Evidence map›Paper›PMID 42652802›Full record

ReviewJournal of clinical medicine2026

Artificial Intelligence in Cardiovascular Ultrasound: Clinical Applications, Foundation Models, and the Path to Precision Cardiology.

Ancuta Elena Tupu, Simona Steliana Tudor, Caterina Nela Dumitru, Claudia Simona Stefan, Ionela Daniela Ferțu

Abstract readReview
In one paragraph

Review in Journal of clinical medicine, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing 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

1 citing paper in PubMed.

  1. Review
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

5 authors.

Ancuta Elena TupuFaculty of Medicine and Pharmacy, Medical-Pharmaceutical Research Center, "Dunarea de Jos" University of Galati, 800008 Galati, Romania.ORCID 0009-0006-3855-2056
Simona Steliana TudorFaculty of Medicine and Pharmacy, Medical-Pharmaceutical Research Center, "Dunarea de Jos" University of Galati, 800008 Galati, Romania.
Caterina Nela DumitruFaculty of Medicine and Pharmacy, Medical-Pharmaceutical Research Center, "Dunarea de Jos" University of Galati, 800008 Galati, Romania.
Claudia Simona StefanFaculty of Medicine and Pharmacy, Medical-Pharmaceutical Research Center, "Dunarea de Jos" University of Galati, 800008 Galati, Romania.
Ionela Daniela FerțuFaculty of Medicine and Pharmacy, Medical-Pharmaceutical Research Center, "Dunarea de Jos" University of Galati, 800008 Galati, Romania.ORCID 0000-0003-1514-953X

Funding

"Dunarea de Jos" University of Galati This research and the APC were funded by "Dunarea de Jos" University of Galati, VAT number RO50411550.
6 · The paper itself

Abstract

Cardiovascular ultrasound is a cornerstone of noninvasive cardiac and vascular assessment, yet conventional interpretation remains operator-dependent, variable, and limited in sensitivity for subclinical disease. Artificial intelligence (AI), particularly machine learning (ML), deep learning (DL), and, most recently, vision-language and foundation models, offers tools to automate, standardize, and extend ultrasound analysis. This narrative review examines the role of AI-enhanced cardiovascular ultrasound in the transition from descriptive imaging toward predictive and personalized medicine. We conducted a structured literature search of PubMed/MEDLINE, Scopus, Web of Science, and Google Scholar (January 2016-May 2026), combining Medical Subject Headings and free-text terms related to AI and cardiovascular ultrasound. Original studies, meta-analyses, reviews, consensus documents, and seminal works were considered. AI now spans the entire echocardiographic workflow, acquisition guidance, view classification, segmentation (Dice ≈ 0.92-0.94 on public datasets), and automated quantification of ejection fraction and global longitudinal strain, achieving expert-level accuracy and improved reproducibility. Across clinical domains, AI supports ischemia detection on stress echocardiography, heart-failure phenogrouping, Doppler-independent aortic stenosis detection, and carotid plaque characterization for stroke-risk stratification. Emerging vision-language and multitask foundation models (e.g., EchoCLIP, EchoPrime, and PanEcho) point toward general-purpose interpretation, and a growing number of tools (Caption Guidance, Us2.ai, and Ultromics EchoGo) have obtained FDA clearance and/or CE marking. Increasingly, AI-derived imaging biomarkers feed multimodal models that enable individualized risk prediction and therapy selection. AI-enhanced cardiovascular ultrasound is poised to become a central tool of precision cardiology. Realizing its potential will require prospective multicenter validation, cross-vendor standardization, attention to generalizability, interpretability, and reproducibility, and evolving regulatory and ethical frameworks.

Indexed as

artificial intelligencecardiovascular risk stratificationcardiovascular ultrasounddeep learningechocardiographyfoundation modelsglobal longitudinal strainmachine learningprecision medicinespeckle-tracking echocardiographyvision–language models

Identifiers

PMID42652802
PMCPMC13513201

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.