|
Cardiology AI Clearances | CVAUSA’s Home Expansion August 12, 2024
|
|
|
|
Together with
|
|
|
“The digital world has been in a separate orbit from our medical cocoon, and it’s time the boundaries be taken down.”
|
Dr. Eric Topol on healthcare’s digital convergence.
|
|
|
The FDA updated its healthcare AI database last week, increasing its list of AI-enabled clearances to a whopping 950 medical devices, while highlighting some interesting trends in cardiovascular AI.
Overall healthcare AI clearances seem to be stable, with the first half of 2024 bringing 107 total clearances, which is just behind pace of 2023’s full year total (220).
Cardiovascular AI maintained a distant second largest share of FDA-cleared AI products in H1 2024, with 9% of total clearances (10 devices), well below radiology’s 73% share (78 devices).
However, cardiovascular AI actually made up a larger 18% share of total H1 2024 clearances (19 devices) if you also count cardiovascular imaging AI products that the FDA technically categorized within its “Radiology” segment (e.g. FFRCT, coronary plaque, echo AI, etc)…We’re using this broader definition of cardio AI through the rest of this story.
- Cardiovascular AI’s total share of H1 2024 AI clearances was the highest since 2020 (both 18%), after landing between 14% and 16% during the last three years.
- Cardiovascular AI’s 19 clearances in H1 2024 also puts the segment on pace to eclipse any previous year (previously 30, 24, 21, 20, 22, 15).
The FDA database also reveals extremely wide brand diversity in the cardiovascular AI segment, with 86 companies, and none with more than a 6% share of total clearances.
- That trend stayed alive in H1 2024, which saw another influx of new cardio AI developers making their debut on the FDA list (AgileMD, DASI Simulations, inHEART, InVision Medical, Innolitics, Kestra Medical… and even the US Army).
Cardiovascular AI applications continued to largely analyze imaging and ECG data, although imaging+ECG’s share of cardio AI clearances fell to 74% in H1 2024 (down from 83% in 2023 and 88% in 2022) due to a recent increase in EHR and sensor-based cardio AI products.
- We’re also seeing cardiovascular AI continue to expand from diagnostics/detection to more procedural use cases, including new solutions for TAVR and ablation planning that were cleared in H1 2024.
The Takeaway
Although actual cardiovascular AI use in the clinic is in its early stages, the large and growing list of FDA-cleared cardio AI products is a reminder of the innovations taking place in this arena. That innovation appears to be leading to more cardiovascular AI products, with more diverse use cases, and should eventually lead to larger increases in clinical adoption.
|
|
|
Where to Go for Cardio AI?
TeraRecon’s Cardio Suite is a collection of hand-selected, vendor-neutral Cardiology AI algorithms that aid in the analysis and interpretation of echocardiograms and chest CTs. Learn about TeraRecon’s AI offering and how they improve efficiency and accuracy here.
|
|
Us2.ai’s Next Gen AI
Us2.ai recently scored FDA clearance for Us2.v2, the newest version of its flagship software featuring 45 automated echocardiography parameters, including strain analysis. See how the new version automates echo exams and improves cardiovascular disease detection.
|
|
Join the Cardiovascular Revolution
See how Optum enterprise imaging can prepare you for the future of imaging with industry-leading structured reporting, single-database architecture, AI and cloud-native design.
|
|
- Which Drugs After LAAO?: In the small ADALA study, a twice-daily dose of the oral anticoagulant apixaban (Bristol Myers Squibb’s Eliquis) had an edge over dual antiplatelet therapy with clopidogrel/aspirin. In the open label study of 90 patients treated for three months post-LAAO, the apixaban group had significantly fewer device-related thrombosis events (0 vs. 6) and less major bleeding events (2 vs. 6), but efficacy was on par with the antiplatelet duo, with similar rates of thromboembolic events.
- CVAUSA’s Home Expansion: After years of acquiring cardiology practices across the country, private equity-backed Cardiovascular Associates of America (CVAUSA) is expanding into patients homes. CVAUSA acquired Novolink Health (previously Duxlink Health), calling Novolink a national pioneer in the “high-risk care at home” space, and positioning the acquisition as a major strategic step towards CVAUSA building a comprehensive care model. CVAUSA has now acquired at least four groups in 2024, after acquiring at least 10 practices in 2023 and 22 groups since 2021.
- Protecting Against TAVR Strokes: An analysis of over 270k TAVR patients showed that while cerebral protection devices (CPDs) did not lower overall stroke rates, they significantly reduced major stroke rates (1.2% vs. 1.5%). CPD use was also associated with shorter hospital stays, lower mortality (0.7% vs. 1.3%), and fewer readmissions. Despite the results on overall stroke protection, multiple studies have now shown CPDs to be beneficial in preventing major disabling strokes.
- Protembis’ Cerebral Protection Funding: In other cerebral protection news, German startup Protembis landed $21.8M from the European Investment Bank to support further research into its ProtEmbo intra-aortic filter device. The ProtEmbo is a non-thrombogenic system that’s delivered through the left radial artery, and lines the roof of the aortic arch to protect the brain from embolic material during TAVR procedures. The funding comes shortly after Protembis’ $32.75M Series B in March 2024.
- Deadly Metal Exposure: An analysis of 6.5k patients followed for about 20 years (2000-2019), revealed that individuals with higher levels of six metals in their urine at baseline (cadmium, tungsten, uranium, cobalt, copper, and zinc) had far higher risks of CVD (+29%) and all-cause mortality (+66%) at the end of the period. The metals’ CVD risks ranged from +20% for tungsten to +42% for copper, while all-cause mortality risks ranged from +16% for tungsten to +68% for cadmium.
