What happened
Hologic makes the Genius Digital Diagnostics System, which scans ThinPrep Pap test slides. Its Genius Cervical AI algorithm, a convolutional neural network, picks objects of interest for review by cytologists and pathologists. At four US laboratories, three teams per site reviewed the site's share of 1,994 slides in three phases at least 14 days apart. They read glass slides by microscope, then with the ThinPrep Imaging System, then as AI-selected digital images. Three adjudication teams set the reference diagnosis. FDA reviewers report that sensitivity rose by 4.4%, 8.2% and 7.5% at the LSIL+, ASC-H+ and HSIL+ thresholds, all statistically significant. For HSIL+, sensitivity rose from 74.0% to 81.5%. Specificity fell by 1.3% to 2.9% across thresholds. FDA granted the De Novo request on 31 January 2024. The slides came from residual material after sign-out, so no patient's care changed. The digital review always came last.
Sources
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Regulatory document, by authors with no tie to the system.
U.S. Food and Drug Administration, Center for Devices and Radiological Health. Evaluation of automatic class III designation for the Genius Digital Diagnostics System with the Genius Cervical AI algorithm (DEN210035): decision summary. Granted 2024-01-31.
For HSIL+: 7.5% with a confidence interval of 4.0% to 11.4%
Details
AI system
- Workflow
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The algorithm showed five rows of six primary objects of interest for each slide. Each site's three teams of a cytologist and a pathologist reviewed all of its cases.
Follow-up
- Conditions for replication
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Slides are ThinPrep Pap tests prepared and stained as the labeling specifies. Reviewers are trained on the system and examine the glass slide when the diagnosis is uncertain.
Entry details
- Sector
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Healthcare.
- Purpose
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Hologic built the Genius Digital Diagnostics System with the Genius Cervical AI algorithm to help cytologists and pathologists screen ThinPrep Pap tests for cervical cancer and its precursors.
Not yet checked: model, release, provider, role, configuration, inputs and outputs, autonomy, human oversight, beneficiaries, reach, distribution and access, duration, every measurement question, every money question, ownership and control, dependencies, cross-border connections, geopolitical implications, replication attempts, availability, institutional decision, grounds, action and result, success criterion, every evidence question, observed or intended, alternative assessments, related entries, other identifiers, category mappings.
Cite this record
Peter H. Vartanian. (2026). Genius Cervical AI helped cytology teams catch more precancers (AIBD-0771). Artificial Intelligence Benefits Database, edition of 31 October 2026. https://petervartanian.xyz/aibd/records/AIBD-0771.html (archived at https://doi.org/10.7910/DVN/AADSII, version 4.0)