Arrhythmias & electrophysiologyCohort study

Accuracy of a Deep Learning Model in Intracardiac Echocardiography

JACC AdvPublished

  • retrospective multicenter study

Authors' conclusion

Auto-Contour demonstrated robust multistructure segmentation of ICE anatomy with real-time inference, supporting prospective evaluation of artificial intelligence-assisted ICE for procedural standardization, efficiency, and safety.

Study context

Population
Deidentified intracardiac echocardiography (ICE) cine loops from procedures of unique patients, including routine clinical cases and the ViewFlex™ X first-in-human studyprocedures of unique patients, 5,496 ICE cine loops, 65,117 segmentations
Participants
249 participants
Exposure
Auto-Contour deep-learning segmentation of ICE anatomy against ICE expert annotations

Main finding

As reported in the abstract

Segmentation performance, larger cardiac chambers

Dice score, left atrium

0.94

Dice score, left ventricle

0.82

95th-percentile Hausdorff distance, left atrium

1.18 mm

95th-percentile Hausdorff distance, left ventricle

3.27 mm

Observational data: associations, not effects.

Further findings

Segmentation performance, smaller structures

Acceptable performance for the left atrial appendage, pulmonary veins, papillary muscles, and aortic cusps

Mean per-frame inference time

Mean per-frame inference time
<0.03 seconds

Original publication

Accuracy of a Deep Learning Model in Intracardiac Echocardiography. JACC Adv. Published 15 June 2026. doi:10.1016/j.jacadv.2026.102867

Summarised from the published abstract; every number is checked against it