xWave Technologies

What xWave Technologies does

xWave Technologies Ltd is a privately held Irish healthtech company founded in 2020 by a group of radiologists and headquartered at NovaUCD in Dublin, with a UK sales and deployment office in Leeds. The company develops a cloud-native clinical decision support (CDS) platform aimed at improving the appropriateness, quality, and efficiency of diagnostic referrals across radiology, pathology, cardiology, endoscopy, and physiological sciences. Its product suite comprises six integrated offerings: xWave Refer (order communications/digital front door for referrals), xWave CDS (evidence-based decision support at the point of care embedding RCR iRefer, ESR iGuide, and RANZCR iRefer guidelines), xWave Vetting (automated triage and auto-protocoling), xWave Patient IQ (AI-powered patient intake and classification), and xWave Insight (analytics for both providers and payers). The platform is differentiated by deep integrations with Soliton IT's RIS (150+ UK hospitals), iMedDoc EMR, AGFA HealthCare Enterprise Imaging, and a clinical-guideline content layer that is anchored by formal partnerships with the three leading radiology colleges.

xWave generates revenue primarily through annual SaaS subscriptions sold directly to NHS Trusts, Foundation Trusts, NHS England, Ireland's HSE, and private healthcare providers, supplemented by implementation and integration professional services. Pricing is quote-based and not publicly disclosed. Reported ARR was approximately €500k in 2024 and tripled by 2026, with management targeting more than €15M ARR within three years. As of mid-2026 the company reports more than 20 NHS Trust contracts and major enterprise deployments including the Yorkshire Imaging Collaborative (24 hospitals serving 2.7 million people) and Alliance Medical UK (120 sites). Total funding raised is approximately €2.8-3.0M across a 2022 seed round (€1.3M led by Enterprise Ireland and private investors) and a 2024 crowdfunding campaign, with a €3M round being sought in 2026. Distribution combines direct enterprise field sales with channel partnerships through RIS/EMR vendors (Soliton IT, Vertex, iMedDoc) and a strategic imaging-AI alliance with Qure.ai.

The operating geography now spans Ireland, the UK, South Africa and Sub-Saharan Africa (via Vertex), and Australia/New Zealand (via RANZCR integration), with active signals of further Asia-Pacific interest. Headcount stands at 1-10 employees officially with plans to add 30 over three years, and the leadership team combines clinical (Chief Medical Officer, clinical radiography leads), engineering, and commercial backgrounds. xWave holds ISO 27001 certification and is GDPR-compliant, both prerequisites for NHS enterprise procurement.

Name

xWave Technologies

Legal name

xWave Technologies Ltd

Website

https://xwave.ie

Company type

Private

Founded year

2020

Operating status

Operating

Headcount range

11–50 employees

Short description

xWave Technologies is an Irish healthtech company that builds AI-enabled clinical decision support and digital referral software for diagnostic imaging, serving NHS Trusts in the UK, Ireland's HSE, and healthcare providers expanding into South Africa, Australia, and New Zealand.

Ownership category

akta.pro rank

Product category

Clinical Decision Support Software for Diagnostic Imaging

NAICS

Computer Systems Design and Related Services (54151), Computing Infrastructure Providers, Data Processing, Web Hosting, and Related Services (518)

SIC

Services-Computer Programming, Data Processing, Etc. (7370)

akta.pro primary industry

Diagnostic/Lab & Imaging Referral Marketplaces (HLALALAG)

akta.pro secondary industries

Quality, Peer Review & Compliance Tools (MQSA/ACR/QA) (HLACALAL), Imaging & Diagnostic Interoperability (DICOM exchange, image sharing, VNA connectivity) (HLACABAM)

Keywords

• Clinical decision support
• Radiology decision support
• Diagnostic imaging software
• Order communications system
• Healthcare analytics platform

Headquarters

HQ city

Dublin

HQ country

Ireland

HQ region

Europe

Offices2 records

Markets served

GTM type

B2B

Offering type

Software

Cost components

Personnel, Technology or R&D, Marketing or Sales, Operations, Infrastructure

Revenue model

1. SaaS Subscription - Clinical Decision Support Platform: Annual recurring revenue from NHS Trusts, hospital groups, and healthcare providers subscribing to xWave's clinical decision support platform. Revenue has grown from €500k in 2024 to tripled ARR in 2026, targeting €15m+ within three years.
2. Professional Services & Implementation: Implementation, configuration, and integration services for enterprise deployments across NHS trusts and healthcare organisations.

