FDA-cleared profile

Opulus™ Lymphoma Precision

Roche Molecular Systems, Inc.

Opulus Lymphoma Precision segments and visualizes lesions and measures total metabolic tumor volume in whole-body FDG-PET/CT for patients already diagnosed with FDG-avid lymphoma; trained physicians can accept/reject annotated output, but radiologist review makes the final interpretation and the device is not a screening/diagnostic substitute.

Evidence status: each field states its source quality, applicability, and review date. Research pending, information not established, and vendor documentation pending remain distinct outcomes.

Clinical details

What this tool is for

Start with the authorized purpose, then verify how it fits your service line and reading workflow.

Exact purpose
Opulus Lymphoma Precision segments and visualizes lesions and measures total metabolic tumor volume in whole-body FDG-PET/CT for patients already diagnosed with FDG-avid lymphoma; trained physicians can accept/reject annotated output, but radiologist review makes the final interpretation and the device is not a screening/diagnostic substitute.
  • FDA source
  • Exact FDA submission
  • Checked 2026-09-06
Intended users
Trained interpreting physicians, including radiologists and nuclear medicine physicians
  • FDA source
  • Exact FDA submission
  • Checked 2026-09-06
Care setting and population
Adult lymphoma imaging and treatment-response assessment for patients already diagnosed with FDG-avid lymphoma
  • FDA source
  • Exact FDA submission
  • Checked 2026-09-06
Workflow role
Segmentation, visualization, and volumetric measurement support
  • FDA source
  • Exact FDA submission
  • Checked 2026-09-06
Required input
Whole-body FDG-PET/CT in standard DICOM format, consisting of PET with associated attenuation-correction CT, from patients with pathologically diagnosed FDG-avid lymphoma.
  • FDA source
  • Exact FDA submission
  • Checked 2026-09-06
Output and human action
Localization and segmentation of FDG-avid lesions, overlay visualization, segmentation masks, a total metabolic tumor volume measurement, and a report/image overlay; the physician may accept or reject the algorithm output but cannot modify it.
  • FDA source
  • Exact FDA submission
  • Checked 2026-09-06
Limitations
The device is assistive for already diagnosed FDG-avid lymphoma, is not a screening tool or diagnostic substitute, and requires trained physician review and final interpretation.
  • FDA source
  • Exact FDA submission
  • Checked 2026-09-06

Regulatory identity

FDA record and catalog context

The FDA listing establishes the regulatory identity. It does not by itself establish local workflow fit, pricing, security, or performance in your environment.

FDA submission
K243863
  • FDA source
  • Exact FDA submission
  • Checked 2026-08-31
Modality
PET/SPECT/Nuclear Medicine
  • FDA source
  • Exact FDA submission
  • Checked 2026-09-06
Anatomy
Whole-body FDG-PET/CT
  • FDA source
  • Exact FDA submission
  • Checked 2026-09-06
Clearance type
510(k)
  • FDA source
  • Exact FDA submission
  • Checked 2026-08-31
Decision date
2025-05-30
  • FDA source
  • Exact FDA submission
  • Checked 2026-08-31
FDA status
FDA-cleared
  • FDA source
  • Exact FDA submission
  • Checked 2026-08-31

Implementation

Questions for IT, informatics, and operations

Use these fields to structure a vendor demo, security review, and implementation estimate.

Integration
The submission describes standard DICOM PET/CT input, report generation, and image/segmentation-mask overlays; current PACS/workstation routing and deployment architecture were not established.
  • FDA source
  • Exact FDA submission
  • Checked 2026-09-06
Deployment and data flow
Vendor documentation pending
  • Vendor confirmation
  • Exact FDA submission
  • Checked 2026-09-07

The reviewed sources establish DICOM image-processing function and commercial distribution, but not a current hosting model or regional data flow.

Security and privacy
Vendor documentation pending
  • Vendor confirmation
  • Exact FDA submission
  • Checked 2026-09-07

No scoped current security, data-flow, access-control, retention, or incident-response documentation was established.

Training and support
Vendor documentation pending
  • Vendor confirmation
  • Exact FDA submission
  • Checked 2026-09-07

Current onboarding, competency, and support commitments were not established.

Monitoring and change control
Vendor documentation pending
  • Vendor confirmation
  • Exact FDA submission
  • Checked 2026-09-07

Local acceptance testing, production monitoring, update control, and drift review were not established.

DICOM PET/CT image-processing workflow

AccessGUDID lists Opulus Lymphoma Precision as a DICOM image-processing software device and records it as in commercial distribution; the current hosting model and local integration are not documented there.

exact submission · checked 2026-09-07

DICOM overlay and report output

The exact submission describes DICOM PET/CT input with report, lesion overlay, and segmentation-mask output for physician review.

exact submission · checked 2026-09-06

Evidence

Performance evidence

Metrics are shown only when they are tied to a source, endpoint, population, and tested product version. Candidate literature without exact product and version linkage is not shown as product evidence.

Evidence summary
Test-set validation used 182 unique patients across multiple geographies and PET/CT vendors; the FDA compares cube-root-transformed total metabolic tumor volume differences in centimeters, using a 2.5 cm threshold on that transformed scale, against a reference generated by nine radiologists and nuclear medicine physicians.
  • FDA source
  • Exact FDA submission
  • Checked 2026-09-06
Reported sensitivity
Research pending
  • Needs research
  • Exact FDA submission
  • Checked 2026-08-31

This field has not been curated yet.

Reported specificity
Research pending
  • Needs research
  • Exact FDA submission
  • Checked 2026-08-31

This field has not been curated yet.

