QT Imaging Holdings Inc (QTI) 2025 Q3 法說會逐字稿

Greetings. Welcome to the QT Imaging Holdings Q3 earnings conference call [operator Instructions] I will now turn the conference over to your host, Stephen Kilmer Head of Investor Relations, you may begin.

Thank you, operator, and good afternoon everyone. Yesterday, QT Imaging released financial results for the third quarter ended September 30th, 2025. a copy of the press release is available on our website. Before we start, I would like to point out that management will make statements during this conference call that include forward-looking statements within the meaning of the federal securities laws, which are made pursuant to the safe harbor provisions of the Private Securities Litigation Reform Act of 1,995.

Any statements made during this call that are not statements of historical facts should be deemed to be forward-looking statements. Such statements involve known and unknown risks, uncertainties, and other factors that may cause actual results, performance, or achievements to be materially different from those implied by such statements. And therefore, these statements should not be read as guarantees of future performance or results.

All forward-looking statements are based on QT Imaging's current beliefs, as well as assumptions made by and information currently available to QT Imaging and relate to, among other things, the QT Imaging breast acoustic CT scanner, including its commercialization, manufacturing, and further development.

The evolution of QT imaging into a scalable imaging platform. The QT imaging cloud platform and SAS model. Performance of software enhancements, new product development and introduction, product sales growth and projected revenues.

QT imaging industry and future events. For a list and description of the risks and uncertainties associated with the company's business, please see its filings with the Securities and Exchange Commission. QT imaging disclaims any obligation, except as required by law. Dot data to revise any financial or operational projections, its regulatory outlook, or other forward-looking statements, whether because of new information, future events, or otherwise.

Any poor looking statements made on this conference call speak only as of the date of this conference call. Representing QT Imaging today are Dr. Raluca Dinu, our Chief Executive Officer, and Jay Jennings, our Chief Financial Officer. With that said, I will now turn the call over to Raluca.

Thank you, Steve. Good afternoon, everyone, and welcome to our inaugural conference call. On behalf of our board of directors, management team, and everyone at QT Imaging, I would like to thank you for your interest in our company and for those who are shareholders, we appreciate your support.

This earnings call marks an important moment for QT imaging as we continue to build a new category in breast imaging, safe, volumetric, wave based 3D imaging that delivers MRIli information in a clinic and patient friendly system. Our focus is execution, reliability, and commercial expansion in markets where access to advanced imaging has historically been limited.

Medical imaging has come a long way since the moment Wilhelm Rengen accidentally noticed his wife's hand glowing on a fluorescent screen in 1,895. That part, quite literally launched the X-ray era and opened a new window in the human body.

Over the decades, innovators keep pushing that window wider. X-ray evolved into CT scans, giving us the first three-dimensional look inside the body. Then ultrasound the right using sound waves to create real-time moving pictures that transform te stretics and everyday diagnostics.

Nuclear medicine added the ability to see function, not just structure, revealing how organs actually work. And finally, MRI changed everything, harnessing magnetic fields and radio waves to deliver extraordinary detail, especially for soft tissue like the brain and the breast.

Each leap moved medicine from shadows to clarity, from static snapshots to rich, information dense images. It's a century-long story of constant reinvention, and we are now entering the next chapter where imaging becomes quantitative, intelligent, and truly patient-centric.

So what do CT and MRI actually do and how do they work? at the highest level and without diving into the map, both technologies operate on the same basic principle. You send a beam of energy through the body from many directions, measure how those signals change as they pass through, and use a reconstruction algorithm to reassemble those measurements into cross-sectional images. For CT, the energy source is X-rays.

They pass through the body along multiple paths and provide excellent structural details, but because X-rays are ionizing, repeated scans contribute to cumulative radiation exposure. MRI takes a very different approach. Instead of X-rays, it uses powerful magnetic fields and radio frequency pulses to collect measurements from multiple angles.

Rather than absorbing or attenuating radiation. Tissues respond to the magnetic field with a distinct signal pattern. Those signals are then reconstructed into images with far superior soft tissue contrast compared to CT without exposing the patient to ionizing radiation.

