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Feedback #FDBK – Appointment of Chief Financial Officer

Feedback plc (AIM: FDBK), the specialist medical imaging technology company, announces that it has appointed Lindsay Melvin as Chief Financial Officer and a director of Feedback with immediate effect.

Mr Melvin is a chartered accountant and brings 30 years of financial and business experience to Feedback.  Most recently he was Chief Executive Officer of the Chartered Institute of Payroll Professionals (CIPP) for eight years until July 2016.  CIPP was voted the UK’s best association in the 2016 Associations Excellence Awards and was also voted as one of the Sunday Times “Best 100 Not for Profit Organisations” in 2016.  Previously, Mr Melvin held Director-level roles in small- to medium-sized public and private companies including Arthur Shaw & Co plc where he was Finance Director for six years.  Mr Melvin started his career at Grant Thornton where he spent 11 years.

David Crabb, Chief Executive Officer of Feedback plc, said: “Lindsay is a highly experienced executive with a strong track record in building successful companies.  We have both led businesses that have been voted as top companies to work for, which demonstrates our likeminded approach to leadership, so I am delighted that he has joined the management team.  Lindsay’s expertise will be instrumental in refining our growth strategy over the coming months.”

Lindsay Melvin, Chief Financial Officer of Feedback plc, commented: “Feedback has achieved global traction with its platform technologies and is operating in a rapidly growing field.  Having delivered the first CE marked release of TexRADÒ, we are entering a new phase to develop both the product and the application of its use in routine patient management.  I am pleased to be joining the leadership team at such pivotal time and look forward to supporting the next phase of growth.”

Regulatory Disclosures

In accordance with Rule 17 and Schedule 2(g) of the AIM Rules for Companies, Lindsay Vyvyan Melvin, aged 61 is, or has been within the last five years, a director or partner in the following companies and partnerships:

 

Current directorships and partnerships

Past directorships and partnerships held within the last five years

National Academy of Indian Payroll

Precision Carbide Tools Limited

Fair for You Limited

Wellbeing Catalyst Limited

Institute of Payroll Professionals

IPP Education Limited

Precision Tool Sales Limited

IPPFHE Limited

 

There is no other information required to be disclosed under the AIM Rules for Companies.

 

Notes to editors

 

About Feedback plc

Feedback plc is a specialist medical imaging technology company. It develops software and systems that provide innovative techniques and improved workflows for practitioners involved in medical research and treating patients. TexRAD®, the Company’s patented quantitative image texture analysis technology, has the potential to assist clinicians in diagnosis, prognosis and treatment of patients with cancer and is currently installed in over 40 of the world’s leading research institutions across Europe, North America, Asia and Australasia. The Cadran platform provides a suite of medical imaging tools for decision support. The Cadran range includes the picture archiving communication system (PACS) to provide decision support for scan analysis, diagnostic workstations which provide secure remote access to view scans on demand, and products to securely share and transport patient data. Visit www.fbk.com.

 

For further information, please contact:

 

Feedback plc

David Crabb, Chief Executive Officer

Lara Mott, Investor Relations

 

Tel: 01954 718072

IR@fbk.com

Allenby Capital Limited (Nominated Adviser and Joint Broker)

David Worlidge / Asha Chotai

 

Tel: 020 3328 5656

Northland Capital Partners Ltd (Joint Broker)

David Hignell / John Howes

 

Tel: 020 3861 6625

Peterhouse Corporate Finance Ltd (Joint Broker)

Lucy Williams / Duncan Vasey

Feedback #FDBK – Interim Report for the six months ended 30 November 2017

Cambridge, UK – 26 February 2018: Feedback plc (AIM: FDBK), the specialist medical imaging technology company, announces its unaudited results for the six months ended 30 November 2017. 

Operational highlights (including post-period end)1

·      Exclusive TexRAD® distributor agreements signed in China and Korea

·      CE marked release of TexRAD® Lung

·      Three pilot TexRAD® Lung installations secured with existing research customers

·      Significant TexRAD® research interest including 19 presentations at RSNA annual conference

·      Certification received by CCI for ISO 13485:2016 quality management standard compliance

·      Highly experienced Chief Executive Officer appointed to drive growth strategy

Financial highlights (including post-period end)

·      Revenue for the six-month period £228,874 (2016: £203,000)

·      Loss after tax for the six-month period £348,079 (2016: loss £126,000)

·      Loss before interest, tax and amortisation for the six-month period £337,300 (2016: loss £115,000)

·      Cash as at 30 November 2017 was £266,756 (30 November 2016: £63,000)

1.     Cambridge Computed Imaging Limited (“CCI”) is a wholly owned subsidiary of Feedback plc.

 

David Crabb, Chief Executive Officer of Feedback plc, commented: “We continue to see strong demand for our technology across the global territories which has contributed to double-digit revenue growth during the period.  As a small team, we experienced some operational delays over the past 12 months which slowed our commercial progress, however the first CE marked release of the TexRAD® technology in November was a major achievement for the Company and will underpin the next stage of growth.  

“Our mission is to create evidence-based imaging software, arming clinicians with innovative tools to improve patient outcomes.  Having joined the Company earlier this month, I will be refining the commercial strategy and growth ambitions to ensure that Feedback is well-positioned to deliver.  In the near-term, with a CE marked product, distribution partners in key territories and ongoing discussions with global players, we are focused on developing our clinical evidence base and accelerating our market penetration in the rapidly growing medical imaging field.”

Notes to editors

About Feedback plc

Feedback plc is a specialist medical imaging technology company. It develops software and systems that provide innovative techniques and improved workflows for practitioners involved in medical research and treating patients. TexRAD®, the Company’s patented quantitative image texture analysis technology, has the potential to assist clinicians in diagnosis, prognosis and treatment of patients with cancer and is currently installed in over 40 of the world’s leading research institutions across Europe, North America, Asia and Australia. The Cadran platform provides a suite of medical imaging tools for decision support. The Cadran range includes the picture archiving communication system (PACS) to provide decision support for scan analysis, diagnostic workstations which provide secure remote access to view scans on demand, and products to securely share and transport patient data. Visit www.fbk.com.

For further information, please contact:

 

Tel: 01954 718072

IR@fbk.com

Tel: 020 3328 5656

Northland Capital Partners Ltd (Joint Broker)

David Hignell / John Howes

 

Tel: 020 3861 6625

Peterhouse Corporate Finance Ltd (Joint Broker)

Lucy Williams / Duncan Vasey

 

Tel: 020 7469 0936

 

Strategic and Operational Review 

FINANCIAL REVIEW

In the six months ended 30 November 2017, the Group incurred a loss after tax of £348,079 (2016: loss £126,000) on revenue for the six-month period of £228,874 (2016: £203,000).  TexRADÒ software contributed approximately 55% of the revenue with the remainder attributed to Cadran cardiology and radiology systems.  The revenue growth of approximately 13% in the first half of the year reflects growing demand across global territories for TexRADÒ.  Notably, we have seen an increase in purchase orders for TexRAD® from leading medical institutions in South Korea and we are receiving significant interest in China, underpinned by the exclusive distributor agreements signed during the period.  We anticipate that the benefits of these agreements will be seen in the full financial year.

The loss before interest, tax and amortisation was £337,300 (2016: loss £115,000).  The wider loss in comparison to the previous year is largely attributable to an increase in headcount and investment in staff, continued product development and increased marketing activities in order to generate prospective customer interest and develop longer-term revenue opportunities.  The cash balance at 30 November 2017 was £266,756 (2016: £63,000).

 

OPERATIONAL PROGRESS

CCI signed exclusive distributor agreements with Korea Computer Motion ISG (“Korea ISG”) in June 2017 and Boya Digital Technology (Beijing) Co. Ltd. (“Boya”) in July 2017 for sales and distribution of TexRAD® in South Korea and the People’s Republic of China, respectively.  These agreements represent a significant step in expanding TexRAD® sales to meet the fast-growing demand in Asian markets.  By successfully identifying and engaging with distributors who are experts in the local market, we can leverage the TexRAD® brand to help build a regional sales pipeline.  During the period, joint marketing and promotional activities were well-received and we have seen an increase in purchase orders for TexRAD® from leading medical institutions in South Korea and we are receiving significant interest in China.  We also see strong demand for TexRAD® in India having increased our presence in this market. 

Feedback is committed to offering its customers the highest quality service across all areas of its business and therefore compliance with international quality management standards is of paramount importance.  CCI received certification for its compliance with the ISO 13485:2016 quality management standard in September 2017.  Importantly, on 20 November 2017 Feedback announced the first CE marked release of the TexRAD® technology which represents a significant accomplishment for the Company.  CCI affixed a CE mark to “TexRAD® Lung”; a “software only” Class 1 medical device providing additional information for the interpretation of computerised tomography (CT) and positron emission tomography (PET) scans of patients with lung cancer.  The CE mark confirms that TexRAD® Lung meets the requirements of the Medical Device Directive (MDD – 93/42EEC) ensuring the technology satisfies the quality, safety and performance standards for medical devices in the European Union (EU). 

