Heart failure & cardiomyopathiesResearch article

Artificial Intelligence-Assisted cardiovascular magnetic resonance (CMR) Scanning vs Standard-of-Care

JACC AdvPublication date not resolved

  • nonrandomized comparison
  • tertiary-care center
  • consecutive patients

Authors' conclusion

In this nonrandomized comparison, AIA improved scan time, scan time consistency, image quality, and 90-day scan failure across top CMR indications, compared to ODS.

Study context

Population
Patients undergoing CMR at a tertiary-care center, 2020 to 2024consecutive patients, 6,545 studies · AI-assisted (AIA) studies 1,635 · ODS studies 4,910
Participants
6,080 patients
Comparison
Artificial intelligence (AI)-assisted vs conventional, operator-directed CMR scanning
  • AIAn = 1,635
  • ODSn = 4,910

Main finding

As reported in the abstract

Scan time
AIA vs ODS
reduction in average scan time 23%; P < 0.001
AIA vs ODS
reduction in coefficient of variation of scan time 31%
Reduction consistent across indications and technologists' experience; significant after adjustment
P < 0.0001

Further findings

Scan failure leading to repeat CMR · 90-day · lower in AIA

P < 0.001

OutcomeAIAODSP value
Scan quality score (5-point scale)
cine4.09 ± 0.84.03 ± 0.8
late gadolinium enhancement4.08 ± 0.83.98 ± 0.7
perfusion4.28 ± 0.64.14 ± 0.6
Patient survival · median follow-up of 29 months · did not differlog-rank P = 0.500
  • Scan quality score (5-point scale): P < 0.001 for each of cine, late gadolinium enhancement and perfusion; higher in AIA

AIA uptake · by 2023

AIA use after introduction in 2021
78%

Original publication

Artificial Intelligence-Assisted CMR Scanning vs Standard-of-Care. JACC Adv. doi:10.1016/j.jacadv.2026.102677

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