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Nanox Receives MDR CE Mark for HealthOST, an Advanced AI-Powered Software for Spine Assessment

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Nanox (NNOX) has received EU MDR CE mark certification for HealthOST, an AI-powered software for spine assessment that analyzes routine CT scans to detect vertebral height loss and bone mineral density. The software, which already has FDA 510(k) clearance from April 2022, helps identify musculoskeletal diseases like osteoporosis before fractures occur. HealthOST integrates with existing PACS systems and requires no additional imaging or radiation. The technology proved effective in the ADOPT study across four UK NHS trusts, identifying over 3,450 new patients with vertebral compression fractures from 37,220 CT scans - up to six times more than the national average. This advancement is particularly significant for Europe, where over 25.5 million women have osteoporosis, and annual fracture-related costs exceed €56 billion, with cases expected to increase 25% by 2034.
Nanox (NNOX) ha ottenuto la certificazione CE secondo il Regolamento UE MDR per HealthOST, un software basato su intelligenza artificiale per la valutazione della colonna vertebrale che analizza le normali scansioni TC per rilevare la perdita di altezza vertebrale e la densità minerale ossea. Il software, già approvato dalla FDA con la clearance 510(k) ad aprile 2022, aiuta a identificare malattie muscoloscheletriche come l'osteoporosi prima che si verifichino fratture. HealthOST si integra con i sistemi PACS esistenti e non richiede imaging o radiazioni aggiuntive. La tecnologia ha dimostrato la sua efficacia nello studio ADOPT condotto in quattro trust del NHS nel Regno Unito, identificando oltre 3.450 nuovi pazienti con fratture da compressione vertebrale su 37.220 scansioni TC, fino a sei volte più della media nazionale. Questo progresso è particolarmente rilevante per l'Europa, dove oltre 25,5 milioni di donne soffrono di osteoporosi e i costi annuali legati alle fratture superano i 56 miliardi di euro, con un aumento previsto del 25% entro il 2034.
Nanox (NNOX) ha recibido la certificación CE conforme al MDR de la UE para HealthOST, un software impulsado por inteligencia artificial para la evaluación de la columna vertebral que analiza escaneos rutinarios de TC para detectar pérdida de altura vertebral y densidad mineral ósea. El software, que ya cuenta con la autorización FDA 510(k) desde abril de 2022, ayuda a identificar enfermedades musculoesqueléticas como la osteoporosis antes de que ocurran fracturas. HealthOST se integra con los sistemas PACS existentes y no requiere imágenes ni radiación adicionales. La tecnología demostró su eficacia en el estudio ADOPT realizado en cuatro trusts del NHS del Reino Unido, identificando a más de 3.450 nuevos pacientes con fracturas por compresión vertebral a partir de 37.220 escaneos de TC, hasta seis veces más que el promedio nacional. Este avance es especialmente significativo para Europa, donde más de 25,5 millones de mujeres padecen osteoporosis y los costos anuales relacionados con fracturas superan los 56 mil millones de euros, con un aumento esperado del 25% para 2034.
Nanox(NNOX)는 척추 평가를 위한 AI 기반 소프트웨어인 HealthOST에 대해 EU MDR CE 마크 인증을 받았습니다. 이 소프트웨어는 일상적인 CT 스캔을 분석하여 척추 높이 감소 및 골밀도를 감지합니다. 2022년 4월 FDA 510(k) 승인을 이미 받은 이 소프트웨어는 골절 발생 전에 골다공증과 같은 근골격계 질환을 식별하는 데 도움을 줍니다. HealthOST는 기존 PACS 시스템과 통합되며 추가적인 영상 촬영이나 방사선이 필요하지 않습니다. 이 기술은 영국 NHS 4개 트러스트에서 진행된 ADOPT 연구에서 37,220건의 CT 스캔 중 3,450명 이상의 새로운 척추 압박 골절 환자를 확인하며 국가 평균의 최대 6배에 달하는 효과를 입증했습니다. 이 발전은 유럽에서 2,550만 명 이상의 여성이 골다공증을 앓고 있으며, 골절 관련 연간 비용이 560억 유로를 초과하고 2034년까지 25% 증가할 것으로 예상되는 점에서 특히 중요합니다.
Nanox (NNOX) a obtenu la certification CE conforme au MDR de l'UE pour HealthOST, un logiciel alimenté par l'IA destiné à l'évaluation de la colonne vertébrale qui analyse les scanners CT de routine afin de détecter la perte de hauteur vertébrale et la densité minérale osseuse. Le logiciel, déjà approuvé par la FDA avec la clearance 510(k) en avril 2022, aide à identifier les maladies musculo-squelettiques comme l'ostéoporose avant l'apparition des fractures. HealthOST s'intègre aux systèmes PACS existants et ne nécessite pas d'imagerie ou de radiation supplémentaire. Cette technologie a démontré son efficacité dans l'étude ADOPT menée dans quatre trusts du NHS au Royaume-Uni, identifiant plus de 3 450 nouveaux patients atteints de fractures par compression vertébrale à partir de 37 220 scanners CT – jusqu'à six fois plus que la moyenne nationale. Cette avancée est particulièrement importante pour l'Europe, où plus de 25,5 millions de femmes souffrent d'ostéoporose et où les coûts annuels liés aux fractures dépassent 56 milliards d'euros, avec une augmentation prévue de 25 % d'ici 2034.
Nanox (NNOX) hat die EU MDR CE-Zertifizierung für HealthOST erhalten, eine KI-gestützte Software zur Wirbelsäulenbewertung, die routinemäßige CT-Scans analysiert, um den Verlust der Wirbelhöhe und die Knochendichte zu erkennen. Die Software, die bereits im April 2022 die FDA 510(k)-Freigabe erhielt, hilft dabei, muskuloskelettale Erkrankungen wie Osteoporose frühzeitig zu identifizieren, bevor Frakturen auftreten. HealthOST integriert sich in bestehende PACS-Systeme und erfordert keine zusätzlichen Bildgebungen oder Strahlenbelastung. Die Technologie bewährte sich in der ADOPT-Studie an vier NHS-Trusts im Vereinigten Königreich und identifizierte aus 37.220 CT-Scans über 3.450 neue Patienten mit Wirbelkörper-Kompressionsfrakturen – bis zu sechsmal mehr als der nationale Durchschnitt. Dieser Fortschritt ist besonders bedeutsam für Europa, wo über 25,5 Millionen Frauen an Osteoporose leiden und die jährlichen Kosten für frakturbedingte Behandlungen 56 Milliarden Euro übersteigen, mit einer erwarteten Zunahme von 25 % bis 2034.
Positive
  • Received EU MDR CE mark certification, enabling commercialization across Europe
  • Already has FDA 510(k) clearance, showing strong regulatory validation
  • Requires no additional imaging or radiation, making it cost-effective
  • Demonstrated superior detection rates in ADOPT study - up to 6x more than national average
  • Seamlessly integrates with existing PACS systems
  • Addresses a large market with 25.5M European women having osteoporosis
Negative
  • Faces challenge of integrating into established healthcare workflows
  • Competition from existing bone density scanning methods
  • Requires existing CT scan infrastructure to be effective