This first TexRADÒ clinical product from Feedback is a significant step after building on six years of installing TexRADÒResearch in prestigious research centres worldwide, underpinned by 17 years of operational expertise in Medical Device Manufacturing and imaging management through our Cadran platform supplied by CCI.  Post-period end in January 2018 the British Cardiovascular Intervention Society (BCIS) held its annual Advanced Cardiovascular Intervention conference.  CCI’s cardiology viewing software, which facilitates interactive case review training sessions for cardiologists, has now been supporting this conference for 20 years, which illustrates the quality and longevity of the CCI platform technologies.  

Post-period end, on 11 December 2017 StoneChecker® Software Ltd announced that it has affixed a CE mark to its first software product.  The StoneChecker® software utilises TexRAD® technology to make detailed analyses of kidney stones.  CCI granted an exclusive licence to StoneChecker® Software Ltd in July 2015 and is eligible to receive royalty payments upon future sales.

 

CLINICAL PROGRESS: TexRAD LungÒ

TexRAD® Research is currently installed in over 40 of the world’s leading research institutions across Europe, North America, Asia and Australasia.  The CE mark for TexRAD® Lung allows Feedback to engage with organisations focused on clinical vs. research work and develop both the product and the application of its use in routine patient management.  TexRAD® Lung is a hands-free quantitative software for use on existing medical imaging systems, designed to provide an objective assessment of the architecture/heterogeneity, evolution and prognosis of lung lesions based on texture analysis of PET/CT scans.  Generating an additional set of data and images directly into existing radiology viewing systems, known as the picture archiving communication systems (PACS), it integrates seamlessly within a radiology department adding information to clinicians’ reporting workflow, thus improving efficiency and potential clinical utility.

TexRAD® Lung is capable of seamlessly integrating with hospital PACS and, in a matter of hours rather than months, review decades worth of data extracting information of lesion size, density, heterogeneity and a host of other features of potential clinical significance potentially missed by subjective review by radiologists or nuclear-medicine physicians.  This ability to rapidly and consistently assemble an accurate, parameterised database is the first and arguably most important step in applying the emerging techniques of machine learning and artificial-intelligence (AI) to healthcare problems.  The development of TexRAD® Lung is based on wider research using published medical information.  Our technology can easily access and review thousands of data sets from existing medical scans, without further tests on patients, all within the CE regulated framework therefore reducing barriers to clinical implementation.  This technique offers a significant advantage over traditional, prospective clinical trials where, for example, a study of 100 patients could be considered a large trial, requiring a longer timeframe and could have significant costs associated.

Building clinical confidence in a new device is of paramount importance.  TexRAD® Lung will need to be configured to various hospital IT systems in order to embed the technology within routine clinical imaging workflow.  This may involve workflow modifications or other enhancements to the software before TexRAD® Lung can be implemented in clinical practice, and particularly for a large-scale commercial roll-out.  Accordingly, we are delighted to have secured three pilot TexRAD® Lung installations with existing UK customers who use TexRAD® for research purposes to further inform our configuration strategy.  We are currently implementing these pilots and, are also working closely with Alliance Medical Group (“Alliance”) on the future integration of TexRAD® Lung into Alliance’s network of PET/CT scanners in UK hospitals.

 

RESEARCH AND DEVELOPMENT PROGRESS

Having invested in marketing activities in India, research demand for TexRAD® technology is increasing.  We sponsored the American British Course in Neuroradiology in Mumbai, India in October 2017, which included a lunch-time symposium presentation on brain texture analysis using TexRAD® technology.  Post-period end in January 2018, Dr Balaji Ganeshan gave a guest lecture at Dr D Y Patil Medical College in India and attended the 17th Asian Oceanian Congress of Radiology (AOCR) & 71st National Conference of the Indian Radiological and Imaging Association (IRIA). 

 

In November 2017, Dr Balaji Ganeshan presented at the 103rd Scientific Assembly and Annual Meeting of the Radiological Society of North America (“RSNA 2017”) in Chicago (IL), USA, the premier global event for radiologists.  Three additional papers co-authored by Dr Balaji Ganeshan were presented at RSNA 2017; one by Seoul National University and University College London focused on liver cancer (abstract SSK07-05), one by Cambridge University, the University of Rome and University College London focused on ischemic stroke (abstract SSQ15-02) and one by University College London focused on neuroendocrine tumours (abstract SSM13-06).  Overall, RSNA 2017 included at least 19 scientific paper presentations featuring TexRAD® Computed Tomography Texture Analysis (CTTA) and Magnetic Resonance Texture Analysis (MRTA) and Positron Emission Tomography-Computed Tomography Texture Analysis (PET-CTTA), many of which won awards in the RSNA 2017 categories.  TexRAD® research to date has shown great potential in many different oncological and non-oncological sites.  In particular, the papers presented at RSNA 2017 focused on liver, pancreatic, kidney, cervical, oral, genitourinary, head & neck, thyroid, neuroendocrine and endometrial cancers, as well as gastrointestinal stromal tumours, gliomas, thymic-epithelial neoplasms and carotid-plaques.  Further information can be found at https://rsna2017.rsna.org/program.

Post-period end, in December 2017, Dr Balaji Ganeshan presented at the Big-Data, Radiomics and A.I. Symposium in Italy and also secured a panel presentation at the prestigious Royal College of Radiologists annual conference which will be held in September 2018.  In light of the first CE marked release of the TexRAD® technology, the theme for the panel session will be focused on the texture analysis of CT and MR data for routine clinical use.

We continue to receive significant TexRAD® research interest from prestigious institutions worldwide which has resulted in multiple articles in leading publications.  For example, in October 2017 our customer at the International University of Health and Welfare Hospital in Tochigi, Japan published an article featuring TexRAD® analysis in liver cancer. The paper, entitled “Impact of hepatocellular carcinoma heterogeneity on computed tomography as a prognostic indicator” was published in the Nature affiliated journal; Scientific Reports.  These research activities continue to support the potential future clinical application of TexRAD® in other disease indications.  Post-period end, in February 2018, researchers at the Princess Alexandra Hospital (Australia) published a study demonstrating the potential for the clinical implementation of CT texture analysis (CTTA) in the assessment of tumour heterogeneity in lung cancer.  The publication in Academic Radiologysuggests that there is a significant potential for the implementation of quantitative imaging in the assessment of tumour heterogeneity and engagement from radiologists is key to its success.  The automated analysis capability of the CE marked TexRAD® Lung product aims to facilitate adoption by radiologists. 

Our collaboration with Future Processing Sp. z o.o., a software development service provider based in Gliwice, Poland, to develop medical imaging software is fully underway.  Both teams continue to work closely for new software products to be brought to market, with current concepts focused on artificial intelligence and machine learnings strategies.

 

BOARD AND ORGANISATION

On 8 June 2017, we announced that Trevor Brown had resigned as a non-executive Director in order to allow the Company to move rapidly to the next stage in its development.  To further support the Company’s growth strategy, Tim Irish joined the Board on 8 June 2017 as Non-Executive Director.  Tim is a Professor of Practice at Kings College London as well as a board member of Bournemouth University.  He joined the board of the National Institute for Health and Care Excellence (NICE) in April 2015 and became its Senior Independent Director in May 2017.  Tim has worked in the life sciences industry for 30 years. His career has spanned global health technology companies across Europe and North America, including GSK, GE and Philips the latter two in senior positions responsible for medical imaging.  Tim also currently holds a number of non-executive positions in health and technology related entities.

Post-period end, on 14 February 2018 we announced the appointment of David Crabb as Chief Executive Officer and a director of Feedback to drive the growth strategy.  Mr Crabb brings 20 years of experience as an effective business leader to Feedback.  Most recently he was Chief Executive Officer of Cambridge Online Systems, a major software company providing services to UK and international customers, which was acquired by the global IT group Columbus in December 2016.  Under Mr Crabb’s management in 2011, Cambridge Online Systems delivered strong growth from a loss-making organisation to one with top-quartile financial results and was voted as one of the “Sunday Times Top 100 Companies to work for” in two consecutive years.  Previously, Mr Crabb held director-level roles in medium-sized technology and outsourced solutions companies with revenues from £50 million to over £1 billion, responsible for business optimisation, sales and marketing and workforce leadership.

We recognise that a small, multi-disciplinary team has its limitations, which resulted in some operational delays over the past 12 months, so we are delighted that Feedback has attracted Mr Crabb as a highly experienced executive to complement the strong technical and regulatory expertise within the Company. 

 

MARKET OPPORTUNITY

The use of quantitative data derived from data contained in medical images, a technique known as “radiomics”, has the potential to uncover disease characteristics which are visually imperceptible to the naked eye.  Radiomics uses algorithmic tools to provide objective and repeatable measurements of imaging biomarkers, such as size, texture, calcification, location in the organ and rate of growth.  These distinctive imaging features identified during disease development and progression may be useful for predicting prognosis and therapeutic response for various conditions, potentially providing valuable information for personalised therapy.  As a rapidly growing field, the quantitative imaging software market is expected to exceed US$500 million by 2021 (Signify Research 2017). 

Radiologists are under significant pressure due to increasing patient numbers, more examinations required per patient and the need for earlier diagnosis.  We are focused on the development of software to assist clinicians in the interpretation and analysis of medical images.  Our mission is to create evidence-based imaging software, arming clinicians with innovative tools to improve patient outcomes.  We do this by developing and supplying software platforms and solutions that have the potential to contribute to diagnosis, monitor therapy and assist in the cost-effective treatment of patients.  We now have our first product targeted specifically for disease management, TexRADÒ Lung, which has been developed with the goal of improving the care of patients with lung cancer. 