Everyone has likely seen the difference. MRI is the gold standard for soft tissue imaging. One CT is unmatched for bone and for contrast enhanced studies that demand speed. what QT imaging brings to the table is the same reconstruction principle, many beams, many angles, but powered by wave technology with the frequency close to the spoken word frequency, audible frequency, rather than radiation or magnetism.

Think of three advantages this wave technology delivers. 1, image quality comparable to MRI. Just as MRI provides better detail than CT, our wave-based imaging technology produces MRI laser clarity when it comes to soft tissue contrast. This is a major leap forward without the cost or complexity of MRI.

Number 20 toxicity. Our waves are as safe as traditional ultrasound. As I said earlier, their frequency is close to the audible frequency. Unlike existing ultrasound technology though, where you place a probe on the skin and only analyze echoes, reflected energy bouncing back, our waves actually travel through the tissue, allowing through 3D volumetric reconstruction similar to MRI.

32 independent sources of information. X-rays tell you only how much of the beam makes it through the body. Existing ultrasounds tell you how much of the beam gets reflected. Our waves give you both of these, plus the second critical parameter, the speed at which the wave travels through different tissues. Because different tissues alter speed differently, this dual information dramatically enhances our ability to distinguish structures and detect abnormalities.

Additionally, QT imaging reflection configuration is used for high resolution depiction of tissue interfaces, ducts, upper ligaments, lesion boundaries, as well as for improved lesion visualization, as cancers have irregular heterogeneous reflective signatures. For both transmission and reflection paths, we collect attenian data.

Each data set QT imaging collects, transmission, reflection, and attenuation is unique and rich in biomarkers, which will allow us to move from subjective image interpretation to objective data we can measure. QT imaging team will focus to generate the clinical validation of the data sets and associate biomarkers.

When one thinks about what truly makes the technology valuable in medicine, we look at three things data quality, physician experience, and patient experience. 1, data quality. MRI is today's gold standard in medical imaging. Our technology delivers MRI plus detail, quantitative, high resolution, and radiation free. Number 2, physician experience.

MRI systems are remarkable but extremely limited by infrastructure. MRI systems are extraordinarily difficult and expensive for hospitals to support. They require superconducting magnets cooled to nearly absolute zero, with scarce, high-cost liquid helium, Specialized shielding rooms, reinforced floors, and dedicated high capacity power and HVAC infrastructures. Annual service contracts routinely exceed 120,000 to 150,000 per unit, with coil repairs, software upgrades, and downtime adding significantly more.

Installation of replacement often demands major building modifications that can cost hundreds of thousands of dollars and disrupt clinical operations for weeks. MRI throughput is limited. Staffing requires highly trained technologists, and many patients cannot tolerate or safely undergo MRI exams. Together, these factors make MRI one of the most operationally burdensome and cost intensive imaging modalities in the healthcare system. For many women, health centers, MRI simply isn't accessible. Our system removes all these barriers. And 3 patient experience.

MRI avoids breast compression as it happens in mammography, but experience is still difficult navigating magnet safety rules, laying face down, entering a narrow tunnel, enduring loud noise and claustrophobic conditions. Anyone who has had an MRI knows it's far from pleasant. Our system eliminates the stressors. It delivers high-quality imaging in a calm, comfortable environment without the need for contrast IV.

So what need are we addressing? There are several. Mammography is essential, but for women with dense breasts, it isn't enough. Globally, more than 40% of women have dense breasts, a population in which mammography alone is insufficient for reliable detection due to masking effects.

Existing supplemental imaging options, MRI and handheld ultrasound, have gaps in access, workflow, efficiency, reproducibility, and cost.

QT imaging fills an important GAAP. It offers MRI comparable information without the logistical constraints of MRI and avoids the variability and limitation of hand-held ultrasound. Importantly, CT scan can help visualize calcium, something MRI does not, adding a clinically meaningful dimension for screening and risk assessment in the future.

For clinicians managing large screening population or high risk cohorts, CT provides a scalable, consistent imaging pathway that can be adopted in outpatient and community settings. And here's the important ones. MRI does not directly image breast tissue because breast tissue is mostly fat. MRI requires IV contrast to visualize cancers indirectly by highlighting abnormal blood vessel patterns.