Cube-root-transformed TMTV mean difference below 2.5 cm

-0.2 cm on cube-root-transformed TMTV scale

  • EndpointAlgorithm minus reference cube-root-transformed total metabolic tumor volume for the below-2.5-cm transformed-TMTV group
  • PopulationTest-set FDG-PET/CT validation
  • Tested versionOpulus Lymphoma Precision submitted in K243863; build not stated

Cube-root-transformed TMTV mean difference at or above 2.5 cm

-0.23 cm on cube-root-transformed TMTV scale

  • EndpointAlgorithm minus reference cube-root-transformed total metabolic tumor volume for the at-or-above-2.5-cm transformed-TMTV group
  • PopulationTest-set FDG-PET/CT validation
  • Tested versionOpulus Lymphoma Precision submitted in K243863; build not stated

Mean segmentation Dice

0.7 Dice

  • EndpointLesion segmentation overlap
  • PopulationIndependent FDG-PET/CT validation
  • Tested versionOpulus Lymphoma Precision submitted in K243863; build not stated

Opulus Lymphoma Precision TMTV and segmentation validation

  • DesignRetrospective test-set validation against pooled physician reference
  • Population182 unique patients from multiple geographies and GE, Siemens, and Philips PET/CT systems
  • Scopeexact submission
  • Tested versionOpulus Lymphoma Precision submitted in K243863; build not stated
  • Samplen=182
  • IndependenceIndependence not established

K243863

The FDA describes the test data as independent from training data; reference pool comprised nine radiologists and nuclear medicine physicians. Independence of investigators or sponsorship was not established. TMTV differences are on the cube-root-transformed scale, with the 2.5 cm group threshold on that scale.

Costs and setup

Budget and ongoing governance

These are common procurement questions; unknown values remain visible until a source supports them.

Pricing and total cost
Vendor documentation pending
  • Vendor confirmation
  • Exact FDA submission
  • Checked 2026-09-07

No public amount, range, currency, geography, or contract term was established.

Reimbursement and coding
Research pending
  • Needs research
  • Exact FDA submission
  • Checked 2026-09-07

No payer or CMS policy review was performed in this worker cohort.

Safety and lifecycle

Postmarket record

Recall and adverse-event records are shown only after product matching. Adverse-event reports do not establish incidence or causality.

Postmarket safety review
Not established in reviewed sources
  • Reviewed sources checked
  • Exact FDA submission
  • Checked 2026-09-04

No native submission-identifier match was found in the checked openFDA radiology recall snapshot. Product-name, manufacturer, and adverse-event searches remain necessary; this does not establish that no recall or safety report exists.

Buyer worksheet

Open questions to take to the vendor

Open evaluation checklist

Research record

What has been checked

This audit distinguishes completed source review from fields that have not yet been researched.

Human reviewedStatus
2026-09-07Last searched
24Fields reviewed
10Source classes checked
0Screened PubMed leads
0Screened trial leads
0Unreviewed FDA recall leads

No stored PubMed or ClinicalTrials.gov candidate identifiers for this submission in the 2026-09-01 snapshot; exact-submission recall candidate review was also zero. This metadata screen is not a full paper review. The current discovery snapshot contains 0 PubMed and 0 ClinicalTrials.gov candidate records; its dated, count-matched human screening remains current. Unlinked candidates remain quarantined. Native FDA recall identifiers produced 0 postmarket candidate records; 0 have been reviewed (0 published, 0 rejected) and 0 remain unreviewed.

Candidate leads were screened against the exact product and tested version. Unlinked records remain quarantined.

Source classes: fda ai list, fda decision summary, acr ai central product, government device registry, literature index, trial registry, fda device recall, pubmed, clinical trials, openfda device recall

Sources & history

How this profile was documented

Open the ledger for source dates, scope, and research-record updates.

View source ledger and history

Source ledger

  1. FDA 510(k) K243863: Opulus Lymphoma Precision

    U.S. Food and Drug Administration - Published 2025-05-30 - Accessed 2026-09-06

    Scope: identity, purpose, clinicalUse, modality, anatomy, input, output, limitations, integration, evidenceSummary, evidenceMetrics, evidenceStudies

  2. Artificial Intelligence-Enabled Medical Devices

    U.S. Food and Drug Administration - Accessed 2026-08-31

    Scope: regulatoryIdentity, modalityContext

  3. Opulus™ Lymphoma Precision model card (K243863)

    American College of Radiology - Published 2026-08-17 - Accessed 2026-09-01

    Scope: intendedUsers, careSetting, output, evidenceSummary, integration, anatomy, evidenceStudies, implementationCapabilities

  4. PubMed biomedical literature index

    U.S. National Library of Medicine - Accessed 2026-09-01

    Scope: evidenceDiscovery

  5. ClinicalTrials.gov study registry

    U.S. National Library of Medicine - Accessed 2026-09-01

    Scope: evidenceDiscovery, studyStatus

  6. openFDA Device Recall API

    U.S. Food and Drug Administration - Accessed 2026-09-02

    Scope: recallDiscovery, nativeSubmissionMatching

  7. AccessGUDID: Opulus Lymphoma Precision (07613336231098)

    U.S. National Library of Medicine - Accessed 2026-09-07

    Scope: exactProductIdentity, commercialDistributionStatus, deviceType, implementationCapabilities

  8. Roche lymphoma focus area

    Roche - Accessed 2026-09-07

    Scope: vendorWideLymphomaContext

Research history

  1. K243863 FDA decision

    Regulatory record

    510(k)

  2. Source-review record updated

    Research record

    human reviewed

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