Lung cancer has been the most common cancer in the world for several decades, estimated at 13% of all cancer diagnoses globally.  It is also the most common cause of death from cancer worldwide, estimated to be responsible for 1.59 million deaths annually.  Furthermore, lung cancer places the highest economic burden of all cancers; in the EU this is estimated at €18.8 billion per annum and there are approximately 417,000 new cases of lung cancer in the EU every year.  Our particular focus in on non-small cell lung cancer (NSCLC) which comprises 85% of all lung cancer cases.  By analysing the texture features in routinely acquired CT scans, TexRAD® Lung’s quantitative imaging capabilities will provide clinicians with additional information to help them make better decisions in order to improve patient outcomes.

 

STRATEGY AND OUTLOOK

Our ambition is to leverage our leading research, image processing and analysis expertise to position TexRAD® technology for routine clinical use to drive future revenue growth.  Our strategy comprises four areas of focus:

(i) Strategic partnerships with global players to expedite market penetration

Promotional activity and distribution planning for TexRAD® Lung continues, including discussions under the previously announced signed letter of intent with a leading global medical imaging company which would make TexRAD® Lung available for purchase on its diagnostic imaging solutions platform.  This would, in due course, enable easy access to TexRAD® Lung for hundreds of potential users around the world on a subscription basis.  We are also discussing our technology with other leading imaging companies to broaden the range of potential routes to market for clinical versions of TexRAD®

(ii) Distributor agreements in key territories such as Asia

Our existing and future distributor agreements will continue to support the Company’s international expansion, ensuring that our technology continues to be used by the world’s leading institutions to expedite research in this important field.

(iii) Clinical evidence base for TexRAD® Lung

Our primary goal over 2018 is to undertake specific studies with TexRAD® Lung to build an evidence base from existing and new scans, across multiple customer sites, ahead of a large-scale commercial roll-out.  These studies will also inform the wider opportunity for follow-on products.  We have multiple strategic advantages in building clinical confidence, such as our relationships with world-leading institutions, our ability to access clinical collaborators through our existing research customer base and our industry-leading regulatory compliance.  By the end of 2018 we expect to have early adopters using the technology in the UK and Europe.

(iv) New product opportunities

The development of any new product is a commercially confidential process.  As announced on 20 November 2017, we expect that the rigorous regulatory review required for the CE mark will pave the way for TexRAD®‘s clinical use worldwide and we are now investigating the clinical application of TexRAD® in other indications.  Initially we expected the focus to be on liver diseases and chronic obstructive pulmonary disease (COPD), however given the significant potential for the TexRD® technology across multiple disease indications our new Chief Executive Officer will be reviewing our clinical strategy over the coming months. 

Our long-term vision is to lead global innovation in quantitative medical imaging analysis and we have strong foundations to position ourselves at the forefront of this important field.  To leverage our platform technologies and domain expertise, we will need to continue to invest in staff and our product and business development activities to develop longer-term revenue opportunities.  We expect to have access to adequate cash resources for at least the next twelve months, from both existing cash balances and by considering appropriate funding options, if required, to enable continued product development and international expansion.

Dr A J Riddell

Chairman

 

UNAUDITED INTERIM CONSOLIDATED INCOME STATEMENT

unaudited

unaudited

audited

6 months to

30 November 2017

6 months to

30 November 2016

Year to

31 May

2017

 Note

£’000

£’000

£’000

Revenue

229

204

466

Cost of sales

(6)

(5)

(11)

Gross profit

223       

199

     455

Other operating expenses

(575)

(329)

        (756)

Operating loss

 

(352)

 

(130)

 

  (301)

       

Net finance income

Loss before tax

(352)

(130)

  (301)

Tax credit

4

        4

                    35

Loss for the period attributable to the equity shareholders of the parent

Loss on ordinary activities after tax

 

 

(348)

 

 

(126)

 

 

   (266)

Other comprehensive expense

Translation differences on overseas operations

 

 

       

 –

Total comprehensive expense for the period

(348)

(126)

(266)

Basic and diluted earnings per share

 2

(0.14p)

(0.06p)

(0.09p)



UNAUDITED INTERIM CONSOLIDATED STATEMENT OF CHANGES IN EQUITY

 

Share Capital

Share Premium

Capital Reserve

Retained Earnings

Translation Reserve

Convertible Debt Option Reserve

Total

£’000

£’000

£’000

£’000

£’000

£’000

£’000

Balance at 31 May 2016

509

1,592

300

(2,251)

(210)

189

129

New shares issued

38

151

(189)

Total comprehensive income for the period

 

 

 

 

(126)

 

 

 

(126)

Balance at 30 November 2016

547

1,743

300

(2,377)

(210)

3

New shares issued

68

633

701

Share option and warrant costs                                                                 

6

6

Total comprehensive expense for the period

 

 

 

 

(140)

 

 

 

(140)

Balance at 31 May 2017

615

2,376

300

(2,511)

(210)

570

Total comprehensive income for the period

 

 

 

 

(348)

 

 

 

(348)

Balance at 30 November 2017

615

2,376

300

(2,859)

(210)

222



UNAUDITED INTERIM CONSOLIDATED STATEMENT OF FINANCIAL POSITION

 

unaudited

unaudited

audited

30 November 2017

30 November 2016

31 May

2017

Note

£’000

£’000

£’000

ASSETS

Non-current assets

Property, plant and equipment

7

4

4

Intangible assets

3

111

97

80

Investments

1

118

       102

84

Current assets

Trade receivables

83

  121

50

Other receivables

59

50

62

Cash and cash equivalents

267

63

697

409

234

809

Total assets

527

336

893

EQUITY

Capital and reserves attributable to the Company’s equity shareholders

Called up share capital

615

547

615

Share premium account

2,376

1,743

2,376

Capital reserve

300

300

300

Translation reserve

(210)

(210)

(210)

Retained earnings

(2,859)

(2,377)

(2,511)

Total equity

222

3

570

LIABILITIES

Non-current liabilities

Deferred tax liabilities

10

4

Current liabilities

Trade payables

78

67

69

Other payables

227

256

250

305

323

319

Total liabilities

305

333

323

Total equity and liabilities

527

336

893



UNAUDITED INTERIM CONSOLIDATED STATEMENT OF CASH FLOWS

 

unaudited

unaudited

audited

6 months to

30 November 2017

6 months to

30 November 2016

Year to

31 May

2017

£’000

£’000

£’000

Cash flows from operating activities

Loss before tax

(348)

(130)

(301)

Adjustments for:

Share option and warrant costs

5

Depreciation and amortisation

26

23

48

Foreign exchange difference

(5)

1

Increase in trade receivables

(33)

(80)

(9)

Decrease/(increase) in other receivables

3

14

(36)

Increase in trade payables

9

46

  48

(Decrease)/increase in other payables

(23)

98

96

Corporation tax (paid)/repaid

(5)

57

(23)

96

210

Net cash used in operating activities

(371)

(34)

(91)

Cash flows from investing activities

Purchase of tangible fixed assets

(4)

(1)

(3)

Purchase of intangible assets

(55)

(8)

(15)

Net cash used in investing activities

(59)

(9)

(18)

Cash flows from financing activities

Net proceeds from share issues

700

Net cash generated from financing activities

700

Net (decrease)/increase in cash and cash equivalents

(430)

(43)

591

Cash and cash equivalents at beginning of period

697

106

106

Cash and cash equivalents at end of period

267

63

697



FEEDBACK PLC

NOTES TO THE UNAUDITED INTERIM REPORT

1              BASIS OF PREPARATION

 

The consolidated interim financial statements have been prepared in accordance with the recognition and measurement principles of International Financial Reporting Standards as endorsed by the European Union (“IFRS”) and expected to be effective at the year end of 31 May 2018. The accounting policies are unchanged from the financial statements for the year ended 31 May 2017.

 

The information set out in this interim report for the six months ended 30 November 2017 does not comprise statutory accounts within the meaning of section 434 of The Companies Act 2006. The auditors’ report on the full statutory accounts for the year ended 31 May 2017 included an Emphasis of Matter paragraph in regard to Going Concern. The accounts for the year ended 31 May 2017 have been filed with the Registrar of Companies.

 

This interim report was approved by the directors on 23 February 2018.