With cut imaging technology, you see the cancerous tissues itself without IV contrast and without radiation. And of course we have the data. Side by side comparison of MRI and QD images speak for themselves, even to a non-radiologist, and our clinical results confirm what the images suggest.

In the formal reader study directly comparing QT scan with standard breast imaging, our results show equivalent and in some cases higher diagnostic performance. In one multi-reader multi case study of more than 100 breasts, the readers mean ROCAUC was 10% higher with QT scan. Than, with a full field digital mammography. ROCAUC, which is the FDA standard method for evaluating diagnostic imaging performance, underscores the strength of these results.

In a second multiter study comparing QT scan with digital breast tomosynthesis, the mean ROCAUC was 0.75 for QT scan and 0.70 for DBT, showing the trend towards higher performance for QT scan. Taken together, the studies confirmed that the QT scan performs on par with and in some aspects exceeds today's standard for breast imaging while providing a non-ionizing operator independent solution that can be scaled across community and outpatient settings.

We also conducted a clinical study comparing QT scan directly with MRI together with Dr. Zarnota's group in Sunnybrook Cancer Center in Toronto, Canada, in patients receiving neoadjuvant chemotherapy. Across the data set, lesion measurements show strong concordance between the two modalities.

These results show QT scan exceptional image quality and indicate close agreement in quantitative assessment, and overall, the findings confirmed that QT delivers volumetric accuracy comparable to MRI without contrast injection and the logistical challenges associated with MRI.

We have also an ongoing QT scan versus MRI study with Dr. Christine Lee at Mayo Clinic in Rochester. We will report the results in our future course.

Beyond detection, QT volumetric consistency and quantitative parameters create opportunities for future imaging biomarkers, longitudinal monitoring and integration with cloud-based AI tools. The development would enable risk stratified care, response monitoring, and better utilization of advanced imaging across health systems.

QT imaging's biomarkers elevate breast imaging from simple detection to true diagnostic and prognostic precision. By applying quantitative thresholds, we enable earlier identification of malignancy and provide robust tools for monitoring therapy response, including predicting pathological complete response and neoadjuvant treatment.

The quantitative biomarkers also opened the door to personalized medicine by linking imaging signatures with geometric and histopathological data. To summarize, this is the promise of QT imaging MRI quality data, ultrasound level safety, dramatically improved accessibility, and a far better patient and provider experience, all delivered through a next generation safe wave-based imaging platform rich in biomarkers.

We have our World Cup for us, but we are very excited to move forward. Let's discuss briefly QT imaging technology. CT imaging system uses two independent signals transmission of speed of sound and reflection, that's amplitude data, and mathematically reconstructs a volumetric data set using proprietary algorithms. This dual data path approach effectively creates a non-ionizing form of tomographic imaging that has advantages in dense tissue where mammography and hand-held ultrasounds face inherent limitations.

Additionally, we collect attenuation data from both transmission and reflection paths.

The system produces 3D volumes of data that allow radiologists to evaluate lesions, architectural distortion, and tissue patterns across coronal, sagittal, and axial planes.

Because the patient lies prone and the breast is surrounded by a stable water-based medium, the reproducibility is high and operator variability is reduced compared to traditional handheld ultrasound.

For patients, the procedure is quiet, non-claustrophobic, and does not require compression. For clinicians, the scanner avoids the infrastructure burden of MRI, no cryogens, no dedicated room shielding, and no specialized electrical buildup.

All translate to significant cost of ownership reduction. Disposition QT as an accessible solution for supplemental imaging, particularly in markets with MRI access is constrained or cost prohibitive.

This brings me to the commercial story behind QD imaging and why it is a compelling one from an investment perspective before we walk you through the financials.

All we have accomplished to date was achieved without any endorsement or recommendation from RSNA or other ideologist societies and without CMS Medicare reimbursement. We have laid the foundation with both hands tied behind our back.

As an imaging company, our business model has 3 core components. First, we sell high-quality capital equipment much like companies in radiation oncology or advanced imaging. Second, we have a consumer component that creates an attractive razor razor blade dynamic. And third, we are building our Sa platform throughout 2026, creating a long-term, high margin software revenue stream tied to advanced biomarkers and cloud-based imaging services.