Pricing tiers

Go-to-market motion2 records

Distribution channels3 records

Marketing channels6 records

Core offering

xWave Technologies develops and sells a cloud-native SaaS clinical decision support platform for diagnostic imaging that helps clinicians and radiology teams select the most appropriate diagnostic test and streamline referrals. The platform integrates national and international evidence-based guidelines (RCR iRefer, ESR iGuide, RANZCR iRefer) into order communications, vetting, and analytics workflows, and is sold primarily on annual subscriptions to NHS Trusts, imaging networks, private hospitals and payers across the UK, Ireland, South Africa, Australia and New Zealand.

Product overview

xWave Technologies offers a multi-product SaaS platform for diagnostic decision support and workflow optimisation across radiology, pathology, cardiology, endoscopy, and physiological sciences. The platform is built on a 'Best Test First' principle and comprises six integrated products: xWave Refer (order communications/digital referral system), xWave CDS (clinical decision support at point of care), xWave Vetting (automated triage and protocoling), xWave Patient IQ (AI-powered patient acquisition and intake), and xWave Insight (analytics for providers and payers). These products work together to support the full diagnostic pathway from referral through outcome tracking, integrating with existing RIS/PACS/EPR systems and delivering evidence-based guidelines (RCR iRefer, ESR iGuide, RANZCR iRefer) directly into clinical workflows. The platform is deployed across NHS Trusts in the UK, HSE in Ireland, and international healthcare markets.

Differentiator

Problem solved

Functional benefit

Brands

• xWave Refer: Order communications system - digital front door to smarter referrals for diagnostic tests
• xWave CDS
• xWave Vetting
• xWave Patient IQ
• xWave Insight

Products and services

• xWave Refer Order communications system acting as a digital front door for smarter diagnostic referrals. Replaces paper-based workflows with intelligent digital submission, real-time scheduling updates and full tracking from request to report across radiology, pathology, endoscopy and physiological sciences.
• xWave CDS (Clinical Decision Support) Evidence-based clinical decision support delivering localised imaging guidance at the point of care. Built on a configurable rules engine, it provides real-time support for referral appropriateness, justification and prioritisation using RCR iRefer, ESR iGuide and RANZCR iRefer guidelines.
• xWave Vetting Streamlined triage and justification tool that automates referral evaluation using clinical guidelines, supporting fast classification and auto-protocoling of imaging requests and converting referrals from any format into structured, workflow-ready data.
• xWave Patient IQ Multi-channel patient acquisition engine that captures demand from any source and uses AI-powered classification to guide patients to the appropriate diagnostic test, automating intake and clinical triage and eliminating the need for call centre infrastructure.
• xWave Insight for Providers Real-time analytics platform that continuously assesses referral appropriateness, justification and documentation against clinical guidelines and links referrals to radiology reports for outcome analysis, providing interactive dashboards for clinical governance and quality monitoring.
• xWave Insight for Payers Analytics platform for health insurers and payers to run guideline-based imaging audits across claims, flag unnecessary imaging, benchmark provider quality and strengthen denial decisions with clinical-grade audit trails.

Quantifiable outcome

• Referral processing time reduced from 7.5 working days to 14 minutes
• +6 more outcomes

Named customers10 records

Segments5 records

Ideal customer profiles4 records

Technology focussed Yes

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Integration8 records

AI capability7 records

Feature5 records

Partnerships

Eleven partnerships are on record, tiered core and minor.