 

 

2              LOSS PER SHARE

 

Basic earnings per share are calculated by reference to the loss on ordinary activities after and on the weighted average number of shares in issue.

unaudited

unaudited

audited

As at 30 November 2017

 

As at 30 November 2016

 

As at 31 May 2017

 

£’000

£’000

£’000

Net loss attributable to ordinary equity holders

(348)

(126)

(266)

As at 30 November 2017

 

As at 30 November 2016

 

As at 31 May 2017

Weighted average number of ordinary shares for basic earnings per share

246,066,584

 

 

203,733,005

232,879,709

Effect of dilution:

Share Options

       Warrants

Weighted average number of ordinary shares adjusted for the effect of dilution

246,066,584

 

 

203,733,005

232,879,709

Loss per share (pence)

Basic and Diluted

(0.14)

(0.06)

(0.11)

 



 

3              INTANGIBLE ASSETS

 

Software

Customer relationships

Patents

Goodwill

R & D

Total

£’000

£’000

£’000

£’000

£’000

£’000

Cost

At 31 May 2016

563

100

88

272

1,023

Additions

8

8

At 30 November 2016

563

100

96

272

1,031

Additions

8

8

At 31 May 2017

563

100

104

272

1,039

Additions

13

41

54

At 30 November 2017

563

100

117

272

41

1,093

Amortisation

At 31 May 2016

563

50

27

272

912

Charge for the period

13

9

22

As at 30 November 2016

563

63

36

272

934

Charge for the period

12

13

25

At 31 May 2017

563

75

49

272

959

Charge for the period

11

12

23

At 30 November 2017

563

86

61

272

982

Net Book Value

At 30 November 2017

14

56

41

111

At 31 May 2017

25

55

80

At 30 November 2016

37

60

97

 

 

4              AVAILABILITY OF THE INTERIM REPORT

Copies of the report will be available from the Company’s office and also from the Company’s website www.fbk.com

Feedback #FDBK – Result of AGM

Feedback #FDBK – Result of Annual General Meeting

The Company announces that at the annual general meeting of the Company held earlier today, all resolutions were duly passed.

For further information, please contact: 

Feedback plc
Dr Alastair Riddell, Chairman

Lara Mott, Investor Relations

Tel: 01954 718072

hello@fbk.com

Allenby Capital Limited (Nominated Adviser and Joint Broker)
David Worlidge / James Thomas

Tel: 020 3328 5656

Northland Capital Partners Ltd (Joint Broker)
Patrick Claridge / David Hignell / John Howes

Tel: 020 3861 6625

Peterhouse Corporate Finance Ltd (Joint Broker)
Lucy Williams / Duncan Vasey

Tel: 020 7469 0936

Feedback #FDBK – Presentation at RSNA 2017

Feedback plc (AIM: FDBK), the specialist medical imaging technology company, announces that Dr Balaji Ganeshan will be presenting at the 103rd Scientific Assembly and Annual Meeting of the Radiological Society of North America (“RSNA 2017”) taking place from 26 November to 1 December 2017 in Chicagbalajio (IL), USA.

The details for the oral presentation on the study undertaken at the Institute of Nuclear Medicine, University College London, UK are as follows:

Date and session time: Wednesday 29 November at 15:00 – 16:00 CST

Title: Texture Analysis of 68Ga-DOTATATE Positron Emission Tomography and Computed Tomography Images as a Prognostic Biomarker in Adults with Neuro-Endocrine Cancers Treated with 177Lu-DOTATATE

Abstract number: SSM13-06

Session: Molecular Imaging (Analysis and Quantification)

Room: S504C

Presenter: Balaji Ganeshan, PhD

Two additional papers co-authored by Dr Balaji Ganeshan will be presented at RSNA 2017; one by Seoul National University and University College London focused on liver cancer (abstract SSK07-05), and one by Cambridge University, the University of Rome and University College London focused on ischemic stroke (abstract SSQ15-02).  Overall, RSNA 2017 is expected to include at least 18 scientific paper presentations featuring TexRAD® Computed Tomography Texture Analysis (CTTA) and Magnetic Resonance Texture Analysis (MRTA), many of which have won awards in this year’s RSNA categories.  Further information can be found at https://rsna2017.rsna.org/program.

Dr Balaji Ganeshan, Director of New Business at Feedback plc, said: “RSNA is the premier global event for radiologists and the increasing focus on our TexRAD® technology is encouraging. As seen in previous years, our renowned customers will highlight multiple TexRAD® presentations across various disease indications, further emphasising the significance of our technology across the healthcare industry.  We look forward to discussing TexRAD® with this year’s RSNA delegates.”

TexRAD® is the Company’s patented quantitative image texture analysis technology for diagnostic radiological scans.  The technology has the potential to assist clinicians in diagnosis, prognosis and treatment of patients with cancer, or other disease indications, and is currently installed in over 40 of the world’s leading research institutions across Europe, North America, Asia and Australasia.  By analysing the texture features in computerised tomography (CT) scans, magnetic resonance images (MRI) and positron emission tomography scans (PET/CT), TexRAD®‘s quantitative imaging capabilities provide clinicians with additional, visually imperceptible information to make better decisions in order to improve patient outcomes.  

TexRAD® research to date has shown great potential in many different oncological and non-oncological sites.  In particular, the papers being presented at RSNA 2017 focus on liver, pancreatic, kidney, cervical, oral, genitourinary, head & neck, thyroid, neuroendocrine and endometrial cancers, as well as gastrointestinal stromal tumours, gliomas, thymic-epithelial neoplasms and carotid-plaques.  On 20 November 2017, Feedback announced the CE marked release of TexRAD® Lung, a “software only” Class 1 medical device, to help advance lung cancer diagnosis.  Further information on the TexRAD®technology can be found at www.texrad.com.

– Ends –

Notes to editors 

About Feedback plc

Feedback plc is a specialist medical imaging technology company. It develops software and systems that provide innovative techniques and improved workflows for practitioners involved in medical research and treating patients. TexRAD®, the Company’s patented quantitative image texture analysis technology, has the potential to assist clinicians in diagnosis, prognosis and treatment of patients with cancer and is currently installed in over 40 of the world’s leading research institutions across Europe, North America, Asia and Australasia. The Cadranplatform provides a suite of medical imaging tools for decision support. The Cadran range includes the picture archiving communication system (PACS) to provide decision support for scan analysis, diagnostic workstations which provide secure remote access to view scans on demand, and products to securely share and transport patient data. Visit www.fbk.com.

For further information, please contact:

Feedback plc

Dr Alastair Riddell, Chairman

Lara Mott, Investor Relations

 

Tel: 01954 718072

hello@fbk.com

Small Cap Spotlight – Brand CEO Alan Green looks at Cadence Minerals #KDNC, Tertiary Minerals #TYM and Feedback #FDBK

Small Cap Spotlight – Brand CEO Alan Green looks at Cadence Minerals #KDNC, Tertiary Minerals #TYM and Feedback #FDBK.

Brand CEO Alan Green talks Tertiary Minerals #TYM, Premier Oil #PMO and Feedback #FDBK on VOX Markets podcast

Alan Green, CEO of Brand Communications PIR Multichannel talks about Tertiary Minerals #TYM Premier Oil #PMO & Feedback #FDBK with Justin Waite on the VOX Markets. The interview starts at 18 minutes 50 seconds.

Feedback #FDBK – Final results, notice of AGM and TexRAD® Lung CE mark update.

Feedback plc (AIM: FDBK), the specialist medical imaging technology company, announces its final results for the year ended 31 May 2017.

Operational highlights (including post-period end)1

·      Letter of Intent for TexRAD® Lung signed with a leading global medical imaging company

·      Exclusive TexRAD® distributor agreements signed in China and Korea

·      Prototype integration solution for TexRAD® demonstrated to Alliance Medical Group

·      CCI collaboration with Future Processing Sp. z o.o. to develop medical imaging software

·      Significant TexRAD® research interest including 19 presentations at RSNA annual conference

·      Certification received by CCI for ISO 13485:2016 quality management standard compliance

·      CE marked release of TexRAD® Lung expected by the end of November 2017

Financial highlights (including post-period end)

·      Completion of a placing of 27,272,727 new ordinary shares of 0.25p each in the Company at a price of 2.75 pence per share to raise a total of £750,000 (gross) in April 2017

·      Revenue for the year £465,885 (2016: £431,454)

·      Loss after tax for the year £266,003 (2016: loss £183,156)

·      Loss before interest, tax and amortisation was £252,750 (2016: loss £206,523)

·      Cash as at 31 May 2017 was £696,811 (31 May 2016: £105,673)

1.     Cambridge Computed Imaging Limited is a wholly owned subsidiary of Feedback plc.

Dr Alastair Riddell, Chairman at Feedback plc, said: “We delivered solid operational progress during the period and the increased international sales exposure is particularly encouraging. Our technical and regulatory team have been working diligently on the delivery of a CE marked release of TexRAD® Lung. We are acutely aware that this development has taken longer than originally expected, however we are confident that our rigorous regulatory review will pave the way for new products and therefore maximise the potential for TexRAD®‘s clinical use worldwide. We remain focused on applying our leading research expertise to the clinical setting to drive future revenue growth and would like to thank our shareholders, customers and partners for their continued support.”

Notes to editors

About Feedback plc

Feedback plc is a specialist medical imaging technology company. It develops software and systems that provide innovative techniques and improved workflows for practitioners involved in medical research and treating patients. TexRAD®, the Company’s patented quantitative image texture analysis technology, has the potential to assist clinicians in diagnosis, prognosis and treatment of patients with cancer and is currently installed in over 40 of the world’s leading research institutions across Europe, North America and Asia. The Cadran platform provides a suite of medical imaging tools for decision support. The Cadran range includes the picture archiving communication system (PACS) to provide decision support for scan analysis, diagnostic workstations which provide secure remote access to view scans on demand, and products to securely share and transport patient data. Visit www.fbk.com.

