Built with clinicians. Evaluated across institutions.
A diagnostic tool earns its place in a clinical workflow only if practitioners shape it. That has been the method from the start.

How the work is grounded.
Medical advisory board
Spine specialists across three continents guide development decisions, from grading criteria to report structure.
Clinical data foundation
Built since 2024. Multi-site evaluation is under way, establishing the evidence base required for regulatory and institutional adoption.
Zero-PHI architecture
Designed so that identifying patient data never leaves the institution. Privacy by architecture, not by policy.
Partner institutions are named only with their written agreement, and are therefore not listed here.
TwipleSim solves what slows you down.
For radiologists
AI-assisted grading cuts review time. Structured reports are generated automatically — you review, approve, and move on.
For spine surgeons
Pre-operative biomechanical context before every procedure, enabling evidence-based planning with patient-specific confidence.
For hospitals
Become a partner centre: your imaging archives have scientific value. Extraction paid per case file, co-publication, and the reading tool made available to the programme.