In our humble view, supported by early interest from sophisticated technology investors, this combination not only delivers meaningful value to patients and clinicians, but also creates a strong, diversified revenue engine.

We will report back as we have a firm offering of our cloud 5 platform and we test it with our customers. With that final in mind, let's move into the financials, beginning with our partnership with NXE Imaging.

Our United States commercial model is anchored by our partnership with NXE Imaging, a wholly owned subsidiary of Canon Medical Systems USA and one of the most established distributors in the radiology equipment market.

Through this partnership, QT imaging gains immediate national reach, established relationships with breast imaging centers, and professional sales and service coverage that would take years and significant capital to replicate internally.

This channel-driven approach enables QT imaging to maintain a lean operating structure while accessing market adoption. NX Imaging benefits from offering a differentiated product like ours with a broad clinical need and a large population of potential users.

Duty Imaging's present agreement with NFC Imaging states committed deliveries of minimum 40 scanners for $18 million in revenue in 2025 and deliveries of minimum 60 scanners for $27 million in revenue for 2026.

As we scale commercially, we are taking a disciplined approach to risk management and revenue expansion. We added a senior executive focused on direct strategic sales. This role gives us immediate access to high value institutional customers at the highest executive and decision making levels for leveraging our site biomarker platform while ensuring and delivering additional levels of value to the relationship that matter most and allows us to pursue opportunities that fall outside and exceed footprint.

It diversifies our commercial engines, strengthens our pipeline visibility, and provides redundancy at a phase where execution speed is critical. We announced yesterday that Mr. Satajit Misra, our new Chief Commercial Officer, joined our team. Satajit is a seasoned executive with 3 decades of progressive leadership in radiology, oncology, and molecular imaging.

Satrajit comes to QT imaging for the company's strategic partner Kon Medical Systems USA, where he most recently served as executive senior Vice President, chief sales and marketing officer. Satrajit will drive commercial scale up, subscription of high strategic value customers, and clinical partnerships for QT imaging.

Outside the United States, our strategy is to build around scalable regional templates aligned with our global regulatory strategy. The Saudi Arabia program with Gulf Medical announced a few months back, serves as the model to secure regulatory approval, align with national health priorities, develop multi-sub deployment programs, and build long-term service and training capacity via the distribution channel. The same framework will guide the expansion into additional regions if its regulatory milestones are achieved.

The commercial partnership with Gulf Medical provides for a minimum order quantities of 5 QT scanners per quarter starting in the first quarter of 2026 through the end of 2028 for a total, a minimum of 60 scanners and revenue of more than $33 million.

This dual path model USA channel leverage paired with structured international deployment creates diversified revenue streams and accelerates global penetration. Regarding regulatory approvals, we already hold FDA clearance in the United States and breakthrough device designation, and we are now advancing two major international approvals.

We expect to receive Saudi Food and Drug Authority FFDA approval by the end of Q1 or early Q2 2026. In addition, we are progressing towards conformity of pain CE mark certification with approval anticipated by the end of 2026. These two milestones will significantly expand QT Imaging's global reach and commercial potential.

Manufacturing and operations readiness are core priorities for the company. We predominantly build our scanners in California at a lower volume together with our contract manufacturing partner Caron Medical Systems in Japan. We plan to expand our United States operations to support our future growth. Over the past few quarters, we've focused on our United States-based suppliers. The largest majority of our suppliers are from the United States. We helped debug the technical issues at the present supplier sites, improve forecasting, and tighten oversight.

We also hired the VP of manufacturing, Mario Garcia, who drives ever threatened supplier relationship and stabilize our build processes.

With these changes in place, our supply chain is steady. Lead times are controlled and predictable, and we are ready to support current and future shipments.

Before I turn the call over to Jay to provide a brief summary of our 2025 3 quarter financial results, I would like to share how pleased I am that Jay Jennings joined us as our Chief Financial Officer.

Jay brings deep public company experience, strong financial discipline, and an immediate strengthening of our budgeting, forecasting, and operational rigor. His leadership is already elevating our execution as we prepare for the next phase of growth. Okay, please walk us through the Q3 financials.