For further information, please contact:

Feedback plc

Dr Alastair Riddell, Chairman

Lara Mott, Investor Relations

 

Tel: 01954 718072

hello@fbk.com

Allenby Capital Limited (Nominated Adviser and Joint Broker)

David Worlidge / James Thomas

 

Tel: 020 3328 5656

Northland Capital Partners Ltd (Joint Broker)

Patrick Claridge / David Hignell

 

Tel: 020 3861 6625

Peterhouse Corporate Finance Ltd (Joint Broker)

Lucy Williams / Duncan Vasey

 

Tel: 020 7469 0936

 

Chairman’s statement

FINANCIAL PROGRESS

In the year ended 31 May 2017, the Group incurred a loss after tax of £266,003 (2016: loss £183,156) on revenue of £465,885 (2016: £431,454). The results show a continuation in revenue growth as more customers around the world adopt TexRAD® and Cadran products and associated support services. On 26 April 2017, we announced the completion of a placing of 27,272,727 new Ordinary Shares at a price of 2.75 pence per share to raise a total of £750,000 (before expenses). A proportion of the net proceeds from the share issue has been invested in product development, sales and marketing with the balance being utilised for general working capital purposes. This accelerated expenditure, including investing in the team and external activities, has contributed to the increase in the loss during the period, however the Directors expect that the benefits of this investment will be seen in the current financial year. Operational cash generation has been satisfactory and reflects customer payments for new purchases and contracts before the periods in which the revenue is recognised. The share issue, net of costs, has contributed to a healthy cash balance at the end of the year.

OPERATIONAL PROGRESS

As previously announced, Feedback’s subsidiary company, Cambridge Computed Imaging Ltd (“CCI”) is working towards a CE marked release of “TexRAD® Lung” for the clinical application of TexRAD® in the diagnosis, prognosis and treatment of lung cancer.  CE marking is a claim by a medical device manufacturer that a product meets the essential requirements of the Medical Device Directive, which outlines the safety and performance requirements for medical devices in the European Union.  TexRAD® Lung will be a “software only” medical device providing additional information for the interpretation of computerised tomography (CT) and positron emission tomography (PET) scans.

Feedback is committed to offering its customers the highest quality service across all areas of its business, and therefore compliance with international quality management standards is of paramount importance.  CCI received certification for its compliance with the ISO 13485:2016 quality management standard in September 2017.  In May 2017, Feedback announced that CCI had identified enhancements to improve the performance of TexRAD® which will further support the wider clinical application of the TexRAD® technology.  Since then, CCI has successfully prepared a “release candidate” version of TexRAD® Lung, incorporating over 60 risk control measures to address the 50 potential clinical risk scenarios identified within the product. This in now in the final stages of testing, with an anticipated CE marked release by the end of November 2017. 

On 30 March 2017, as part of the intended distribution arrangements, CCI signed a letter of intent with a leading global medical imaging company which would make TexRAD® Lung available for purchase on its diagnostic imaging solutions platform.  This would, in due course, enable easy access to TexRAD® Lung for hundreds of potential users around the world on a subscription basis.  We look forward to continuing our ongoing discussions with this company and other leading imaging companies to broaden the range of potential routes to market for clinical versions of TexRAD®.

Post-period end, CCI signed exclusive distributor agreements with Korea Computer Motion ISG in June 2017 and Boya Digital Technology (Beijing) Co. Ltd. in July 2017 for sales and distribution of TexRAD® in South Korea and the People’s Republic of China, respectively.

These agreements represent a significant step in expanding TexRAD® sales to meet the fast-growing demand in Asian markets. By successfully identifying and engaging with distributors who are experts in the local market, we can leverage the TexRAD® brand to help build a regional sales pipeline.  Over the first few months of these agreements, joint marketing and promotional activities have been well-received, we have seen an increase in purchase orders for TexRAD® from leading medical institutions in South Korea and we are receiving significant interest in China.

In September 2016, we announced that we have developed a technical solution with Alliance Medical Group that would allow the integration of TexRAD® into Alliance’s network of PET/CT scanners in UK hospitals. A prototype version has been demonstrated to potential users and an abstract was presented at the Radiological Society of North America (RSNA) annual conference in November 2016. The poster, entitled “PET/CT in Lung Cancer: An Automated Imaging Tool for Decision Support”, highlighted results from a preliminary study which suggests that an automated PET/CT lung cancer tool may standardise clinical performance whilst allowing access to quantitative texture analysis to improve prognostication and fit within clinical workflow. We continue to work closely with Alliance on the future integration of TexRAD® Lung.

In March 2017, the Company announced that CCI was finalising arrangements for the secure transfer of patient data from Papworth Hospital NHS Foundation Trust to the new Cambridge Biomedical Campus which was expected to open in April 2018. Papworth Hospital has since extended the timeframe to September 2018 and therefore preparation for the transfer of the extensive archive of medical images is ongoing.

RESEARCH AND DEVELOPMENT PROGRESS

In July 2016, we announced a large-scale collaboration with Future Processing Sp. z o.o. (“Future Processing”), a software development service provider based in Gliwice, Poland to develop medical imaging software. The collaboration will entail a substantially increased development team working on new products and the sharing of intellectual property and future revenues. We believe that by CCI working jointly with the Future Processing healthcare team, CCI’s existing product portfolio can be improved and new products developed more rapidly including further applications for TexRAD®. The collaboration is fully underway and both teams are working towards agreeing formal licences for new software products to be brought to market in 2018.

We continue to receive significant TexRAD® research interest from prestigious institutions worldwide which has resulted in multiple articles in leading publications. In September 2016, University College London (“UCL”) published a retrospective study of 67 prostate cancer patients which demonstrated that TexRAD® analysis of multi-parametric MRI images may be able to identify the presence of clinically significant prostate cancers in the transition zone and therefore could potentially assist in optimising prostate radiologists’ workflow. In November 2016, we attended the 102nd Scientific Assembly and Annual Meeting of the Radiological Society of North America (RSNA 2016); the premier global event for radiologists. We had a strong presence at RSNA 2016, with 19 scientific paper presentations featuring TexRAD®analysis, further emphasising the significance of our technology across the healthcare industry. Further information on the papers presented at RSNA 2016 can be found at https://rsna2016.rsna.org/program/.

Post-period end in October 2017, our customer at the International University of Health and Welfare Hospital in Tochigi, Japan published article featuring TexRAD® analysis in liver cancer. The paper, entitled “Impact of hepatocellular carcinoma heterogeneity on computed tomography as a prognostic indicator” was published in the Nature affiliated journal; Scientific Reports. We also sponsored the American British Course in Neuroradiology in Mumbai, India in October 2017, which included a lunch-time symposium presentation on brain texture analysis using TexRAD® technology. These research activities continue to support the potential future clinical application of TexRAD® in these other disease indications.

In 2015, we announced the incorporation of a 50:50 joint venture company, Prostate Checker Ltd, with QUIBIM S.L. (“QUIBIM”). The Board has concluded that a joint venture vehicle is no longer required for the collaboration. The Company continues to work closely with QUIBIM to develop a specific application of TexRAD® texture analysis for the computer assisted detection and diagnosis of prostate cancer.

BOARD AND ORGANISATION

Tom Charlton stepped down as a director on 30 May 2017 in order to devote more time to his other investment activities. Post-period end, on 8 June 2017, we announced that Trevor Brown resigned as a non-executive Director in order to allow the Company to move rapidly to the next stage in its development. On behalf of the Board, I thank both Tom and Trevor for their invaluable support of the Company following its readmission in 2014 which has enabled it to achieve considerable progress to date.

To further support the Company’s growth strategy, Tim Irish joined the Board on 8 June 2017 as Non-Executive Director. Tim is a Professor of Practice at Kings College London as well as a board member of Bournemouth University. He joined the board of the National Institute for Health and Care Excellence (NICE) in April 2015 and became its Senior Independent Director in May 2017. Tim has worked in the life sciences industry for 30 years. His career has spanned global health technology companies across Europe and North America, including GSK, GE and Philips the latter two in senior positions responsible for medical imaging. Tim also currently holds a number of non-executive positions in health and technology related entities.

I would also like to recognise and thank the Group’s employees for the outstanding contribution they have made. Having completed the placing in April 2017, we are in strong position to continue to build and invest in a leading team to deliver our objectives.

STRATEGY AND OUTLOOK

Upon delivery of the first CE marked release of TexRAD® by the end of November 2017, our ambition is to leverage our leading research, image processing and analysis expertise to position TexRAD® technology for routine clinical use to drive future revenue growth. We look forward to continuing our ongoing discussions with leading imaging companies to broaden the range of potential routes to market for clinical versions of TexRAD®. Our existing and future distributor agreements will continue to support the Company’s international expansion, ensuring that our technology continues to be used by the world’s leading institutions to expedite research in this important field. With pioneering technology platforms and strong industry trends, we believe the Group is ideally placed to deliver continued growth.

