AI LUMBAR SPINE

MRI READING AND REPORTING

CoLumbo automatically reads spine MRI scans to provide a pre-populated report. The software saves radiologists 25% of the reporting time and reduces errors of omission by up to 15%.

CoLumbo has a CE mark, FDA 510(K), and TGA clearance.

BENEFITS OF COLUMBO

SAVE TIME

CoLumbo can help radiologists save between 15% to 25% of their reading and reporting time by providing automated segmentations, measurements, and a draft report. This allows for more patients to be examined, helps reduce waiting times and backlogs, and ultimately decreases the cost per patient examination when considering the radiologist’s hourly rate.

INCREASE ACCURACY

Clinical trials have concluded that a radiologist using CoLumbo is more accurate than a radiologist NOT using CoLumbo. The software can reduce errors of omission by up to 15%, with the most significant error reduction occurring for generalists and residents.

STANDARDIZATION

CoLumbo brings standardization in reporting practices in the case of multiple hospital chains or medical imaging centers. The fully customizable suspected pathology threshold levels enable setting measurement standardization.

CoLumbo is software for analysis of lumbar spine images obtained with MRI. The purpose of CoLumbo is to assist with the reading of MRI images on the lumbar spine and to provide information on suspected pathologies and abnormality detection, and reduce the time to record the readings. According to the Spine Reporting Survey we conducted, the radiologists think that on average about 17.2 minutes are needed for thorough L-Spine MRI examination in cases without any complications and about 30 minutes for more complex cases, but they have only 13.6 minutes on average for MRI reading in a real clinical situation at the cost of up to 30% errors and omissions.

The key novelty of CoLumbo lies in the unique machine learning algorithm, based on fully convolutional neural networks combined with medical domain knowledge, dropout regularization, and packet normalization which are capable of reading MRI images, to assist qualified clinicians in providing a complete diagnosis. U-Net-like architecture is used to improve the resolution.

The first step is the Segmentation of specific structures which is made on a pixel level and the use of fully convolutional neural networks allows quick segmentation maps to be generated for images of any size. The second is the identification of key points in the MRI images. After this is the measurement of distances, areas and angles. Finally, the combination of segmentation, measurements, and specially applied algorithms provides the qualified clinicians with an asisstance in complete diagnosis according to the parameters described in the scientific medical literature. All findings are presented in a easy-to-use final draft report, which is currently available in English, Bulgarian, German, French, Spanish, Italian, Romanian, Polish and Dutch.  More languages will be added soon.

The main benefits of CoLumbo are lower cost, ease of use and optimal cost-result ratio. CoLumbo holds the potential to alleviate the economic burden imposed on the business as the low cost of the service will render it available to a bigger part of the population, thus helping with the implementation of preventative measures which will lower the number of chronically disabled employees.

Another key benefit of CoLumbo is the possibility to completely customize all thresholds and ranges of the findings. For example, for herniation, one can report the severity in two or three levels and modify the minimum threshold size for each level, indicated in millimeters. Additional fine-tuning settings are available, such as herniation zone reporting, cranial or caudal migration reporting, and dural sac compression reporting. These settings are available for all pathologies covered.

FEATURES OF COLUMBO

RELATED PATHOLOGIES AND OTHER FINDINGS:

  • HERNIATION AND ITS SIZE, LOCATION AND POSSIBLE DESCENDING AND/OR ASCENDING MIGRATION
  • PROTRUSION AND EXTRUSION HERNIATION MODIFIERS
  • NERVE ROOT IMPINGEMENT
  • DURAL SAC COMPRESSION
  • CENTRAL SPINAL STENOSIS – SCHIZAS AND LEE MORPHOLOGICAL GRAIDNG
  • ANTERO AND RETRO – SPONDYLOLISTHESIS
  • SYMMETRICAL AND ASYMMETRICAL BULGING
  • HYPO AND HYPER-LORDOSIS
  • REDUCED DISK HEIGHT
  • REDUCED VERTEBRAL BODY HEIGHT
  • AXIAL FORAMINAL SIZE

TISSUE BOUNDARIES:

  • LEVEL LABELS
  • VERTEBRAL BODY
  • OTHER PARTS OF THE VERTEBRA
  • DISC
  • HERNIATED PART OF THE DISK
  • DURAL SAC
  • NERVE ROOTS
  • LIGAMENTUM FLAVUM

MEASUREMENTS PERFORMED:

  • SIZE OF HERNIATION
  • HERNIATION CIRCUMFERENCE
  • HERNIATION LOCATION SCORE
  • PROTRUSION AP SIZE
  • EXTRUSION AP, CC, LR SIZE
  • MIGRATION SIZE
  • NERVE ROOT IMPINGEMENT SCORE
  • DURAL SAC AREA AND STENOTIC RATIO
  • SPINAL CANAL AP DIAMETER
  • LISTHESIS PERCENTAGE AND GRADE
  • L1S1, L1L5 AND L1L4 LORDOTIC ANGLES
  • BULGING SIZE
  • BULGING CIRCUMFERENCE
  • BULGING SYMMETRY SCORE
  • DISC HEIGHT (ANTERIOR, MIDDLE, POSTERIOR) AND RATIOS
  • VERTEBRAL BODY HEIGHT (ANTERIOR, MIDDLE, POSTERIOR)
  • INTERVERTEBRAL ANGLES
  • FACET JOINT THICKNESS SIZE
  • FACE JOINT ANGLE
  • PSEUDOLISTHESIS SLIPPAGE
  • FORAMINAL STENOSIS CLEARANCE SIZE DURAL SAC BRIGHTNESS AND CONTRAST COEFFICIEN

REPORT LANGUAGES:

  • ENGLISH
  • BULGARIAN
  • FRENCH
  • DUTCH
  • SPANISH
  • ITALIAN
  • GERMAN
  • ROMANIAN
  • POLISH

 

WHO CAN BENEFIT FROM COLUMBO

RADIOLOGISTS USING MEASUREMENTS

The most significant CoLumbo feature, the time saving, stems from the software’s ability to generate pre-populated draft reports, which include comprehensive measurements of all suspected pathologies detected. Additionally, the user interface displays measurements of related tissues, such as vertebral body and disk heights, enhancing the visualization and review process for the user.

GENERALIST RADIOLOGISTS

Less experienced radiologists, such as generalists, will benefit the most from our software. The greatest benefit for this user group is the increase in accuracy due to the reduced errors of omission when using CoLumbo.

 

HOSPITALS AND IMAGING CENTER CHAINS

A unique feature of CoLumbo is the complete customisation of suspected pathology threshold levels. When multiple hospitals or imaging centers use the same threshold levels standardization in reporting can be achieved.

REGULATORY CLEARANCE

SEAMLESS PACS INTEGRATION WORKFLOW 

OUR CLIENTS

Our CoLumbo solution is deployed and used in several European diagnostic imaging centers. If you need a connection to our reference sites please contact us.

OUR PARTNERS

You can use CoLumbo via our AI marketplaces partners. For more information please contact us.

REQUEST A DEMO

FREQUENTLY ASK QUESTIONS

For any questions that you may have, please visit our FAQ section via the link below. There is also a search functionlality that you can use and search by keywords.

An investor in SmartSoft Healthcare is New Vision 3 Fund, which is co-financed by the European Structural and Investment Funds under the Operational Programme for Innovation and Competitiveness 2014-2020 managed by the Fund of Funds in Bulgaria.