FAQMilvue

    General Information about Milvue

    What is Milvue and what does the solution offer?
    Milvue is an artificial intelligence solution specializing in the analysis of medical images, particularly in radiology. It enables the detection of pathologies and performs precise anatomical measurements on various types of medical images.

    Is Milvue's AI certified?
    Milvue offers a range of solutions. We distribute them in the following markets: Europe (CE), Canada (Canada Health), and the US (FDA). Each solution has its specific certifications, which you can discover below :

    Europe (CE) :
    TechCare Alert, Bones, Spine, and Kids are specific configurations of the SmartUrgences and SmartXpert modules included in the Milvue Suite. The Milvue Suite software, developed by Milvue, is a Class IIa medical device under EU MDR 2017/745 regulations - Notified Body: BSI, CE 2797.
    TechCare Chest is a commercial offering integrating a specific configuration of the SmartUrgences module and the aview LCS Plus solution. The "aview LCS Plus" software, developed by Coreline Soft, is a Class IIa medical device under the 93/42/EEC directive - Notified Body: BUREAU VERITAS ITALIA, CE1370.
    TechCare Breast is a commercial offering integrating Therapixel software. Therapixel software is a Class IIa medical device, CE marked according to the MDD 93/42/EEC directive (by Notified Body DQSE2017).

    Canada : Smart Trauma is approved by Health Canada and classified as a Class IIa medical device.

    US : FDA clearance. SmartChest is a class II medical device according to US regulations.

    Are there clinical proofs of Milvue AI's performance?
    Several clinical studies have been conducted with our solutions. They are available on our website via the following link : https://www.milvue.com/en/publications/

    How many images has Milvue tested its solution on?
    Our AI has been trained on over one million images and continues to improve through anonymized data provided by our partner centers and clients.

    Where does Milvue source images to test its software?
    The images used to train our AI are provided by our partner centers, ensuring quality learning based on real-world data.

    How many users benefit from Milvue's AI solution?
    Milvue’s AI is currently installed in over 150 sites (public hospitals, private clinics, radiology centers, etc.) and used worldwide—from Latin America to the Middle East, North America, and Europe.

    What is the accuracy of Milvue's AI?
    The accuracy of our AI ranges between 90% and 93%, depending on the patient population and age. Milvue excels in pediatrics, where it outperforms competing solutions.

    Is Milvue's AI as effective as a radiologist?
    While our solution does not replace a radiologist, it achieves a level of precision comparable to that of a senior radiologist, especially when assisting an emergency physician.


    Types of Examinations and Analytical Modalities

    What imaging modalities does Milvue's AI analyze?
    Milvue primarily analyzes conventional 2D radiology exams. In partnership with Coreline and Therapixel, we also offer solutions for detecting lung nodules in 2D and 3D (CT), mammography, and tomosynthesis.

    What analyses does our AI perform on the rib cage?
    Our AI detects rib fractures but does not perform measurements on the rib cage or analyze the sternum.

    Are measurements performed in the presence of a prosthesis?
    VCE (Wiberg) and HTE (Tönnis) angles are not measured in the presence of a prosthesis. An alert message is displayed for patients over 50 to ensure measurement accuracy.

    Are images with an Implanted Medical Device (IMD) analyzed?
    Yes, IMDs do not prevent measurements unless they are located directly on the measurement points. Devices such as tables, scales, or gonadal shields do not pose an issue as long as they do not cover the measurement points. IMDs also do not interfere with pathology detection.

    Are annotated or measured images analyzed?
    Yes, previously annotated images, even by other systems, are analyzed for pathology detection. However, they are not used for anatomical measurements.


    Milvue Features

    What solutions does Milvue offer for spinal analysis?
    Milvue offers anatomical measurements of the spine, including Cobb angles on full spine, whole body, and short segment images. Spinal pathology detection is under development and will be included in a future update.

    What measurements are included in the analysis report?
    Milvue provides detailed analysis reports for measurements on full spine, lower limbs, and whole body. These reports now include visual outputs for better interpretation of the measurements.