Insights

Nanox's HealthOST CE mark enables European commercialization, addressing a significant €56B market opportunity for early osteoporosis detection.

Nanox's HealthOST has achieved a critical regulatory milestone with its EU MDR CE mark, opening the entire European market for commercialization. This AI-based software as a medical device (SaMD) represents a significant advancement in preventive care for musculoskeletal diseases, particularly osteoporosis.

The technology addresses a substantial unmet medical need - according to data cited, approximately 66% of vertebral compression fractures go undetected in routine CT reporting. HealthOST's capability to identify these markers through existing CT scans represents a considerable advantage over traditional screening methods, requiring no additional imaging, radiation exposure, or patient time.

The European market presents a substantial commercial opportunity, with over 25.5 million women having osteoporosis and 23.8 million Europeans at high risk of osteoporotic fractures. The annual cost burden exceeds €56 billion, with cases projected to increase 25% by 2034 due to demographic shifts.

The ADOPT study results provide compelling evidence for HealthOST's effectiveness, identifying 3,450 new patients with vertebral compression fractures from 37,220 scans - up to six times more than the UK national average. The three-year continuation at Oxford University further validates the clinical utility.

From a technology perspective, HealthOST's seamless PACS integration enhances its commercial appeal by fitting into existing clinical workflows. As an upgraded version of HealthVCF, it builds on established technology while expanding capabilities for bone health analysis.

  • HealthOST identifies vertebral height loss and bone mineral density, which are key indicators of musculoskeletal disease
  • Osteoporosis is a common progressive bone disease among adults over 50 years of age that causes bones to weaken, leading to fractures
  • The software provides automated quantification of vertebral parameters from routine CT scans, delivering consistent and objective data to support physician evaluation, before life-altering fractures occur

PETACH TIKVA, Israel, June 05, 2025 (GLOBE NEWSWIRE) -- NANO-X IMAGING LTD ("Nanox" or the "Company", Nasdaq: NNOX), an innovative medical imaging technology company, today announced that its deep-learning medical imaging analytics subsidiary, Nanox AI Ltd, has received EU MDR CE (Conformité Européenne) mark certification for HealthOST, an SaMD (Software as a medical device) for bone health analysis, enabling its commercialization across Europe and ensuring compliance with the highest regulatory standards for medical software.