Dr A J Riddell

Chairman

6 November 2017

STATEMENT OF COMPREHENSIVE INCOME FOR THE YEAR ENDED 31 MAY 2017 

Note

2017

2016

£

£

REVENUE

465,885

431,454

Cost of sales

(11,007)

(7,438)

GROSS PROFIT

454,878

424,016

Other income

150

Other operating expenses

(755,960)

(676,596)

OPERATING LOSS

(300,932)

(252,580)

Net finance income

5

1,361

Loss on ordinary activities before taxation

(300,927)

(251,219)

Tax credit

34,924

23,063

LOSS ON ORDINARY ACTIVITIES AFTER TAX

(266,003)

(228,156)

Profit on disposal of investment

45,000

Loss for the year attributable to the equity shareholders of the Company

(266,003)

(183,156)

Other comprehensive income

Translation differences on overseas operations

Total comprehensive expense for the year

(266,003)

(183,156)

LOSS PER SHARE (pence)

Basic and diluted

4

(0.11)

(0.09)

CONSOLIDATED STATEMENT OF CHANGES IN EQUITY FOR THE YEAR ENDED 31 MAY 2017

Share Capital

Share Premium

Capital Reserve

Retained Earnings

Translation Reserve

Convertible Debt Option Reserve

Total

£

£

£

£

£

£

£

At 1 June 2015

476,867

1,409,334

299,900

(2,076,483)

(209,996)

189,000

88,622

New shares issued

32,318

190,382

222,700

Costs associated with the

raising of funds

(6,580)

(6,580)

Share option and warrant costs

8,163

8,163

Total comprehensive expense for the year

(183,156)

(183,156)

At 31 May 2016

509,185

1,593,136

299,900

(2,251,476)

(209,996)

189,000

129,749

New Shares issued

 

105,982

833,018

(189,000)

750,000

Costs associated with the

raising of funds

 

(50,121)

(50,121)

Share option and warrant costs

5,726

5,726

Total comprehensive expense for the year

(266,003)

(266,003)

At 31 May 2017

615,167

2,376,033

299,900

(2,511,753)

(209,996)

569,351

CONSOLIDATED BALANCE SHEET AT 31 MAY 2017 

2017

2016

Notes

£

£

ASSETS

Non-current assets

Property, plant and equipment

5

4,109

3,639

Intangible assets

6

80,235

110,747

Investments

1,000

84,344

115,386

Current assets

Trade receivables

49,982

40,894

Other receivables

7

62,328

63,910

Cash and cash equivalents

696,811

105,673

809,121

210,477

Total assets

893,465

325,863

EQUITY

Capital and reserves attributable to the Company’s equity shareholders

Called up share capital

9

615,167

509,185

Share premium account

2,376,033

1,593,136

Capital reserve

299,900

299,900

Translation reserve

(209,996)

(209,996)

Retained earnings

(2,511,753)

(2,251,476)

569,351

(59,251)

Convertible debt option reserve

189,000

TOTAL EQUITY

569,351

129,749

LIABILITIES

Deferred tax liabilities

4,250

19,378

4,250

19,378

Current liabilities

Trade payables

68,948

21,546

Other payables

8

250,916

155,190

319,864

176,736

Total liabilities

324,114

196,114

TOTAL EQUITY AND LIABILITIES

893,465

325,863

CONSOLIDATED CASH FLOW STATEMENT FOR THE YEAR ENDED 31 MAY 2017 

2017

2016

£

£

Cash flows from operating activities

Loss before tax

(300,927)

(251,219)

Adjustments for:

Share option costs

5,726

8,163

Net finance income

(5)

(1,361)

Depreciation and amortisation

48,182

46,052

Impairment of investment

1,000

(Increase)/decrease in trade receivables

(9,087)

69,976

(Increase)/decrease in other receivables

(36,246)

42,402

Decrease/(increase) in trade payables

47,400

(18,852)

(Increase)/decrease in other payables

95,728

(109,772)

Corporation tax received

57,624

9,506

210,322

46,114

Net cash used in operating activities

(90,605)

(205,105)

Cash flows from investing activities

Purchase of tangible fixed assets

(2,941)

(104)

Purchase of intangible assets

(15,200)

(13,860)

Net finance income received

5

1,361

Proceeds from sale of joint venture

46,000

Purchase of shares in joint ventures

(2,000)

Net cash (used by)/generated from investing activities

(18,136)

31,397

Cash flows from financing activities

Net proceeds of share issue

699,879

216,120

Net cash generated from financing activities

699,879

216,120

Net increase in cash and cash equivalents

591,138

42,412

Cash and cash equivalents at beginning of year

105,673

63,261

Cash and cash equivalents at end of year

696,811

105,673

NOTES TO THE FINANCIAL STATEMENTS FOR THE YEAR ENDED 31 MAY 2017

1.   General information

The Company is a public limited company domiciled in the United Kingdom and incorporated under registered number 00598696 in England and Wales. The Company’s registered office is Unit 5, Grange Park, Broadway, Bourn, Cambridgeshire, CB23 2TA.

The Company is listed on AIM of the London Stock Exchange. These Financial Statements were authorised for issue by the Board of Directors on the 6 November 2017.

While the financial information included in this preliminary announcement has been prepared in accordance with International Financial Reporting Standards (IFRSs), this announcement does not itself contain sufficient information to comply with IFRSs. The Group has also published full financial statements that comply with IFRSs available on its website and to be circulated shortly.

The financial information set out in the announcement does not constitute the company’s statutory accounts for the years ended 31 May 2017 or 2016. The financial information for the year ended 31 May 2016 is derived from the statutory accounts for that year, which were prepared under IFRSs, and which have been delivered to the Registrar of Companies.

The financial information for the year ended 31 May 2017 is derived from the audited statutory accounts for the year ended 31 May 2017 on which the auditors have given an unqualified report, that did not contain a statement under section 498(2) or 498(3) of the Companies Act 2006 and included the following paragraphs:

“Emphasis of matter – Going Concern

In forming our opinion, which is not modified, we have considered the adequacy of the disclosures made in Note 3c of the accounting policies regarding the group and parent company’s ability to continue as a going concern. The group incurred a loss of £266,003 in the year and may need to obtain further finance during the next twelve months which has not yet been obtained. These factors, along with the matters explained in note 3c of the accounting policies indicate the existence of a material uncertainty which may cast a significant doubt about the group and the company’s ability to continue as a going concern.

The financial statements do not include the adjustments that would result if the group and company were unable to operate as a going concern.”

The statutory accounts will be delivered to the Registrar of Companies following the Company’s annual general meeting.

2.   Adoption of new and revised International Financial Reporting Standards

No new International Financial Reporting Standards (“IFRS”), amendments or interpretations became effective in the year ended 31 May 2017 which had a material effect on this financial information.

At the date of approval of this financial information, the following IFRS Standards and Interpretations, which have not been applied in these Financial Statements, were in issue but not yet effective. These new Standards, Amendments and Interpretations are those in issue but not yet effective which are expected to apply to the Group and are effective for accounting periods beginning on or after the dates shown below:

IFRS Standards and Interpretations issued (and EU adopted) but not yet effective:

Mandatory for accounting periods commencing on or after 1 January 2017:

·      Amendments to IAS 12 – Recognition of Deferred Tax Assets for Unrealised Losses

·      Amendments to IAS 7 – Disclosure Initiative

·      Annual improvements to IFRS Standards 2014-2016 Cycle

Mandatory for accounting periods commencing on or after 1 January 2018:

·      IFRS 9 – Financial Instruments

·      IFRS 15 – Revenue from Contracts with Customers

·      IFRIC Interpretation 22 – Foreign Currency Transactions and Advance Consideration

Mandatory for accounting periods commencing on or after 1 January 2019:

·      IFRS 16 – Leases

Date of implementation in the European Union not yet known:

·      IFRS 14 – Regulatory Deferral Accounts

The Group has not early adopted these amended standards and interpretations. The Directors do not anticipate that the adoption of these standards and interpretations will have a material impact on the reported results.      

3.   SIGNIFICANT ACCOUNTING POLICIES

(a)  Basis of preparation

These financial statements have been prepared in accordance with those IFRS standards and IFRIC interpretations issued and effective or issued and early adopted as at the time of preparing these statements. The policies set out below have been consistently applied to all the years presented.

No separate income statement is presented for the parent Company as provided by Section 408, Companies Act 2006.

(b)  Basis of consolidation

The Group financial statements consolidate the financial statements of Feedback plc and its subsidiaries (the “Group”) for the years ended 31 May 2017 and 2016 using the acquisition method.

The financial statements of subsidiaries are prepared for the same reporting year as the parent company, using consistent accounting policies.  All inter-company balances and transactions, including unrealised profits arising from them, are eliminated.  Subsidiaries are fully consolidated from the date on which control is transferred to the Group and cease to be consolidated from the date on which control is transferred out of the Group.

(c)  Going Concern

On 26 April 2017 the Company raised a total of £750,000 (before expenses) through a placing to both invest further in the product development and sales and marketing of TexRAD, Feedback’s patented quantitative imaging software, and also for general working capital purposes.

Having updated the Group’s formal business plan the Directors consider that the Group and the Company are likely to have access to adequate cash resources for at least the next twelve months, from both existing cash balances and by obtaining further equity finance from the financial markets, or alternative funding, if required to enable continued product development and international expansion.  Although this further finance has not yet been obtained, the Directors are confident that adequate additional finance will be forthcoming should it be required. Accordingly, the Directors believe that the Group and Company are a going concern and have therefore prepared the financial statements on a going concern basis.