    Will Milvue’s solution soon detect new pathologies or perform new measurements?
    Yes, improving our software is a daily priority. We continuously develop new features based on customer needs and feedback. To suggest new features, contact us at support@milvue.com.

    What if I disagree with the measurements provided by Milvue?
    Currently, it is not possible to modify Milvue's measurements. However, we are actively working to enable this functionality in a future version.


    Possible Irregularities

    What types of irregularities can occur with Milvue's solution?

    Pathology Detection :
    > The AI may fail to recognize an image if it is of poor quality or rare. > False positives or negatives can occur, within Milvue’s defined error rates.

    Measurements:
    > Objects on the measurement points or poor detection may lead to significant measurement errors.
    > For foot and hip measurements, the AI may not correctly identify the patient’s weight-bearing status.

    Why are there measurement discrepancies between frontal and lateral views for leg length?
    Milvue performs frontal and lateral measurements independently, with no correlation between the two images. This may result in discrepancies ranging from millimeters to centimeters depending on the patient’s pelvic tilt.

    What if Milvue’s measurements differ from EOS’s?
    Milvue's measurements are provided for guidance. It is up to the practitioner to decide whether to use them.


    Enhanced Images by Milvue

    Are Milvue’s analyses also DICOM images?
    Yes, the images analyzed by Milvue can be exported in three formats: Overlay, Highbit, and GSPS. The analyzed images have the same modality as the native image. Our summary image for pathology detection is a Secondary Capture, meaning it is indeed a DICOM file.

    Are Milvue’s images the same quality as the ones we provided?
    Yes, our Secondary Capture images retain all the properties of the native image, ensuring equivalent quality to the original.

    How can Milvue’s analyses be displayed?
    > Secondary Capture: Milvue’s annotations are embedded into the pixels of the DICOM.
    > Overlay: You can hide or show Milvue’s annotations via the Viewer settings. This is also a type of Secondary Capture.
    > GSPS : An ON/OFF button is available on the Viewer to hide or show the analyses on the original images. In this case, it is not a Secondary Capture.


    Performance and Capacity

    How long does it take to receive the analysis results?
    On average, the complete analysis time—from receiving the images to sending them back to the PACS—is less than 2 minutes.

    Is there a maximum number of exams Milvue can analyze per day?
    Milvue can analyze up to 5,000 exams per center per day. Beyond this threshold, the analyses are still performed but are no longer sent to the PACS. This limit can be adjusted if necessary.

    Are your measurements as precise as those done on EOS?
    EOS provides a correlation between the frontal and lateral images, which is not yet considered by Milvue. However, we are working on improving this functionality.


    Technical Aspects

    What happens if I resend exams that were not analyzed?
    If an exam was not analyzed on the first submission (e.g., due to a routing issue), it will be analyzed on the second submission. However, if an exam has already been analyzed, it will not be reanalyzed unless a reset is requested from support.

    Where can I access Milvue’s analyses?
    Milvue’s analyses are integrated into the same folder as the native images of the exam and are accessible to any member of the institution with access to the PACS (or any other return console).

    Do I have to pay for future updates?
    Most updates are included in the offer or contract. However, certain specific updates may be subject to new pricing. Contact your account representative for more information.

    Can patients access Milvue’s images?
    This depends on the PACS configuration. Patients can view Milvue’s analyses if their access is enabled by the PACS administrator. Milvue can assist with this request, but it is usually faster for the client to contact their provider directly.


    Bonus_New Questions

    How can I contact Milvue’s technical support?
    You can contact our support team at support@milvue.com. We respond quickly to all technical questions and suggestions.

    Can I customize Milvue’s analysis reports?
    Currently, report customization is limited, but we are working to integrate more customization options in future updates.

    How can I suggest new features for Milvue?
    Your feedback is valuable! Send your suggestions to support@milvue.com, and our development team will take them into consideration for future updates.


    Can't find the answer to your question?

    Feel free to ask us directly via the contact form or by sending an email to support@milvue.com.We will get back to you as soon as possible.