• VertexcoreChannel Partner/ Reseller/ Distributor · 11 March 2026Partnership with South African Radiology Information System provider to integrate xWave solutions across South Africa and Sub-Saharan Africa. Vertex will distribute xWave Refer, xWave CDS, xWave Vetting and xWave Insight to healthcare providers across the region.
• iMedDoc (Lanas)coreTechnology or Integration · 26 January 2026Integration embedding xWave Refer directly into iMedDoc electronic medical record system, enabling clinicians to create, send, and track radiology referrals without leaving their workflow. Already live at St Vincent's Private Hospital.
• AINM ConsortiumcoreStrategic or Co-development Partner · 11 December 2025xWave as consortium partner in €9.1 million DTIF-funded AI healthcare project led by University College Dublin, developing AI-enabled clinical decision support across radiology, pathology, cardiology, endoscopy, and physiological sciences.
• Royal Australian and New Zealand College of Radiologists (RANZCR)coreStrategic or Co-development Partner · 22 October 2025Partnership announced at RANZCR ASM 2025 integrating iRefer guidelines into xWave CDS platform for Australia and New Zealand healthcare systems, enabling region-specific evidence-based imaging recommendations.
• AXREMminorGTM or Marketing Partner · 16 July 2025Membership in UK trade association representing diagnostic medical imaging, radiotherapy, and healthcare IT suppliers. Enables collaboration with industry leaders, NHS stakeholders, and contribution to imaging policy discussions.
• Soliton ITcoreTechnology or Integration · 18 June 2025Strategic integration partnership embedding xWave CDS into Soliton IT's Radiology Information System (RIS) solutions operational in over 150 UK hospitals. Partnership streamlines NHS radiology workflow, integrates clinical decision support into existing RIS systems without disrupting infrastructure.
• AGFA HealthCarecoreTechnology or Integration · 27 June 2024Partnership as part of Alliance Medical UK's Future Unified Diagnostic Information System (FUDIS) project, working alongside AGFA HealthCare Enterprise Imaging Platform for deployment across 120 sites.
• Qure.aicoreStrategic or Co-development Partner · 16 August 2023Strategic collaboration combining xWave's clinical decision support for referrals with Qure.ai's medical AI imaging solutions (stroke CT, fracture detection, lung cancer/tuberculosis detection). Focus on enhancing market access, product co-development, and integration globally.
• Royal College of RadiologistscoreStrategic or Co-development Partner · 1 December 2022Official partnership to make iRefer guidelines available through xWave's Clinical Decision Support platform, ensuring patients get the best test first. Partnership puts proven CDS technology into the hands of referring clinicians to reduce unnecessary tests and tackle radiology backlogs.
• GE HealthcarecoreStrategic or Co-development Partner · 3 October 2022Selected as 2022 participant on GE Healthcare Edison Accelerator to develop auto-vetting solution for radiology teams using iRefer clinical decision support guidelines. Partnership provides access to GE Healthcare solutions, integrations, and healthcare provider networks for product testing.
• European Society of RadiologycoreStrategic or Co-development Partner · 3 March 2021Partnership to launch xRefer at European Congress of Radiology 2021 using ESR's iGuide clinical decision support guidelines to help clinicians ensure patients get the best test first.

Scale indicators10 records

Recent moves9 records

Expansion highlights9 records

Broad incumbents

• Soliton IT: UK-focused Radiology Information System (RIS) vendor with 150+ hospital footprint. Currently distributes xWave CDS via integration but could in-source comparable decision support, making it both partner and latent competitor.
• AGFA HealthCare: Global enterprise imaging platform (PACS/RIS) partner in the Alliance Medical FUDIS deployment. Operates broadly in imaging IT and could expand decision-support capabilities into xWave's referral layer.
• GE Healthcare: Global incumbent in imaging equipment, PACS, and AI radiology (Edison platform). xWave participated in the 2022 Edison Accelerator; GE could commercialize comparable CDS at scale given its hospital footprint.

Direct peers

• Qure.ai: AI-driven medical imaging solutions for radiology decision support (stroke, fractures, lung nodules). xWave and Qure.ai are explicit strategic partners, and the companies address the same imaging-CDS buyer within hospitals.
• Aidoc: AI clinical decision support for radiologists, flagging urgent findings and triaging imaging worklists in hospital systems. Directly comparable to xWave CDS as an AI-driven workflow/decision-support layer for imaging departments.
• Viz.ai: Clinical decision support platform initially focused on stroke imaging, now expanding to other time-sensitive conditions. Comparable AI-CDS approach for routing imaging to the right specialist, sold into the same hospital/IDN buyer.
• HeartFlow: Evidence-based clinical decision support for cardiac imaging (CT-FFR). Comparable 'right test first' value proposition, analytics and guideline integration, sold to the same cardiology/radiology hospital buyer.

Emerging players

• Annalise.ai: AI decision support across multiple imaging modalities (chest X-ray, CT, head CT). Overlaps with xWave's vision of multi-modality, guideline-aligned decision support but with deeper image interpretation rather than referral-level focus.
• Perspectum: AI-driven diagnostic imaging (notably liver and metabolic disease) with guideline-aligned reporting. Comparable evidence-based, software-first diagnostic workflow sold into NHS and integrated care systems.

Others

• Clinisys: Laboratory information systems vendor and xWave integration partner. Adjacent ecosystem participant whose pathology customers overlap with xWave's emerging pathology CDS footprint.

Market position

Strengths5 records

Weaknesses5 records

Competitive moat6 records

Key risks6 records

Key highlights7 records

Customer concentration

• LinkedInlinkedin.com/company/xwave-technologies
• Xx.com/xwavetech

Compliance2 records

Revenue estimate

Valuation estimate

Number of profiles

Profiles10 records

Funding overview

Funding rounds1 record

Investors1 record

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about xWave Technologies