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Scale AI for Medical Scans

AI is transforming healthcare, but the biggest bottleneck remains—procuring and annotating medical images with speed, accuracy, and scale. Frekil eliminates this roadblock. Frekil helps healthcare AI teams, medical device companies, and pharmaceutical companies procure and annotate medical images like X-rays, CTs, MRIs, etc., efficiently for AI training, clinical trials, and FDA approvals. Our AI-assisted platform speeds up annotation 10x while maintaining high accuracy through real-time quality control, consensus checks, and advanced 3D visualization. We also provide tools to track annotator performance, build custom workflows, and increase labeling accuracy. By combining efficiency with precision, Frekil enables teams to build high-quality datasets much faster, supporting the development and deployment of reliable medical AI and clinical research solutions.
Active Founders
Nikhil Tiwari
Nikhil Tiwari
Co-founder & CEO
I’m the co-founder & CEO at Frekil. Previously, I worked as a software engineer at Stripe (infrastructure org), Amazon, Marsh McLennan and worked in founding teams at startups StarsArena and Truscroll. I graduated from IIT Bombay last year, where I also served as technical lead of student body and built applications used by 10,000+ students. During semester exchange in Geneva, I had the opportunity to work on an AI research project at CERN.
Shivesh Gupta
Shivesh Gupta
Founder
I’m the co-founder and CTO at Frekil, building AI-powered workflows to accelerate medical data annotation. Previously, I worked as a systems software engineer at Sony Japan and declined a full-time offer from an HFT to build Frekil. I graduated from IIT Bombay this year, where I also led the institute web and coding club.
Company Launches
Frekil - Scale AI for Medical Scans 🚀
See original launch post

Hey everyone, we’re Nikhil & Shivesh, co-founders of Frekil!  👋

TL;DR

Frekil is an end-to-end platform to procure and annotate medical imaging datasets like Xrays, CTs, MRIs, etc 10x faster with AI assistance. We’ve partnered with radiology chains for large-scale imaging data, and have a global marketplace of radiologists for rapid, high-quality annotations.

https://youtu.be/2MYjUFp3r0Q?feature=shared

❗The Problem

AI is transforming healthcare, but the biggest bottleneck is still access to medical images from hospitals and annotations by expert doctors.

Healthcare AI and life sciences companies spend millions collecting medical images and hiring expert radiologists. But annotations? They're still:

📝 Manual
🐢 Slow
🔍 Hard to QA

Finding expert annotators with deep domain knowledge is tough, which means R&D teams waste months and large budgets on a process that should be seamless.

Medical annotation itself is uniquely challenging because it involves:

📦 Gigabyte-scale files
🧠 Complex, multi-dimensional data that’s sensitive to loss
🎯 Accuracy that’s absolutely critical

Yet most teams still use open-source desktop tools like 3D Slicer, built decades ago for solo researchers. These tools:

🚫 Require local machines
📉 Offer no real-time collaboration
📊 Force spreadsheet-based coordination
🔐 Risk compliance and data security

And the result?
Highly trained radiologists are stuck doing repetitive tasks manually wasting time, slowing innovation, and compromising data quality.

🧠 Our Solution

We transform the way healthcare AI teams prepare data by accelerating and streamlining the entire annotation pipeline — cutting timelines from months down to days.

Here’s how:

✅ Deliver fully annotated medical datasets tailored for AI research needs

✅ Provide certified and benchmarked radiologists for annotation and quality assurance

✅ Offer advanced, browser-based annotation tools for all kinds of medical images—radiology, pathology, histopathology, including X-ray, CT, MRI, ultrasound, etc

✅ Use AI assistance to make annotators 10x faster

✅ Enable customizable clinical workflows with multi-stage reviews & annotations

✅ Ensure FDA-Ready annotation versioning, consensus checks, and full audit trails

✅ Track annotator performance in cost, time, and accuracy - all built in

🤝 The Team

Nikhil (left) and Shivesh (right) have been friends since their days at IIT Bombay, studying and building together. While working on healthcare AI projects, they experienced firsthand how painful annotation can be especially for large, multi-dimensional medical images that demand extreme accuracy.

Nikhil (CEO) - Former software engineer at Stripe, Amazon, and Marsh McLennan, where he worked on infrastructure, performance optimization, and low-level systems. He graduated from IIT Bombay last year, where he led technical initiatives in the student body SARC and built platforms used by 10,000+ students.

Shivesh (CTO) - Former systems software engineer at Sony Japan. He holds an engineering degree from IIT Bombay. During his time there, he worked on healthcare AI research and also led the institute’s web and coding club.

👋 Our Ask

Know someone building AI in healthcare whether it’s diagnostic models, clinical trial workflows, or robotic surgery? We’d love to connect.

We have special offers for academic research, connect us with professors at your university working in healthcare AI!

Got questions or want to chat? Reach out anytime at founders@frekil.com !

Or book a call directly at https://calendly.com/nikhil-frekil/30min

YC Photos
Frekil
Founded:2025
Batch:Spring 2025
Team Size:2
Status:
Active
Location:San Francisco
Primary Partner:Nicolas Dessaigne