HealthOST is Nanox.AI’s advanced Bone Solution, which analyzes routine CT scans to assess vertebral height loss and bone mineral density. Building on its FDA 510(k) clearance received in April 2022, HealthOST leverages AI to provide qualitative and quantitative analysis of the spine from CT scans to support clinicians in the evaluation and assessment of musculoskeletal disease of the spine, such as osteoporosis, which can remain undiagnosed until life-altering fractures occur.

Since the CT scans analyzed by HealthOST were performed for other clinical indications, no additional imaging, radiation or patient time is required, making it a cost-effective screening tool. HealthOST is seamlessly integrated with existing picture archiving and communication systems (PACS), and can enable timely and appropriate preventive care.

Osteoporosis is a common progressive bone disease among adults over 50 years of age that causes bones to weaken, leading to fractures. According to the World Congress of Osteoporosis, an estimated 66% of vertebral compression fractures, a strong indicator of osteoporosis, go undetected or unreported in routine CT diagnostic reporting. Early detection is crucial, as modern treatments can improve bone strength and reduce fracture risk, helping patients maintain independence and reducing healthcare needs. This need is particularly acute in Europe, where over 25.5 million women have osteoporosis and at least 23.8 million residents are at high risk of osteoporotic fractures.i The annual cost of osteoporosis-related fractures in Europe exceeds €56 billion, with cases expected to increase 25% by 2034 due to an aging population.ii

"This CE mark for HealthOST represents a significant expansion of our AI capabilities in Europe," said Erez Meltzer, Chief Executive Officer and Acting Chairman of Nanox. "Our AI technology demonstrates the Nanox end-to-end solution that can deliver immediate practical value to opportunities for proactive care. By integrating seamlessly into routine CT scans, HealthOST helps healthcare providers maximize their existing resources, while identifying patients who might otherwise fall through the cracks of traditional screening methods."

HealthOST is the upgraded version of HealthVCF, which was evaluated in the AI-enabled Detection of OsteoPorosis for Treatment (ADOPT) study at four UK National Health Services (NHS) trusts – Cambridge, Bradford, Cardiff and Southampton – and coordinated by the long-standing clinical users at Oxford.

In the ADOPT study, HealthVCF analyzed 37,220 routine medical CT scans and identified over 3,450 new patients with vertebral compression fractures, up to six times more than the national average at NHS hospitals in the UK. These patients were asymptomatic, and the data underscores the importance of addressing the critical gap in detection of patients with vertebral fractures.

“Nanox.AI bone solution has proven to be a game-changer in bone health management," said Professor Kassim Javaid of the Nuffield Department of Orthopaedics, Rheumatology and Musculoskeletal Sciences (NDORMS), University of Oxford. "After successful integration with our clinical pathways, we saw its significant impact and chose to continue with it for another three years at Oxford. By enabling earlier identification of patients with vertebral fractures, Nanox.AI bone solution improved our system identification of patients at high fracture risk to improve patient outcomes and reduce the burden on healthcare systems through preventive care.”

Healthcare facilities interested in implementing HealthOST can visit https://www.nanox.vision/ai-bone-solution/ for more information.

About Nanox.AI

Nanox.AI is the deep-learning medical imaging analytics subsidiary of Nanox. Nanox.AI solutions are developed to target highly prevalent chronic and acute diseases affecting large populations around the world. Leveraging AI, Nanox.AI helps clinicians extract valuable and actionable clinical insights from medical imaging that otherwise may go unnoticed, potentially initiating further medical assessment to establish individual preventative care pathways for patients. For more information, please visit www.nanox.vision/ai.

About Nanox

Nanox (NASDAQ: NNOX) is focused on driving the world’s transition to preventive health care by bringing a full solution of affordable medical imaging technologies based on advanced AI and proprietary digital X-ray source.

Nanox's vision encompasses expanding the reach of Nanox technology both within and beyond hospital settings, providing a seamless end-to-end solution from scan to diagnosis, leveraging AI to enhance the efficiency of routine medical imaging technology and processes, in order to improve early detection and treatment and maintaining a clinically driven approach. The Nanox ecosystem includes Nanox.ARC – a multi-source digital tomosynthesis system that is cost-effective and user-friendly; Nanox.AI LTD – an AI-based suite of algorithms that augment the readings of routine CT imaging to highlight early signs often related to chronic diseases; Nanox.CLOUD – a cloud-based software platform that manages and stores data collected by Nanox devices, and provides users with tools for in-depth imaging analysis; Nanox.MARKETPLACE – a proprietary decentralized marketplace through Nanox’s subsidiary, USARAD Holdings Inc., that provides remote access to radiology and cardiology experts, and a comprehensive teleradiology services platform. By improving early detection and treatment, Nanox aims to enhance better health outcomes worldwide. For more information, please visit www.nanox.vision

