IB Neuro14 Jan 2026 07:01
The lack of widespread adoption for Imaging Biometrics (IB) software, specifically IB Clinic and IB Neuro, is a classic case of a "technically superior" product hitting "institutional inertia."
As of early 2026, the company (IQ-AI) has explicitly addressed this in their half-year reports, citing several specific barriers:
1. The "Marketplace" Failure
For years, IB relied on third-party AI Marketplaces (platforms where hospitals can "buy" various radiology AI tools). In 2025, IB leadership admitted this strategy was "underwhelming."
• Fragmentation: These platforms are overcrowded, and IB’s specialized neuro-oncology tools often got lost next to simpler, high-volume tools like chest X-ray scanners.
• Lack of Priority: Generic marketplaces don't provide the high-touch clinical support needed to convince a neuro-surgeon or oncologist to change their workflow.
2. Clinical Conservatism & "Pseudo-progression"
The core problem IB solves is distinguishing between actual tumor growth and pseudo-progression (swelling caused by treatment).
• The "Standard of Care" Trap: Many hospitals still rely on the "wait and see" method (rescanning in 6–8 weeks) or invasive biopsies.
• Trust in Quantitative Data: Radiologists are traditionally trained to use "qualitative" eyes. Moving to "quantitative" software (actual delta-T1 maps and CBV values) requires a paradigm shift in how they trust their own diagnosis versus a software-generated map.
3. Workflow Friction
Until very recently, using IB software required "manual steps" or specific plugins that didn't always play nice with every hospital's PACS (Picture Archiving and Communication System).
• New Solution: In late 2025, they released the "Next-Gen IB Clinic," which is fully automated and "hands-free." The hope is that by removing the "extra clicks," adoption will finally pick up in 2026.
4. Reimbursement Hurdles
Like many AI tools, getting a specific CPT code (reimbursement code) for quantitative perfusion imaging has been a slow process. Without a clear way for a hospital to bill an insurance provider specifically for using "IB Neuro," the software is often seen as a "cost" rather than a "revenue generator."
5. Strategic Pivot
Because of these roadblocks, IB is currently pivoting away from broad marketplaces and moving toward "Direct Clinician Engagement." They are now targeting neuro-oncology departments directly, rather than trying to sell to the general radiology department.