Can AI read heart ultrasounds as well as trained sonographers?
NCT ID NCT07021599
First seen Sep 16, 2026 · Last updated Sep 17, 2026 · Updated 1 time
Summary
Researchers are testing whether an artificial intelligence system can analyze echocardiogram images and draft reports as accurately as experienced sonographers in patients with heart failure. The trial enrolls adults with new or worsening heart failure symptoms and elevated heart failure blood markers. Participants are randomly assigned to have their heart ultrasound analyzed by either the AI system or a sonographer, with an experienced cardiologist reviewing all results. The main question is whether the AI's grading of heart function and valve problems matches the cardiologist's assessment, and whether AI saves time in producing reports.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- an artificial intelligence system that analyzes and drafts reports from echocardiogram images
- What this could lead to
- If AI readings match expert cardiologists, hospitals could speed up heart failure diagnosis and free sonographers to scan more patients.
- What could go wrong
- AI may miss subtle heart abnormalities that trained sonographers catch, and the trial measures agreement with expert readings rather than whether patients do better.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 514 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Jul 2025
- Expected to finish
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Dec 2028
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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18 years and older
- Sex
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Anyone
- Healthy volunteers
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Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: * Aged 18 years or above * Has new or worsening of heart failure symptoms * Elevated heart failure blood markers (N-terminal prohormone of brain natriuretic peptide, "NTproBNP") within 3 months from enrolment or by point-of-care blood test, to ensure that the patient's symptoms are cardiac origin * Provision of written informed consent Exclusion Criteria: * Known severe valvular heart disease * Prior prosthetic valve implantation * Previously known or suspected \>=severe tricuspid regurgitation, \>=moderate aortic regurgitation, \>=moderate mitral stenosis or pericardial disease during detected during image acquisition * Insufficient image quality for proper analysis determined by the scanning sonographer (estimated to be 15% of all echocardiograms screened)
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Prince of Wales Hospital
Hong Kong, Shatin, 0000, Hong Kong
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