Thank you, Raluka, and good afternoon, everyone. Q3 was a strong quarter for QT imaging, demonstrating the strength of our current scanner business and our focus on execution. During Q3 2025, we shipped 9 scanners to NXC Imaging compared to 2 scanners during Q3 2024 and recorded revenue of $4.2 million in Q3 2025 compared to $956,000 in Q3 2024.

In addition, we shipped another 5 scanners to NXC Imaging in October for a total of 28 scanners shipped in 2025. we are preparing to ship the remainder of 12 systems in Q4 2025 for a total of 40 systems shipped in 2025.

Cost of revenue was $2.4 million in Q3 2025 compared to $351,000 in Q3 2024, resulting in a gross margin of 43% compared to 63% in Q3 2024. The decrease in the gross margin was due to variability in the weighted average costs of inventory. We've also shipped a scanner manufactured at the contract manufacturer partner with lower margin.

Despite the growth in our revenue in 2025, we continued to take a disciplined approach to managing our operating expenses. Research and development expenses were $939,000 in Q3 2025, representing 22% of our Q3 2025 revenue compared to $925,000 in Q3 2024.

Going forward, we expect that our research and development expenses will be at the same percent of revenue in the first half of 2026 as we build and deploy our cloud platform. Run clinical trials that are necessary to generate biomarker data, and redesign the QT breast scanner to reduce the bill of materials and other costs to manufacture as committed during our recent fundraising.

Selling general and administrative expenses were $2.5 million in Q3 2025, representing 60% of Q3 2025 revenue compared to $2 million in Q3 2024. This increase, which was a result of the required expansion of our corporate infrastructure and targeted commercial investment, was primarily attributable to increases in professional and outside services expenses, employee compensation expenses, and other general business expenses partially offset by decreases in insurance expense and an increase in the allocation of expenses from SG&A to cost of revenue.

General and administrative functions, which accounted for $2.1 million of the SG&A expenses in Q3 2025, represented 51% of revenue and are forecasted to decrease as a percent of revenue in 2026 with a target of under 20%.

Our operating loss was $1.7 million in Q3 2025, decreasing from $2.3 million in Q3 2024. GAAP net loss in Q3 2025 was $4.6 million or minus $0.47 per share on a basic and fully diluted basis compared to $3.6 million or 51 cents per share in Q3 2024. EBITDA was $4 million in Q3 2025 compared to $2.1 million in Q3 2024.

Excluding stock-based compensation and other non-cash expenses such as the change in faire value of earnout liability, adjusted EBITDA was negative $1.4 million in Q3 2025 compared to $-2.2 million in Q3 2024.

Moving to the balance sheet, as of September 30th, 2025, we had cash and restricted cash and cash equivalents of $1.7 million compared to $1.2 million as of December 30th, 2024. The increase in the cash balance was a result of $6.4 million of cash flows from financing activities during the nine months ended September 30th, 2025, which includes the $15 million of borrowing from Linn Rock Lake, $5 million used to repurchase the Yorkville warrant, and $4.7 million used to repay the Yorkville and cable car debt.

Partially offset by $5.9 million of net cash used in operating activities, which decreased compared to $8.8 million of cash used in operating activities during the nine months ended September 30th, 2024.

As part of our reported recent events in October, we significantly strengthened our balance sheet through an oversubscribed $18.2 million private placement financing, which included anchoring from Sio Capital and participation from other institutional and existing company investors. In addition, we repaid the $5 million ranche B loan from Linn Rock Lake that we used to repurchase the Yorkfall warrant during Q3.

As a result, our cash and restricted cash and cash equivalent was $12.4 million as of November 10th. Accounts receivable was $3.2 million as of September 30th, 2025, which we collected during the first week of November.

As of September 30th, 2025, we had $15.1 million of long-term debt with Loon Rock Lake, which included the $5 million ranche B loan that was repaid in October, as well as $3.9 million of related party notes payable. Substantially, all of our debt is not due until March 2027. That's it for my summary of our 3rd quarter 2025 results. Please see our Form 10-Q filed earlier today for further details regarding the results. I'll now turn the call over to Raluka.

Thank you, Jay. As outlook for 2025, we reaffirm our forecast of 40 scanner sales driven solely by United States channel activity. In 2026 we plan to ship 80 scanners comprising 60 scanners to be sold in the United States and 20 scanners to be sold in Saudi Arabia for a total revenue of about $39 million.

