The Reveal 35C portable dual energy X-ray detector screens and aids in the diagnosis of pulmonary health issues including tuberculosis, lung cancer, COPD, pneumonia, and COVID-19. It is used in a similar manner to conventional digital x-ray detectors.
This product was selected for inclusion in WHO’s 2021 Compendium of Innovative Health Technologies for Low‐Resource Settings.
Distributors / Implementing Organizations
Intellectural Property Type
User Provision Model
Direct from manufacturer
Distributions to Date Status
Indispensable equipment for function (Yes/No)
Device weight (kg)
459.5 x 383.5 x 15 mm
Max power consumption (W)
Power supply type
Maintenance or calibration required by user at time of use? (Yes/No)
Type of technology used for test
Time required for procedure
Reveal 35C uses a three layer stacked sensor design to produce three X-ray images using a single conventional chest X-ray exposure. The X-ray images can then be used to generate a conventional digital radiography, a bone subtracted and a soft tissue subtracted X-ray image, and lateral view dual energy X-ray images. The device is intended to be used in a similar way as a conventional digital X-ray detector.
Provided by the manufacturer and trained general technicians
Manufacturer Specified Performance Parameters
Enable bone and soft tissue images in a single X-ray exposure
Vetted Performance Status
There is an ongoing lung cancer clinical trial with 30 patients at Grand River Hospital and a second, IRB-approved COVID-19 clinical trial with 600 patients with Princess Margaret Hospital and University of Toronto that began in June 2020. The product has since been FDA 510(k) cleared and Health Canada approved and is available for sale in the USA and Canada. Reveal 35C has also been certified under several performance standards.
Standard precaution with X-ray devices of safety factors such as radiation exposure should be taken
Complementary Technical Systems
A laptop or computer is needed to operate the device, an anti scatter grid can be supplied upon request
Academic Research and References
Fredenberg, E., 2018, “Spectral and dual-energy X-ray imaging for medical applications.” Nuclear Instruments and Methods in Physics Research, Vol. 878, pp. 74-87.
Maurino, S. L., Ghanbarzadeh, S., Ghaffari, S., and Karim, K. S., 2019, “Novel multi-energy x-ray detector allows for simultaneous single-shot acquisition of digital radiography and tissue-subtracted images.” European Congress of Radiology-ECR.
Wong, H. Y. F., et al., 2020, “Frequency and distribution of chest radiographic findings in patients positive for COVID-19.” Radiology, Vol. 296(2), pp. 72-78.
Compliance with regulations
EC 60601-1:2005, COR1:2006, COR2:2007, AMD1:2012 Medical electrical equipment — Part 1 IEC 60601-1-2:2014 (Ed 4.0) Medical electrical equipment — Part 1-2 ISO 14971:2007 Medical Devices - Application Of Risk Management To Medical Devices IEC 62220-1-1 Edition 1.0 Medical Electrical Equipment-Characteristics Of Digital X-Ray Imaging Devices Part 1-1