4.   LOSS PER SHARE

Basic earnings per share is calculated by reference to the loss on ordinary activities after taxation of £266,003 (2016: £183,156) and on the weighted average of 232,879,771 (2016: 203,514,709) shares in issue.

As at 31 May 2017

 

As at 31 May 2016

 

£

£

Net loss attributable to ordinary equity holders

(266,003)

(183,156)

As at 31 May 2017

 

As at 31 May 2016

Weighted average number of ordinary shares for basic earnings per share

232,879,771

203,514,709

Effect of dilution:

Share Options

       Warrants

Weighted average number of ordinary shares adjusted for the effect of dilution

232,879,771

203,514,709

Loss per share (pence)

Basic

(0.11)

(0.09)

Diluted

(0.11)

(0.09)

There is no dilutive effect of the share options and warrants as the dilution would be negative.

5.   PROPERTY, PLANT AND EQUIPMENT

Plant and

Equipment

Total

£

£

Cost of valuation

At 31 May 2015

10,773

10,773

Additions

104

104

At 31 May 2016

10,877

10,877

Additions

2,941

2,941

As 31 May 2017

13,818

13,818

Depreciation

At 31 May 2015

3,858

3,858

Charge for the year

3,380

3,380

At 31 May 2016

7,238

7,238

Charge for the year

2,471

2,471

At 31 May 2017

9,709

9,709

Net Book Value

At 31 May 2017

4,109

4,109

At 31 May 2016

3,639

3,639

At 31 May 2015

6,915

6,915

6.   INTANGIBLE ASSETS

Software

Customer relationships

Patents

Goodwill

Total

£

£

£

£

£

Cost

At 31 May 2015

563,099

100,000

74,498

271,415

1,009,012

Additions

13,860

13,860

At 31 May 2016

563,099

100,000

88,358

271,415

1,022,872

Additions

15,200

15,200

At 31 May 2017

563,099

100,000

103,558

271,415

1,038,072

Amortisation

At 31 May 2015

563,099

25,000

9,940

271,415

869,454

Charge for the year

25,000

17,671

42,671

At 31 May 2016

563,099

50,000

27,611

271,415

912,125

Charge for the year

25,000

20,712

45,712

At 31 May 2017

563,099

75,000

48,323

271,415

957,837

Net Book Value

At 31 May 2017

25,000

55,235

80,235

At 31 May 2016

50,000

60,747

110,747

At 31 May 2015

75,000

64,558

139,558

In accordance with the accounting policies and IFRS the Directors have assessed the carrying value of the intangible assets. In the year ended 31 May 2015, the Directors took the prudent decision to write down the carrying value of the software development costs in the balance sheet in order to meet the requirements of IFRS. During the years ended 31 May 2017 and 2016 all similar development costs have been expensed as the provisions of IFRS have not been met. However the Directors believe the Group’s technology has great potential and this write down does not reflect their commercial assessment of the value of the Group’s intellectual property. Expenditure on software development is being written off as incurred until the provisions of IFRS are met. The customer lists and patents are deemed to have ongoing value to the Group.

7.   OTHER RECEIVABLES

2017

2016

£

£

Amounts falling due within one year

Other receivables

18,396

8,684

Corporation tax recoverable

16,318

37,828

Prepayments

27,614

17,398

62,328

63,910

8.   OTHER PAYABLES

2017

2016

£

£

Amounts falling due within one year

Other payables

5,534

4,885

Other taxes and social security

7,033

15,386

Accruals

69,827

31,750

Deferred income

168,522

103,169

250,916

155,190

9.   SHARE CAPITAL AND RESERVES 

2017

2016

£

£

Authorised and issued share capital

Ordinary shares of 0.25 pence each

615,167

509,185

Allotted, called up and fully paid share capital:

Number

Number

As at 1 June 2016

203,673,857

190,746,746

Issued

42,392,727

12,927,111

As at 31 May 2017

246,066,584

203,673,857

Share Options

Share options are granted to directors and employees. Options are conditional on the employee completing a specific length of service (the vesting period). The options are exercisable from the end of the vesting period and lapse after ten years after the grant date. The Group has no legal or constructive obligation to repurchase or settle the options in cash.

Share options are valued using the Black-Scholes option pricing model and no performance conditions are included in the fair value calculations. The risk free rate was 1.64%. The expected volatility is based on historical volatility over the last two years and is estimated to be 25%. The average share price during the year was 1.85 pence. During the year the Company had the following share options in issue:

Number of options

At 1 June 2016

Lapsed

Exercised

At 31 May 2017

Exercise price (pence)

Exercise date

2,400,000

2,400,000

1.25

21/05/14 to19/05/24

4,000,000

4,000,000

3.00

21/05/15 to19/05/24

4,000,000

4,000,000

5.00

21/05/15 to19/05/24

10,400,000

10,400,000

All share options vest one year after the grant date. Each option can only be exercised from one year after the grant date to ten years after the date of grant.

Warrants

Warrants were issued to the vendors of TexRAD Limited at the time of acquisition. The warrants are exercisable from the end of the vesting period and lapse ten years after the grant date. The Group has no legal or constructive obligation to repurchase or settle the warrants in cash.

Warrants are valued using the Black-Scholes pricing model and no performance conditions are included in the fair value calculations. The risk free rate was 1.64%. The expected volatility is based on historical volatility over the last two years and is estimated to be 25%. The average share price during the year was 1.85 pence. During the year the Company had in existence the following warrants:

Number of warrants

At 1 June 2016

Granted

Cancelled

At 31 May 2017

Exercise price (pence)

Exercise date

4,550,000

4,550,000

1.25

19/05/16 to 19/05/24

18,200,000

18,200,000

3.00

19/05/17 to 19/05/24

22,750,000

22,750,000

Reserves

The nature and purpose of each reserve within equity is as follows:

Share premium

Amount subscribed for share capital in excess of nominal value.

Capital reserve

Reserve on consolidation of subsidiaries

Translation reserve

Gains and losses on the translation of overseas operations into G

Retained earnings

All other net gains and losses and transactions with owners not recognised elsewhere

Convertible debt option reserve

Amount of proceeds on issue of convertible debt relating to the equity component of the debt.

10.  NOTICE OF ANNUAL GENERAL MEETING (“AGM”) AND AVAILABILITY OF REPORT AND FINANCIAL STATEMENTS

The Company hereby announces that its AGM will be held at the offices of Mills & Reeve LLP at 4th Floor, 24 Monument St, London EC3R 8AJ at 3.00 p.m. on 30 November 2017.  

The Company’s Annual Report and Financial Statements for the year ended 31 May 2017 are expected to be posted to shareholders, along with the Notice of AGM, on 7 November 2017 and will be available thereafter at the Company’s registered office, Unit 5 Grange Park, Broadway, Bourn, Cambridgeshire CB23 2TA and on its website: http://www.fbk.com/category/financial-reports/ 

Impact of hepatocellular carcinoma heterogeneity on computed tomography as a prognostic indicator – Feedback Plc (FDBK)

Paper published in Scientific Reports (“Nature” affiliated journal) by Professor Shigeru KiryuDepartment of Radiology, International University of Health and Welfare Hospital, Nasushiobara, Tochigi, Japan.

Abstract

FBKlogoWe assessed the relationship between the heterogeneity of HCC on preoperative non-contrast-enhanced CT and patient prognosis. The heterogeneity of CT images from 122 patients was assessed and texture feature parameters such as mean, standard deviation (SD), entropy, mean of the positive pixels (MPP), skewness, and kurtosis were obtained using filtration. The relationship between CT texture features and 5-year overall survival (OS) or disease-free survival (DFS) was assessed. Multivariate regression analysis was performed to evaluate the independence of texture feature from clinical or pathological parameters. The Kaplan-Meier curves for OS or DFS was significantly different between patient groups dichotomized by cut-off values for all CT texture parameters with filtration at at least one filter level. Multivariate regression analysis showed the independence of most CT texture parameters on clinical and pathological parameters for OS with filtration at at least one filter level and without filtration except kurtosis. SD, entropy, and MPP with coarse filter, and skewness without filtration showed a significant correlation for DFS. CT texture features of non-contrast-enhanced CT images showed a relationship with HCC prognosis. Multivariate regression analysis showed the possibility of CT texture feature increase the prognostic prediction of HCC by clinical and pathological information.

Introduction

The incidence of hepatocellular carcinoma (HCC) has increased due to the spread of hepatitis, and HCC is now the second leading cause of cancer-related death worldwide1. Because HCC has a high potential for vascular invasion, metastasis, and recurrence, its prognosis is poor. Among several therapies used to treat HCC, hepatic resection is considered the mainstay of curative therapy for localized HCC2,3. However, due to its high rate of recurrence after resection, preoperative prognostic prediction of HCC is important for the appropriate management of patients.

Heterogeneity is widely recognized as a feature of malignancy associated with adverse tumor biology, and it is assessed on medical images using a texture-analysis technique4. On computed tomography (CT), photon noise, caused by fluctuations in the number of photons in incident X-rays, obscures biologic heterogeneity4. CT texture analysis using filters to reduce photon noise is used for a variety of purposes, including assessment of malignant tumor prognosis5.

