Evidence map›Paper›PMID 41461706›Full record

ArticleScientific reports2025

AI-driven tongue image analysis for diagnosing and predicting coronary artery disease.

Alireza Hekmat-Ardakani, Hamid R Rabiee, Armin Behnamnia, Amir Hooman Kazemi, Amir Sobh Rakhshankhah, Ramtin Mahmoudi Kashani, Alireza Yargholi, Bahar Morshed-Behbahani, Abolfazl Malekahmadi, Hamidreza Hekmat and 1 more

Abstract read
In one paragraph

Article in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Alireza Hekmat-ArdakaniDepartment of Traditional Medicine, School of Persian Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Hamid R RabieeDepartment of Computer Engineering, Sharif University of Technology, Tehran, Iran. rabiee@sharif.edu.
Armin BehnamniaDepartment of Computer Engineering, Sharif University of Technology, Tehran, Iran.
Amir Hooman KazemiDepartment of Traditional Medicine, School of Persian Medicine, Tehran University of Medical Sciences, Tehran, Iran.
Amir Sobh RakhshankhahDepartment of Cardiology, School of Medicine, Tehran University of Medical Sciences, Sepehr heart center, Baharloo hospital, Tehran, Iran.
Ramtin Mahmoudi KashaniDepartment of Computer Science, Amirkabir University of Technology, Tehran, Iran.
Alireza YargholiAICT Research Institute, Sharif University of Technology, Tehran, Iran.
Bahar Morshed-BehbahaniDepartment of Midwifery and Reproductive Health School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran.
Abolfazl MalekahmadiDepartment of Computer Engineering, Sharif University of Technology, Tehran, Iran.
Hamidreza HekmatDepartment of Cardiology, School of Medicine, Ziaeian Hospital, Baharloo Hospital, Tehran University of Medical Sciences, Tehran, Iran. hekmat.hamidreza@yahoo.com.
Mehrdad KarimiDepartment of Traditional Medicine, School of Persian Medicine, Tehran University of Medical Sciences, Tehran, Iran. bahmanhekmat@yahoo.com.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Coronary artery disease is a leading cause of mortality worldwide, with current diagnostic methods presenting challenges of invasiveness and accuracy. This study investigates artificial intelligence-powered tongue image analysis as a novel, non-invasive diagnostic tool for coronary artery disease. Drawing on principles from Traditional Iranian Medicine, we analyzed tongue features, including color, fissures, coating, moisture, and red spots, in 906 patients undergoing coronary angiography. A dataset of 12,000 tongue images was used to train artificial intelligence models, which were created using high-resolution images captured with a Visioface device. The Segment-Anything Model facilitated tongue segmentation, while DeepLabv3+/DINOv2 architectures were employed for feature extraction and stenosis classification. Results indicated that artificial intelligence predictions achieved up to 80% accuracy for left circumflex artery stenosis, highlighting tongue color and fissures as significant predictors of this condition. This study presents artificial intelligence-driven tongue analysis as a rapid and cost-effective adjunct for screening coronary artery disease, particularly in resource-limited settings, and warrants further validation in diverse populations.

Indexed as

Artificial IntelligenceCoronary Artery DiseaseImage Processing, Computer-AssistedTongueAgedCoronary AngiographyFemaleHumansMaleMiddle AgedArtificial intelligenceCoronary artery diseaseTongue image analysisTraditional iranian medicine

Identifiers

PMID41461706
PMCPMC12749174

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.