4DMedical has announced U.S. Food and Drug Administration (FDA) 510(k) clearance for its CT:VQ noncontrast, ventilation-perfusion imaging system.
The system converts standard, noncontrast chest CTs into quantitative, lobar ventilation (V), and perfusion (Q) maps and is delivered as software-as-a-service (SaaS). Integrated with routine radiology workflows (DICOM-based, PACS reporting), the system brings functional lung imaging to sites without nuclear medicine capacity, according to the firm.
Clinical validation for CT:VQ included quantitative performance testing against SPECT, expert reader studies, and real-world cases across multiple lung conditions, the company said, noting favorable reimbursement conditions under the U.S. Centers for Medicare and Medicaid Services (CMS) in addition to existing reimbursement for the underlying chest CT.
In its announcement, 4DMedical said more than one million nuclear V/Q scans are performed annually in the U.S.















![Axial images from unenhanced calcium score cardiac CT (left) and curved planar reformation images from CT angiography (right) show that higher long-term exposure to air pollution is associated with greater coronary artery calcium and more obstructive coronary artery disease (CAD). Top row: Images in a 68-year-old male patient with higher 10-year mean ambient air pollution exposure (7.9 μg/m3 for particulate matter measuring ≤2.5 μm in diameter [PM2.5] and 17.4 parts per billion [ppb] for NO2) with extensive CAD (coronary artery calcium score [CACS] >1,000 and obstructive CAD [≥70% diameter stenosis]). Bottom row: Images in a 57-year-old female patient with lower 10-year mean ambient air pollution exposure (6.3 μg/m3 for PM2.5 and 4.6 ppb for NO2) with no CAD (CACS = 0 and no obstructive stenosis).](https://img.auntminnie.com/mindful/smg/workspaces/default/uploads/2026/06/hanneman.r6SMLzkezo.png?auto=format%2Ccompress&fit=crop&h=112&q=70&w=112)