Forward-Looking Statements

This press release may contain forward-looking statements that are subject to risks and uncertainties. All statements that are not historical facts contained in this press release are forward-looking statements. Such statements include, but are not limited to, any statements relating to the initiation, timing, progress and results of the Company’s research and development, manufacturing, and commercialization activities with respect to its X-ray source technology and the Nanox.ARC, the ability to realize the expected benefits of its recent acquisitions and the projected business prospects of the Company and the acquired companies. In some cases, you can identify forward-looking statements by terminology such as “can,” “might,” “believe,” “may,” “estimate,” “continue,” “anticipate,” “intend,” “should,” “plan,” “should,” “could,” “expect,” “predict,” “potential,” or the negative of these terms or other similar expressions. Forward-looking statements are based on information the Company has when those statements are made or management’s good faith belief as of that time with respect to future events and are subject to risks and uncertainties that could cause actual performance or results to differ materially from those expressed in or suggested by the forward-looking statements. Factors that could cause actual results to differ materially from those currently anticipated include: risks related to (i) Nanox’s ability to complete development of the Nanox System; (ii) Nanox’s ability to successfully demonstrate the feasibility of its technology for commercial applications; (iii) Nanox’s expectations regarding the necessity of, timing of filing for, and receipt and maintenance of, regulatory clearances or approvals regarding its technology, the Nanox.ARC and Nanox.CLOUD from regulatory agencies worldwide and its ongoing compliance with applicable quality standards and regulatory requirements; (iv) Nanox’s ability to realize the anticipated benefits of the acquisitions, which may be affected by, among other things, competition, brand recognition, the ability of the acquired companies to grow and manage growth profitably and retain their key employees; (v) Nanox’s ability to enter into and maintain commercially reasonable arrangements with third-party manufacturers and suppliers to manufacture the Nanox.ARC; (vi) the market acceptance of the Nanox System and the proposed pay-per-scan business model; (vii) Nanox’s expectations regarding collaborations with third-parties and their potential benefits; (viii) Nanox’s ability to conduct business globally; (ix) changes in global, political, economic, business, competitive, market and regulatory forces; (x) risks related to the current war between Israel and Hamas and any worsening of the situation in Israel; (xi) risks related to business interruptions resulting from the COVID-19 pandemic or similar public health crises, among other things; and (xii) potential litigation associated with our transactions.

For a discussion of other risks and uncertainties, and other important factors, any of which could cause Nanox’s actual results to differ from those contained in the Forward-Looking Statements, see the section titled “Risk Factors” in Nanox’s Annual Report on Form 20-F for the year ended December 31, 2024, and subsequent filings with the U.S. Securities and Exchange Commission. The reader should not place undue reliance on any forward-looking statements included in this press release. Except as required by law, Nanox undertakes no obligation to update publicly any forward-looking statements after the date of this press release to conform these statements to actual results or to changes in the Company’s expectations.

Contacts

Media Contact:
Ben Shannon
ICR Healthcare
NanoxPR@icrinc.com

Investor Contact:
Mike Cavanaugh
ICR Healthcare
mike.cavanaugh@icrhealthcare.com

References

i International Osteoporosis Foundation. (n.d.). Epidemiology of osteoporosis and fragility fractures. Retrieved December 13, 2024, from https://www.osteoporosis.foundation/facts-statistics/epidemiology-of-osteoporosis-and-fragility-fractures

ii Kanis, J. A., Cooper, C., Rizzoli, R., & Reginster, J. Y. (2021). European guidance for the diagnosis and management of osteoporosis in postmenopausal women. Archives of Osteoporosis, 16(1), 1-10. https://doi.org/10.1007/s11657-021-00969-8


FAQ

What is Nanox's HealthOST software and what did it receive approval for?

HealthOST is an AI-powered software that analyzes CT scans to assess vertebral height loss and bone mineral density. It received EU MDR CE mark certification for commercialization in Europe.

How effective was NNOX's HealthOST in the ADOPT study?

In the ADOPT study across four UK NHS trusts, HealthOST analyzed 37,220 CT scans and identified 3,450 new patients with vertebral compression fractures, detecting up to six times more cases than the national average.

What is the market potential for Nanox's HealthOST in Europe?

The European market includes over 25.5 million women with osteoporosis, with annual osteoporosis-related fracture costs exceeding €56 billion and cases expected to increase 25% by 2034.

How does Nanox's HealthOST software work with existing medical infrastructure?

HealthOST integrates seamlessly with existing PACS systems and analyzes routine CT scans, requiring no additional imaging, radiation, or patient time.

What regulatory approvals does NNOX's HealthOST currently have?

HealthOST has both EU MDR CE mark certification (June 2025) and FDA 510(k) clearance (April 2022).
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