Image segmentation, annotation and AI algorithm development

Our Services and Expertise

Through a network of national experts and access to state-of-the-art technology, Radiostics offers subspecialized consulting and image interpretation for clinical research organizations (CROs) conducting industry-sponsored trials.

We are leaders in independent radiology review of phases 1 through 4 drug and device trials and work closely with regulatory officials. Our diverse team of independent reviewers are from preeminate academic and clinical practices.

Independent Radiology Review

We collectively offer over a hundred years of experience in the areas of oncologic, musculoskeletal, cardiovascular, and neuroimaging.

Medical Image Annotation Services

We offer rapid, high-quality 2D and 3D medical image segmentation and annotation services for industry partners interested in machine learning, deep learning, and artificial intelligence (AI) algorithm development.

Our team can:

  • Locate high-quality image datasets

  • Oversee or conduct annotations

  • Provide industry-leading quality control and speed

  • Link you to top AI developers

  • Provide regulatory guidance.

If you need help with medical image annotation services, you came to the right place.

Our Services
  • Consulting and recommendations for clinical trial protocols

  • Development and consultation on image acquisition protocols (IAPs), image evaluation protocols (IEPs), and case report forms (CRFs)

  • Provide access to subspecialized radiology and image analysis experts for independent centralize image review in multi-institutional clinical trials

  • Conduct advanced image processing and analysis and high-quality image interpretation that adheres to the IEPs

Doctor Operating CT Scanner
  • Blinded independent review and adjudication services

  • Complete CRFs and answer industry sponsor and CRO queries and concerns

  • Maintain an open line of communication with the CRO and industry sponsor

  • Establish and maintain quality control and standard operating procedures for all aspects of image interpretation in clinical trials

  • Prepare for and assist with FDA and Non-FDA audits

Quality Control and Operating Procedures

Radiostics offers an extensive quality control process through the following specific standard operating procedures:

  • Roles and responsibilities

  • Rules for SOP development, approval and distribution

  • Consultant and reviewer training and documentation of expertise

  • Communications management

  • Record retention policy

  • Medical image receipt and management

  • Image analysis process

  • Image review by radiologist

  • Image review by a non-radiologist

  • Transfer of data to CRO or sponsor

  • Study specific operations, review and management

  • External query resolution process

  • Internal query resolution process

  • PI review

  • File and image storage

  • SOP deviation

  • Physical and logical security

  • FDA audit

  • Non-FDA audit

  • Quality Assurance (QA) process

  • Quality Control (QC) process

  • Study startup

  • Study closeout

  • Continuing education and training

Areas of Expertise

Medical Image Annotation

Our professionals have experience in high-quality 2D and 3D medical image annotation. We can create high-quality training and validation AI algorithms and leverage a custom, web-based image annotation platform.


  • 2D and 3D tumor segmentation

  • 3D organ segmentation

  • Anatomic labelling

  • 2D and 3D body composition analysis

  • Image finding annotation

  • Image series categorization

Radiostics offers unparalleled expertise for oncologic imaging trials. We provide access to national esperts who have significant depth in sub-specialized oncologic imaging experience.

Our oncologic radiologists interpret all imaging modalities, utilize any objective response criteria, and evaluate all tumor types.

We have content expertise in all treatment types, including chemotherapy, target therapy, immunotherapy, radiation therapy, embolic therapy, etc.

Our partnership with AI Metrics technology further sets us apart and is unparalleled in the industry.

AI Mass is the only computer-assisted tumor response evaluation platform shown to reduce errors in a multi-institution setting.

This advanced image processing and workflow tool gathers multiple tumor metrics, automates tumor metric extraction and calculations, provides annotated images of all tumor metrics, and simultaneously performs multiple objective response criteria.  

Oncologic Imaging


Musculoskeletal Imaging

Radiostics puts you in contact with experts in musculoskeletal imaging for your drug or device trial. We work with all imaging modalities and all joints, bones, muscles, and ligaments.


We have experience in all body regions and with a wide variety of devices. A thorough understanding of musculoskeletal imaging endpoints allows us to meet the needs of your clinical trial.


Cardiovascular Imaging

Radiostics has extensive experience and in-depth  knowledge in cardiovascular device studies. We specialize in aortic stents and peripheral vascular devices and interventions.


Our cardiovascular imaging experts provide consulting, advanced image processing, quantitative metrics and other services to assist with evaluation of your device.


We have collectively seen it all and understand that the success of your device requires accurate and timely quantitative data and expert image analysis.



Radiostics connects you with field leaders with content expertise across all major neuroimaging modalities and indications.


We understand the complexities of imaging endpoints required for monitoring specific neurological disease states in phase 1 through 4 clinical trials. You can rely on us for your consulting and both qualitative and quantitative image interpretation needs.


Molecular Imaging

Radiostics has field leaders in molecular imaging who specialize in image interpretation using a wide variety of radiotracers, and they have experience with all imaging modalities, including PET CT, PET MRI, and SPECT.  

We understand scintigraphic imaging, radionuclide therapy, and use of radionuclides to ascertain physiology and in vivo tracer kinetic studies. We have expertise in the following:

  • Tumor imaging (e.g. FDG PET CT or PET MRI, FLT PET, octreotide, gallium, bone scans, etc.)

  • Neurologic imaging (e.g. tumors, dementia, epilepsy)

  • Cardiac imaging (e.g. perfusion imaging, stress tests) endocrine (e.g. thyroid)

  • Physiologic imaging (e.g. renal function)

  • A wide variety of other conditions.