CT is widely used for the detection and assessment of HCC and is an indispensable preoperative examination. If information related to HCC prognosis is available from non-contrast-enhanced CT images, preoperative CT can provide additional meaningful data. The objective of this study was to assess the relationship between HCC heterogeneity and prognosis after the resection of HCC using non-contrast-enhanced CT texture analysis with a filter technique.

Materials and Methods

This study was approved by the Research Ethics Committee of our institution as a retrospective data analysis for medical imaging-based diagnoses, and the requirement for informed consent was waived by the Committee (26-73-1126). Additionally, all experiments and methods in this study were performed in accordance with the Declaration of Helsinki.

PatientsA total of 169 consecutive patients who underwent initial hepatectomy for HCC between January 2004 and September 2009 were included in this study. This study was approved by the Research Ethics Committee of the institution. A total of 16 patients were excluded due to the unavailability of CT images on the picture archiving system. We excluded a further 28 patients who underwent transcatheter arterial embolization (TACE) prior to CT, because the high density of deposited iodized oil may affect the texture features. A total of three patients with lesions too small (<1 cm) to evaluate on CT were additionally excluded. Finally, the study group consisted of 122 patients: 92 males (mean age, 63.5 years; range, 25–82 years) and 30 females (mean age, 69.2 years; range, 53–81 years). A total of 37 patients underwent TACE between CT and surgery (Table 1). Clinical patient’s information such as Child-Pugh score, serum levels of alpha-fetoprotein (AFP), tumor differentiation, pathological stage (pStage), or presence/absence of venous invasion was examined using database of surgical records.

CT examination

CT studies were performed using a 4-, 16-, or 64-detector row CT scanner (Light Speed QX/I, LightSpeed Ultra, LightSpeed VCT, GE Medical Systems, Milwaukee, WI, USA) or a 16-detector row CT scanner (Aquilion 16, Toshiba Medical Systems Corp., Tochigi, Japan). The same clinical protocol was used: 120 kV, 180–280 mAs depending on body habitus, a matrix of 512, and a field of view of 350–400 mm. Non-contrast CT was performed using a 5-mm contiguous axial section to encompass the whole liver. Non-contrast CT was mostly performed as part of the contrast-enhanced study.

Texture analysis

The location of the HCC was defined on unenhanced CT according to the surgical records, and the slice with the largest lesion was selected by one of the research conductors (a radiologist with 22 years of experience with abdominal CT). Images were loaded onto a workstation for further texture analysis. Texture analysis was performed by a single observer (a radiologist with 12 years of experience with abdominal CT) who was blinded to the clinical outcome, using TexRAD (TexRAD Ltd., www.texrad.com part of Feedback Plc., Cambridge, UK), a proprietary research software algorithm developed to visualize and quantify the texture properties of tissues from medical imaging scans. The region of interest (ROI) was initially delineated around the tumor periphery section by an observer and refined by excluding areas of air using a thresholding procedure that removed any pixels with attenuation values below −50 Hounsfield unit from the analysis. The assessment of texture feature comprised an initial filtration step in which a Laplacian of Gaussian spatial band-pass filter was used to selectively extract features of different sizes and intensity variations, at three different frequency scales: fine (features approximately 2 mm in width), medium (features approximately 4 mm in width) and coarse (features approximately 6 mm in width) (Fig. 1). The heterogeneity within the ROI was assessed with and without filtration, and texture parameters were calculated as follows: the mean grey-level intensity (mean), variation/dispersion from the mean grey-level intensity (standard deviation, SD), the irregularity or complexity of the grey signal (entropy), the average intensity of the positive grey-level signal pixel values within the ROI (mean of the positive pixels, MPP), asymmetry of the distribution (skewness), and pointiness or peakedness of the distribution (kurtosis)4,5. These parameters derived from the histogram analysis. SD, kurtosis and skewness describe the shape of the histogram representing the gray-level variation, asymmetry and peak with in the ROI, respectively. Entropy is a measure of texture irregularity and defined by following equation where l is the pixel levels (between l = 1 to k) in ROI, and p(l) is the probability of the occurrence of that pixel level.

Statistical analysis

The relationship between the CT texture features and 5-year overall survival (OS) or disease-free survival (DFS) was assessed by Kaplan-Meier analyses. Patients were dichotomized according to the best cut-off values, which were calculated by the log-rank test to classify the outcome of OS or DFS.

The multivariate Cox proportional hazard regression analysis using likelihood ratio test was performed to evaluate the independence of CT texture feature from clinical and pathological parameters, such as the Child-Pugh score, serum levels of AFP, tumor histological differentiation, pStage, or presence/absence of venous invasion, on OS or DFS. The correlations between CT texture features and clinical parameters were assessed: presence of HBs-Ag or HCV-Ab using paired-t-test; Child-Pugh classification, differentiation of HCC, or TNM stage using Spearman’s correlation; AFP using Pearson’s correlation. A P-value < 0.05 was considered to indicate statistical significance. The correlations of the CT texture features were assessed using the Spearman rank correlation coefficient. All statistical analyses were performed by a statistician using SPSS (version 18.0; IBM Corp, Armonk, NY, USA) statistical software.

Results

Of the total number of patients, 12 were stage I, 60 stage II, 35 stage III, 12 stage IVA, and 3 stage IVB (Table 1). A total of 60 patients had a Child-Pugh score of 5, 46 a score of 6, 13 a score of 7, 2 a score of 8, and 1 a score of 9.Patients with the Child-Pugh score of 8–9 had inherited constitutional jaundice. AFP levels above 400 ng/ml were observed in 22 (18%) patients and venous invasion in 38 (31%) patients. A total of 77 (63.1%) patients had a single HCC, 24 (19.7%) patients had two HCCs, and 21 (17.2%) patients had three or more HCCs. The histopathologic differentiation of the tumors was well in 26 (21.3%) patients, moderate in 82 (67.2%) patients, poor in 10 (8.2%) patients and necrosis in 4 (3.3%) patients. Sixty-two (50.8%) patients died within 5 years, and the median OS was 50.6 months. A total of 98 (80.3%) patients suffered HCC relapse within 5 years, and the median DFS was 19.8 months.

The Kaplan-Meier curves for OS or DFS was significantly different between patient groups dichotomized by cut-off values for all CT texture parameters with filtration at at least single filter level (Table 2, Fig. 2). For SD and entropy, OS was significantly different without filtration or with filtration at each filter level (fine, medium and coarse). OS was different without filtration or with filtration (medium) for skewness. For mean, MPP and kurtosis, OS was not different without filtration between patient groups, but it was different with filtration (fine, fine and medium and coarse, and fine and medium, respectively). DFS was significantly different for skewness and kurtosis without filtration or with filtration (fine and medium, fine and coarse, respectively). DFS was different for mean, SD, entropy and MPP with filtration at single filter level (fine, coarse, coarse, and coarse, respectively).

Link here for full article at nature.com

Feedback (FDBK) – TexRAD sponsor Mumbai American British Course in Neuroradiology

Dr Balaji Ganeshan from TexRAD Ltd, sponsors of the Octobers 6th American British Course in Neuroradiology @ABCNR 2017 at Mumbai. Pictured are Dr Ganeshan, Dr Tufail Patankar, Consultant Interventional Neuroradiologist, Leeds Teaching Hospitals NHS Trust, UK and Dr Kshitij Mankad, Consultant Pediatric Neuroradiologist, Great Ormond Street Hospital,Hon. Sr Clinical Lecturer, UCL, London.

A review of potential applications by TexRAD users from leading Universities across the USA – Feedback (FDBK)

Feedback (FDBK) – A review of potential applications by TexRAD users from leading Universities across the USA.      

                         

Authors: Lubber MG, Smith AD, Sandrasegaran K, Sahani DV, Pickhardt PJ.

ABSTRACT: This review discusses potential oncologic and nononcologic applications of CT texture analysis ( CTTA CT texture analysis ), an emerging area of “radiomics” that extracts, analyzes, and interprets quantitative imaging features. CTTA CT texture analysis allows objective assessment of lesion and organ heterogeneity beyond what is possible with subjective visual interpretation and may reflect information about the tissue microenvironment. CTTA CT texture analysis has shown promise in lesion characterization, such as differentiating benign from malignant or more biologically aggressive lesions. Pretreatment CT texture features are associated with histopathologic correlates such as tumor grade, tumor cellular processes such as hypoxia or angiogenesis, and genetic features such as KRAS or epidermal growth factor receptor (EGFR) mutation status. In addition, and likely as a result, these CT texture features have been linked to prognosis and clinical outcomes in some tumor types. CTTA CT texture analysis has also been used to assess response to therapy, with decreases in tumor heterogeneity generally associated with pathologic response and improved outcomes.

A variety of nononcologic applications of CTTA CT texture analysis are emerging, particularly quantifying fibrosis in the liver and lung. Although CTTA CT texture analysis seems to be a promising imaging biomarker, there is marked variability in methods, parameters reported, and strength of associations with biologic correlates. Before CTTA CT texture analysis can be considered for widespread clinical implementation, standardization of tumor segmentation and measurement techniques, image filtration and postprocessing techniques, and methods for mathematically handling multiple tumors and time points is needed, in addition to identification of key texture parameters among hundreds of potential candidates, continued investigation and external validation of histopathologic correlates, and structured reporting of findings.

Copyright © 2017 The RSNA. All rights reserved.

Original article link here

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