Step-by-Step Guide
How AI Reads a Chest X-Ray
Step-by-step: how Fractify's AI processes a chest X-ray, detects 18+ pathologies, scores urgency, and delivers a structured clinical report in under 3 seconds.
18+
Pathologies detected
97.7%
Fracture accuracy
<3s
Report time
5-level
Urgency scoring
The 5-Step Process
Upload the X-Ray
Drag and drop a JPEG, PNG, or .dcm DICOM file. Fractify accepts all three formats — no conversion needed.
Two-Stage AI Processing
Stage 1: a specialist chest X-ray model scans for 18+ pathologies — pneumonia, effusion, nodules, fractures, and more. Stage 2: findings are scored by severity and confidence.
Urgency Scoring
Every report gets a 1–5 urgency score. At level 4 or 5, a critical banner activates with mandatory flags: Tension Pneumothorax, Aortic Dissection, Large PE, Cardiac Tamponade.
Structured Report
Output includes: primary finding, secondary findings, per-finding confidence %, severity, urgency score, differential diagnoses, treatment guidance — EHR-ready.
Clinician Review
The clinician reviews the structured report alongside the original image. All clinical decisions remain with the qualified practitioner.
Key AI Capabilities
18+ Pathologies
Pneumonia, effusion, pneumothorax, nodules, consolidation, atelectasis, and more
Rib Fracture Detection
97.7% accuracy on bone fracture detection including rib and upper extremity
Critical Flags
Tension Pneumothorax, Aortic Dissection, Large PE, Cardiac Tamponade auto-flagged
DICOM Native
Upload .dcm files directly — no conversion needed. JPEG and PNG also accepted
Frequently Asked Questions
What pathologies can AI detect on a chest X-ray?
Fractify detects 18+ pathologies including pneumonia, pleural effusion, pneumothorax, consolidation, cardiomegaly, pulmonary edema, atelectasis, nodules, masses, and rib fractures. Critical findings like Tension Pneumothorax and Aortic Dissection trigger immediate flags.
How long does chest X-ray AI analysis take?
Fractify delivers structured results in under 3 seconds from upload. The two-stage pipeline runs asynchronously — detection and report generation happen simultaneously.
Does the AI replace a radiologist for chest X-rays?
No. Fractify is clinical decision support. The AI surfaces findings and generates structured reports. A qualified clinician must review, confirm, and make all clinical decisions. Think of it as a first-read assistant that never misses a finding.
Does Fractify support DICOM for chest X-rays?
Yes. Fractify accepts standard .dcm DICOM files as well as JPEG and PNG. Upload a single file for immediate analysis, or 3+ DICOM files to enter series mode for comprehensive review.
Other Imaging Modalities
See it in action
Upload a real scan and get a structured AI diagnostic report in seconds. Request a demo or explore the clinical platform.