What happened
AETSA, the health technology assessment agency of Andalusia, assessed AI assistants for echocardiography in 2024 for Spain's network of assessment agencies. The four systems were Caption Guidance, Real-Time EF, LVivo Seamless and AI TRIO. AETSA writes that they were trained on millions of echocardiographic images annotated by experts. It included five prospective validation studies from the United States, Germany, Tunisia and Portugal, found in searches up to February 2024. In four studies, nurses or residents without echocardiography experience scanned patients with the AI's help. In the German study, LVivo Seamless analyzed images that a cardiologist had taken. AETSA found that ejection fractions from the four systems agreed with manual expert measurement, with no systematic error identified. The intraclass correlation was 0.84 for Caption Guidance in one study and 0.68 for AI TRIO in another. In one study, nurses' scans were good enough to assess the left ventricle in 98.8% of cases. AETSA notes risks of bias, small samples and a lack of long-term studies. It found no economic evaluations and no data on use in Europe.
Sources
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Assessment report, by authors with no tie to the system.
AETSA, Evaluación de Tecnologías Sanitarias de Andalucía (Maesa Márquez JM, Isabel Gómez R). Sistema de identificación de enfermedades cardiacas basado en ecografía e inteligencia artificial. Ficha de evaluación de tecnologías sanitarias nuevas y emergentes, RedETS and Ministerio de Sanidad, Sevilla, 2024. Puntos clave, p. 53.
Los trabajos incluidos determinan la existencia de concordancia entre la FEVI determinada por los cuatro sistemas de IA y las obtenidas manualmente por el método de referencia, sin identificarse ningún error sistemático.
Details
AI system
- Workflow
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Nurses or residents without echocardiography experience scanned patients, after one hour of training in one study and one day in another. The software guided the probe and judged image quality, except LVivo Seamless, which analyzed stored images. The software computed the ejection fraction automatically from the apical views.
Follow-up
- Conditions for replication
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The software must run on compatible scanners, such as the Terason uSmart 3200T Plus for Caption Guidance and the Venue for Real-Time EF. Expert cardiologists must supervise use, since AETSA writes that the results should not replace a specialist's diagnosis.
Entry details
- Sector
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Healthcare (cardiology).
- Purpose
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Caption Health, GE HealthCare, DIA Imaging Analysis and EchoNous built Caption Guidance, Real-Time EF, LVivo Seamless and AI TRIO to help users without expert training perform echocardiography. The systems also compute the left ventricular ejection fraction automatically.
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model, release, provider, role, configuration, inputs and outputs, autonomy, human oversight, AI contribution, beneficiaries, reach, distribution and access, duration, every measurement question, every money question, ownership and control, dependencies, cross-border connections, geopolitical implications, replication attempts, availability, institutional decision, grounds, action and result, success criterion, every evidence question, observed or intended, alternative assessments, related entries, other identifiers, category mappings.
Cite this record
Peter H. Vartanian. (2026). AI echocardiography assistants match experts' ejection fractions (AIBD-1030). Artificial Intelligence Benefits Database, edition of 1 November 2026. https://petervartanian.xyz/aibd/records/AIBD-1030.html (archived at https://doi.org/10.7910/DVN/AADSII, version 7.0)