISO 27001 certified (Information Security)
What modules are available for stroke?
Down arrow icon
Brainomix 360 Stroke includes the following modules, each independently licensed or available as a package:

• NCCT (e-ASPECTS) — automated ASPECTS scoring, LVO detection, ischemic core volume, and Net Water Uptake
• CTA (e-CTA) — LVO detection, automated collateral score (CTA-CS), multi-phase CTA support
• CTP (e-CTP) — perfusion summary maps, mismatch estimation, DAWN & DEFUSE 3 criteria matching
• MRI (e-MRI) — DWI, DWI-FLAIR mismatch, and DSC perfusion analysis for late-window patients
How quickly are results generated?
Down arrow icon
Results are typically available within 1–2 minutes of a scan being sent to the platform, delivered automatically via PACS, email notification, the Brainomix 360 mobile app, or web browser.
Which scanners and PACS systems are compatible?
Down arrow icon
Brainomix 360 Stroke supports all major scanner and PACS manufacturers using the standard DICOM protocol. Brainomix engineers test all connections before go-live.
What is ASPECTS and why does it matter?
Down arrow icon
ASPECTS (Alberta Stroke Programme Early CT Score) is a 10-point scale used to quantify earlyischemic changes on non-contrast CT. A lower ASPECTS score indicates more brain damage. Brainomix's e-ASPECTS automates this score with a patented voxel-wise heatmap, delivering expert-level results in under 2 minutes — validated as non-inferior to expert scorers in a multicenter study.
What is Net Water Uptake (NWU)?
Down arrow icon
Net Water Uptake is a first-of-its-kind, patented biomarker that provides a standardized percentage-based measure of ischemic tissue swelling, derived from NCCT scans. It helps inform treatment decisions and predict clinical outcomes.
Can results be manually adjusted?
Down arrow icon
Yes. Clinicians can review and edit automated ASPECTS and CTA collateral scores Manually adjusted results are clearly labelled and published to all result formats.
Can I access results from outside the hospital?
Down arrow icon
Yes. Pseudonymized email notifications are accessible from any device with hospital emailaccess. Full results are available remotely via any existing VPN or Citrix solution, and through the Brainomix 360 mobile app (iOS and Android).
What does the Lancet Digital Health study show?
Down arrow icon
The largest ever real-world evaluation of stroke AI — 452,000 patients, 107 hospitals, 5 years —published in The Lancet Digital Health (2025) showed that Brainomix 360 Stroke was associated with a 100% relative increase in mechanical thrombectomy rates.
What is Core Volume?
Down arrow icon
Core Volume is the estimated volume of irreversibly damaged (infarcted) brain tissue, measuredin ml. Brainomix 360 can assess Core Volume directly from routine NCCT scans — withoutneeding CTP or MRI — with results shown to be equivalent to CTP-derived assessments in a study of 111 patients (20.4ml vs 19.9ml, P=0.82).
What is e-Lung?
Down arrow icon
Brainomix 360 e-Lung is an FDA-cleared, AI-powered imaging platform that automatically identifies and quantifies features on CT lung scans. It is designed to support earlier, more confident decisions in Interstitial Lung Disease (ILD) and Progressive Pulmonary Fibrosis (PPF)— conditions where early treatment initiation is critical to outcomes.
When should I use e-Lung?
Down arrow icon
e-Lung is valuable at three key points in the patient journey:

• At baseline diagnosis — to objectively quantify disease extent and establish a reference
• During serial monitoring — to detect progression, including subtle changes that may precede functional decline
• For MDT discussions — to guide treatment decisions and stratify patients by risk
What are the key biomarkers in e-Lung?
Down arrow icon
• RVS (Reticular Vascular Structures) — fibrotic reticulation and vasculature
• WRVS (Weighted RVS) — RVS in the outer 10mm of lung (periphery); highly prognostic
• GGO (Ground Glass Opacity) — may reflect fibrosis or active inflammation
• TDE (Total Disease Extent) — the combined sum of RVS and GGO
What CT scans does e-Lung accept?
Down arrow icon
High-resolution CT (HRCT), ≤2.5mm slice thickness, non-contrast preferred, with a sharper reconstruction kernel. Low-dose CT can be used as long as it is applied consistently acrossserial scans — avoid comparing HRCT with low-dose CT.
Can e-Lung track disease progression over time?
Down arrow icon
Yes. e-Lung can compare scans at each time point and normalize changes to annual rates, enabling reliable longitudinal monitoring. Imaging with e-Lung often detects progression before changes appear on pulmonary function tests (PFTs), so using both in combination gives the most complete picture.
What does the REVISE PPF study show?
Down arrow icon
REVISE PPF — a retrospective study conducted with the University of Chicago, Weill CornellMedical, and the University of Alabama at Birmingham — showed that:

• They could have supported an earlier PPF diagnosis in 71% of patients, and up to 28months earlier
• They identified CT progression in 74% of patients deemed clinically stable
• e-Lung metrics from a single baseline scan are independent predictors of mortality
How does e-Lung compare to FVC and visual assessment?
Down arrow icon
Research has shown that e-Lung outperforms both FVC and visual radiologist assessment inprognostic accuracy and consistency — particularly in detecting subtle disease progression that may not yet be visible to the naked eye or measurable by lung function alone.
Is e-Lung FDA-cleared?
Down arrow icon
Yes. e-Lung is fully FDA-cleared for clinical use in the United States and has been validated inpartnership with Boehringer Ingelheim through the landmark INBUILD clinical trial dataset.
Will e-Lung lead to more frequent imaging?
Down arrow icon
Possibly, in cases where subclinical progression is detected earlier than expected. The benefit is that earlier detection allows earlier treatment initiation, which is associated with better long-term outcomes in PPF. e-Lung should be integrated with PFTs and patient symptoms to guide imaging frequency decisions.
What is Brainomix 360 Vantage?
Down arrow icon
Vantage is the enterprise analytics dashboard that turns your AI imaging results into real-time, actionable insights across your entire stroke network. It provides a 360° view of clinical outcomes, clinician engagement, imaging throughput, and operational efficiency — across all sites, in one intuitive interface.
What can I measure with Vantage?
Down arrow icon
• Clinical outcomes — LVO detections, ASPECTS distribution, pathway tracking from triage to intervention
• Adoption & engagement — clinician app usage, time to first view, interventions over time
• Operational efficiency — processing speeds, CTA quality assurance, clinical workflow timings (door-to-door, groin puncture)
• Site benchmarking — compare performance across your network
Who is Vantage for?
Down arrow icon
Stroke network leads, clinical directors, and quality improvement teams who need visibilityacross multiple sites. It is particularly valuable for comprehensive stroke centres managingspoke-and-hub networks.
How is Brainomix 360 installed?
Down arrow icon
Brainomix 360 is provided as a managed appliance on virtualized (cloud) or physical hardware. Brainomix engineers handle installation, scanner/PACS connections, protocol setup, and go-live testing in partnership with your hospital IT team.
What training is provided?
Down arrow icon
All clinical users receive a group training presentation covering how to interpret results for each licensed module. User manuals are available in multiple languages at www.brainomix.com/user-manuals. Please see URL to request access (only available for current customers).
How do I get technical support?
Down arrow icon
Contact the Brainomix support team:

• Email: support@brainomix.com
• Support portal: www.brainomix.com/support
• UK office: +44 (0) 1865 582 730
• EU office: +353 1 636 3150
How is patient data kept secure?
Down arrow icon
Patient data is stored on the Brainomix server inside the hospital and is not transmittedexternally. Email notifications contain pseudonymized results only. Brainomix is ISO 27001certified and GDPR compliant. A Data Processing Agreement (DPA) is available on request.
How do I request a demo?
Down arrow icon
Visit www.brainomix.com/demo to schedule a personalised demo with a Brainomix clinicalspecialist.