International product information

The product details shown after you switch describe the versions of Rho authorized outside the United States, including the Rho Score, which is not part of the US version.

US product information

The product details shown after you switch describe the version of Rho authorized in the United States, which reports whether a patient is Rho Positive.

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Implementation For Rho Enterprise

Inside your network, with a light IT lift.

Rho Enterprise runs on one virtual machine inside your network and receives eligible X-rays by standard DICOM routing from PACS. Installation, IT training, and configuration often take about an hour, and motivated sites are screening within a week of a purchase decision.

Using a browser instead? How Rho Direct works →
Integration

Built for PACS, DICOM, and the reporting tools you use.

One virtual machine on your existing infrastructure and standard routing. No new logins for radiologists and no new technologist steps.

An IT specialist working on a laptop in a server room

  • Image routing

    Rho can query your PACS and retrieve eligible frontal X-rays, or your PACS can push them to Rho by standard DICOM routing. Your existing reporting workflow stays the same.

  • Results

    The Rho Report is sent to PACS as a DICOM image (secondary capture or encapsulated PDF) in the same study, or viewed in a browser.

  • Reporting

    Rho can send findings to PowerScribe, or to other dictation systems as HL7 messages, and we can help set up dictation macros so radiologists can report the finding quickly.

  • Where it runs

    Rho runs on a virtual machine your team provisions, within your secured network. It runs on your existing infrastructure, and it is designed so that patient data stays on your site.

Requirements

What your IT team provides, and what runs itself.

What your IT team provides

  • A dedicated virtual or physical machine running Ubuntu 22.04 LTS or later, or RHEL 10.0 or later
  • 64-bit 2 GHz quad-core CPU with AVX support, 24 GB RAM, and 250 GB of disk. An NVIDIA CUDA-enabled GPU is optional.
  • One static IP address and at least a 1 Mbps network connection
  • DICOM C-FIND and C-STORE between Rho and your DICOM servers
  • VPN access for servicing, preferably with two-factor authentication

What runs itself

Rho performs automatic daily and weekly backups and cleans its disk, and notifies 16 Bit when those tasks run. Software updates are installed remotely. Radiologists do not need to log in to Rho; they see Rho Reports in PACS.

Go live

The path to go-live.

Every deployment follows the same sequence. We work alongside your IT and radiology teams at each step.

Clinicians planning around a table in a hospital meeting room

  1. VM specified and provisioned

    We share system requirements and routing details, and your team provisions the virtual machine.

  2. Rho installed and configured

    We install Rho in your environment and set up routing, reporting, and outputs for your sites.

  3. IT trained

    In a 10-minute session, your IT team learns to monitor and support Rho.

  4. Radiologists briefed

    We provide a short briefing on the finding and the macro for you to circulate to reading radiologists.

  5. Live

    Rho screens eligible X-rays in routine care.

Questions

What teams ask before they deploy.

Read the Rho FAQ → Read the Rho FAQ → Trust and regulatory →
Where does our patient data go?

With Rho Enterprise, nowhere. Rho deploys inside your network and is designed so that images and protected health information stay in your environment. Your team retains control of the virtual machine; 16 Bit connects through the remote access you provide to service and update Rho. This also narrows the scope of security review. Rho Direct works differently: it sends only de-identified inputs, with identifiers encrypted on your device.

Which X-rays should we route to Rho?

Frontal radiographs of the chest, thoracic spine, lumbar spine, pelvis, hand or wrist, or knee, acquired for any clinical indication. Rho automatically excludes patients under 50 and patients with a recent DXA in your PACS. Rho is not for diagnostic purposes, and not for images acquired below 55 kVp.

Will this slow down my radiologists?

By default, only Rho-positive reports reach PACS, so radiologists see a report only for flagged studies. You can change the Rho Score above which a report is sent. In a prospective study at one Canadian hospital, radiologists chose to include the finding in 80% of flagged reports.1

  1. 1 Jayarajah et al., Canadian Association of Radiologists Journal, 2025 ↗: a prospective study at one Canadian hospital
Who pays for opportunistic screening?

Rho runs on imaging that is being performed for other reasons. In a 13-month before-and-after comparison at one eight-site Ontario imaging provider, after radiologists began reporting Rho findings, initial DXAs rose 1.8× and surveillance DXAs rose 1.4×.2 Medicare covers DXA for eligible patients.3DXA is reimbursed for eligible patients in most jurisdictions. Rho is licensed as software, priced on gross annual X-ray volume.

  1. 2 Syme et al., Skeletal Radiology, 2026 ↗: a before-and-after comparison at one eight-site Ontario imaging provider
  2. 3 Medicare.gov, Bone mass measurements ↗

Plan a Rho deployment for your sites.

Tell us about your PACS, reporting platform, and DXA capacity. We will map the routing and timeline with your team.

Request a demo → Read the evidence