Our longer-term trajectory for 2026 and beyond includes further expanding of QT scanners install base, growing our cloud platform, and advancing quantitative imaging capabilities that can support biomarker development, AI analysis, and risk certified imaging pathways.

To conclude our call, CT imaging is building a new category in breast imaging MRI class volumetric imaging delivered in a patient-friendly, accessible, and scalable format.

CT imaging is built on a simple but profound belief. We are here to care for the woman, not only for the organ, honoring her comfort, her experience, and her health with technology designed around her. The technology is validated, the clinical need is clear, and the commercial structure is now in place. With strengthened operations and focused execution, we are well positioned for the next phase of growth. Thank you so much for your time and continued support. We will now open the call for questions, operator.

Thank you [Operator Instructions] and the first question today is coming from Jeffrey S. Cohen from Ladenburg Thalmann. Jeffrey, your line is live.

Hello, Luca and Jay, thanks for taking our questions. I have a few. I'll start with the. The commercial activity. So as I understand it, NXE is leading the commercial activities domestically and then maybe you could talk about, are you supplementing that at all and then talk about your commercial activities OUS. I assume that you're managing all of those OUS and then also I wanted to know about training and service whose task is that.

Jeff, thank you so much for joining. Thank you so much for, asking the question. NX Imaging is our exclusive distributor for United States sales, and we do work very well with them. We, as I said during the call, we have hired also a Chief Commercial Officer. Mr. Sarajit Misra has joined us as of yesterday.

Sarajit will be responsible for strategic sales and in the United States, and, globally to where NXE imaging basically does not have the reach. For example, academic institutions or, very high, very high-end, hospitals, we're trying to help and we're trying to, supplement the activities of NXE imaging.

Globally, we do have in place the, distribution agreement with the Gulf Medical, as and, we will start the shipping hopefully by the end of Q1, if not by the beginning of Q2 as we receive our SFDA approval.

Okay, got it. Can you, give us an update on timing of the uplisting? I know there, the, this could already occurred a couple weeks ago, but I'm curious about the uplifting status.

No, good point. Thank you so much for bringing this up. As of Friday this week, we would have provided all the data that's needed for, that was requested by by NASAq. We definitely, hope that we will be back on NASDAq before the end of the year, if not earlier than that.

Okay, got it. Can you give us a little color on the coding that's in place in the US as I understand it thus far, a fair amount of placements are. Or cash currently, but talk to us about the the Medicare C code and also 3 codes and where we stand in the US. Sure.

Sure, great question. Thank you so much. So Jeff, as. As we, discussed in the past, today, the, code that can be used for, QT imaging is an unlisted ultrasound code. We have, submitted our application to, CMS for, new tech ABC, Category C code, Medicare code.

In, a few months back and we are waiting for feedback, hopefully by January 2026 we get our Category C, code. November 3rd, we have also submitted our application for a Category 3 code which we hope to receive by January 2027.

Okay, so the CAT C code could become effective in January 26th with the category 3 in a year later.

Correct, exactly right. Okay. Category 3 code will get replaced by category 3 code when it becomes available. You're absolutely right.

Okay, got it. Could you, discuss a little bit about you mentioned a CE mark in late 26 or by the end of 26. Why couldn't you receive that earlier?

A good question. Just so we will submit the application, hopefully by January, February next year. It's quite a lot that we have to do for that. Usually it takes 9 to 12 months to get the approval. Hopefully we can we can get that before before Q4 next year but, to the best of our, knowledge and understanding, we should be expecting that before the end of 2026. We'll keep you updated, no doubt.

Okay, got it. And one for just to clarify, pro forma cash, I heard 12.4. I didn't get a clear pro forma debt number today.

Yes, 12.4 is our current cash balance.

And it did?

The debt. I it's currently at 20.3 million including accrued interest.

Got it. Okay. And then, I think I had one more. Can you remind us where are, where the, where's the equipment being manufactured today? As far as final assembly and will that be, manufactured someplace differently throughout the coming year?

