FDA clears a2z Radiology AI's CT device for abdomen and pelvis scans

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  • Last update: 11/30/2025
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a2z Radiology AI has received approval from the U.S. Food and Drug Administration (FDA) for its a2z-Unified-Triage, an advanced triage system for abdomen-pelvis CT scans. This technology is engineered to detect and prioritize seven urgent conditions simultaneously during a single scan.

The system addresses seven critical acute conditions: small bowel obstruction, acute pancreatitis, acute cholecystitis, acute diverticulitis, free air, hydronephrosis, and unruptured abdominal aortic aneurysm. According to the company, this represents the first U.S. FDA-cleared device capable of triaging multiple urgent findings on abdomen-pelvis CT scans in one comprehensive workflow.

Pranav Rajpurkar, co-founder of a2z Radiology AI and associate professor at Harvard Medical School, stated: Our goal was to create a generalist AI that can scale across multiple conditions. We began with high-impact acute conditions, where rapid triage can significantly influence patient outcomes.

With over 20 million abdomen-pelvis CT scans performed annually in the United States, the a2z-Unified-Triage system aims to quickly highlight potential emergencies and move them to the top of radiology worklists, enabling faster care for critical patients.

Samir Rajpurkar, co-founder and CEO of a2z Radiology AI, noted: For five of these seven conditions, this is the first introduction of AI-driven triage in the U.S. market. Our vision extends beyond these seven conditions, with plans to scale further.

The AI-driven system was designed to integrate seamlessly into real-world radiology workflows. In parallel, the company is developing advanced research prototypes that expand AI capabilities across various conditions and anatomical areas.

Addition from the author

Analysis: The Future of AI in Medical Imaging

The FDA approval of a2z Radiology AI's a2z-Unified-Triage system marks a significant milestone in the integration of artificial intelligence within the healthcare sector. This AI-driven solution is designed to streamline and expedite the triage process for abdomen-pelvis CT scans by detecting and prioritizing seven critical conditions in a single scan. What makes this technology particularly noteworthy is its ability to handle multiple urgent findings at once, something that has previously been a challenge in traditional radiology workflows.

With over 20 million abdomen-pelvis CT scans performed annually in the U.S., the potential impact of this technology is immense. By placing high-priority cases at the top of the radiology worklist, the a2z-Unified-Triage system can significantly reduce the time it takes to identify critical issues, enabling faster treatment for patients. This could, in turn, improve patient outcomes in emergency situations where every second counts.

Furthermore, this approval brings AI-driven triage to the U.S. market for five of the seven conditions, paving the way for broader AI applications in medical imaging. As noted by Samir Rajpurkar, co-founder and CEO of a2z Radiology AI, the company plans to extend these capabilities across more conditions, suggesting that this is just the beginning of AI’s role in healthcare diagnostics.

As AI continues to evolve, the broader implications for radiology and other medical fields remain promising. This development not only enhances diagnostic speed but could also support radiologists in managing the ever-increasing volume of medical imaging, allowing them to focus on the most critical cases. The future of AI in healthcare, particularly in diagnostic imaging, seems poised for significant advancements, offering both efficiency and accuracy improvements in clinical practice.

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Author: Sophia Brooks

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