Quick question, thank you, Jeff. Today we are manufacturing, most of our scanners in California, but, our partnership with our contact manufacturing, partner, Canon Medical Systems in Japan, is also, working. We have received the 1st 3 scanners from Japan, for the final testing, that was done in California. The Majority of the manufacturing happens in in California at this point in time, and we do plan to expand our manufacturing capabilities in California to make sure that we support the increased number of scanners for next year.

Okay perfect thanks for taking our questions.

Thank you so much I appreciate it thank you Jeff.

Thank you. And the next question will be from Ben Hayner with Lake Street Capital Markets, Ben, your line is live.

Good afternoon, Paul. Thanks. For taking the questions. First off, for me, just curious on the utilization you're seeing as these new scanners getting installed, and, these clinics ramp up, is that something that looks fairly similar from one clinic to another, or do they vary quite a bit? How long does it kind of take to get, a steady run rate, any, anything you can share on kind of the utilization front and how that ramps?

Ben, what a pleasure to have you with us. Thank you so much for being with us, and thank you so much for the question. So Ben, it varies from, one region to another. There's some echo, hopefully you can hear me. It does vary from, one region to another. It takes a few months up until we see a steady flow of patients coming in.Some centers report, 12 to 14 patients a day. Other centers report, 8 to 10 patients a day. This is what we see today.

Couple few months as they get ramped up they kind of steady state at.

You know 8 or 10 or 12 or.

14. Got it.

It it exactly, yes.

Perfect. And then on the your visibility into NXCs, install pipeline, anything you can share on that front, and then also, well, let's leave it there and then I'll follow-up.

So, very good question. They do, they do a great job covering, United States. They also have hired, additional distributors to better put the feet on the, on the street and, make sure that the scanners get into customers' hands. And on our end, then we have, hired the strategy to help out with the direct sales too, so we, all together as a team, move fast. The most important for this company is the speed. We need clinical data. We need to make sure that the sales are happening fast and, efficient. So, we will help from our end too.

And on the direct sales, how does that get handled, how does that show up on the income statement? Is it, do you get full gross margin and then something comes out of, sales and marketing, or how does that work mechanically?

So, first of all, our distribution agreement with NX Imaging allows us to do direct sales too, and we're obviously we'll do it in total, sync with our distribution partner. We will cover the. Areas where we are complementary. We're not going the direct sales of QT imaging comes out of the minimum order quantity of an ex. and otherwise we'll make sure that the pricing and everything else gets to be in sync with the with anexi then.

Okay, got it. That, that's helpful. And then Manufacturer with Canon, I think if I heard you correctly, the first one that went out there was at a bit lower margin. How quickly does kind of wrap wrap up to the level that you think it can go to in terms of, gross margin, wherever that winds up at.

Very good question. So, Ben, we, while most of our, parts are from United States, we get, obviously tariffs because of, manufacturing in Japan. So we, that's why the lower, the lower, gross margin that we're making on the scanners. So we're. Trying to balance our needs to hold the gross margin and deliver as we promised versus the ramp up that that's happening right now with Canon Japan. It remains to be seen. We will have Plan B in place, so we'll make sure that the scanners get shipped from California in case that the tariffs will linger for for much longer.

Okay, that makes sense. And then lastly for me, just I know you provided a bit of color on kind of some of the software stuff and, the sass platform. Any more color you can share there?

So, then, first of all, we will start connecting, everyone, all of our clinical sites and, our commercial partners via, the pipeline basically that Intelerra or IntelliShare, will provide. We work collaboratively and, first, we will put together, we will put in place the connectivity to the centers and to the clinical sites.

Once that is in place, we will definitely assess the pricing of the fast platform we're trying to put in place, and we'll report back for the next few months, we want to make sure that everybody is connected and we can deliver the next generation, next version of the software, and we start collecting, the data to be able to, offer the biomarkers in the future.

Got it, excellent. Well, congrats on the progress and thanks for taking the questions.

Oh no, thank you so much thank you for joining us, appreciate it.

Thank you. That does conclude our Q&A session for today. I will now hand the call back to Raluka Dio for closing remarks.

Thank you very much to all of you for participating in our call. Thank you for your support and we look forward to updating you during our next call. Happy holidays and all the best. Thank you very much.

Thank you. This does conclude today's conference. You may disconnect your lines at this time. Thank you for your participation.