- SandboxAQ & Mayo’s MCG Alliance: SandboxAQ and Mayo Clinic launched a research collaboration evaluating SandboxAQ’s AI-powered CardiAQ magnetocardiography (MCG) system. The study will initially explore the relationship between MCG and angiography findings. CardiAQ is a mobile and radiation-free cardiac imaging device, leveraging advanced sensors and AI to support the visualization and assessment of the heart’s magnetic signals. SandboxAQ hopes to establish CardiAQ as a right-sized option between ECG or biomarkers and CTs or angiography.
- Post-MI Sudden Death Progress: An analysis of data from the VALIANT study (1998-2001) and PARADISE-MI study (2016-2020) shows the positive effects of modern MI management. Post-MI sudden death/resuscitated cardiac arrest rates fell significantly from the earlier VALIANT study to the later PARADISE-MI study (7.4% to 2.6%). Mortality risk was highest in the first month post-MI, but fell nearly in half from the VALIANT to PARADISE-MI studies (19.3 to 9.5 per 100 person-years).
- Attralus’ Amyloidosis Breakthrough: Attralus’ investigational PET imaging agent, 124I-evuzamitide (AT-01) landed FDA Breakthrough Therapy Designation for the diagnosis of patients with suspected or known cardiac amyloidosis. There are no FDA-approved imaging agents for cardiac amyloidosis, making diagnosis a challenging and time-consuming process. Attralus’ 124I-evuzamitide already received orphan drug designations for the management of ATTR and AL amyloidosis by both the FDA and the European Commission, while its Phase 3 trial in patients with suspected cardiac amyloidosis is coming in 2025.
- CPR’s Varied Benefits: It’s widely accepted that bystander CPR improves survival for out-of-hospital cardiac arrest, but a new study in Circulation shows that its survival benefit varies by race and sex. Bystander CPR was most beneficial for White (OR=1.33) and Native American (OR=1.40) patients, and least effective for Black patients (OR=1.09). Men also saw more benefit (OR=1.35) compared to women (OR=1.15). These patterns persisted regardless of neighborhood, racial, ethnic, and income profiles.
- Pulse Biosciences’ First PFA Treatment: Pulse Biosciences announced the successful treatment of the first two AFib patients using its Nanosecond Pulsed Field Ablation (nsPFA) Cardiac Surgery System. Pulse Biosciences’ first-in-human feasibility study treated the two patients at St. Antonius Hospital in the Netherlands, achieving effective pulmonary vein and ‘box’ isolation, while producing “linear ablations in a fraction of the time it takes with the current thermal modalities.” Pulse Biosciences is generating some solid momentum, after also landing FDA Breakthrough Device Designation for AFib and adding $83M last month.
- FDA Finalizes TCET Guidance: The FDA published the final guidance on its new Transitional Coverage for Emerging Technologies (TCET) regulatory pathway. TCET is voluntary and is designed to streamline the process for getting breakthrough medical devices to market, but a major potential downside is that rather than automatically allowing Medicare coverage for authorized devices, it requires vendors to go through the cumbersome National Coverage Determination and Coverage with Evidence Development processes. This may limit the number of vendors choosing the TCET pathway.
|
|
Accurately Measuring Heart Rate Variability
Heart rate variability measurement and analysis involves two critical elements – the ability to accurately discern the R wave in noisy environments, and using the correct analysis method for a given application. Check out how Monebo’s Kinetic HRV ECG Algorithm excels at both of these essential tasks.
|
|
Assessing CAD with Circle CVI
Did you know that Circle CVI offers a suite of cardiac CT tools for the assessment of coronary artery disease? See how Circle combines heart function segmentation, automated plaque analysis, CAC scoring, reporting, and viewing in a single dedicated Cardiac CT package.
|
|
HeartFlow FFRCT Avoids Invasive Cath
Despite being conscious about his heart health, 60-year old Mike Gartman suddenly experienced classic symptoms of CAD. See how Mike’s HeartFlow FFRCT Analysis results allowed him to avoid the invasive procedure altogether and gain peace of mind about his disease.
|
|
- Tracking Your Post-Treatment Plaque: Tune-in to this on-demand Cleerly webinar where preventative cardiologist John Osborne, MD, PhD, FACC, FNLA explores how to use CTA to track plaque progression and identify residual risk post-treatment.
- Catch up on 2024’s Cardiology Coffee Breaks: Join GE HealthCare on a journey to bridge the gaps to connected cardiovascular care with this season’s Cardiology Coffee Breaks. In the time it takes you to finish your coffee, these Coffee Breaks demonstrate how GE’s integrated solutions empower healthcare organizations to provide precision care, achieve operational efficiency, and enhance patient satisfaction.
- How to Identify and Treat More CVD Patients: Do you know how many patients with high CVD risks are in your chest CT archive? See how the Stanford Health Care System used Bunkerhill Health’s Incidental CAC algorithm to screen its previous non-gated chest CTs, identify patients with coronary calcium, and get them on statins.
- Experience the future of learning: Medtronic Academy 2.0 is here! Unlock your ultimate destination for structural heart medical education with the newly redesigned Medtronic Academy 2.0. Gain access to expert-led courses, webinars, and a wealth of resources to stay ahead in cardiovascular care. Visit now!
- Your Cardiology Data is Valuable. Put it To Work. See how one major Midwest health system’s decision to implement Merge Cardio transformed physician and staff workflows, improved data entry speed and accuracy, and increased cost savings.
- The Post-Acute Stroke Game Changer: See how Viz Connect solution can optimize your post-acute stroke pathway. The Viz.ai solution allows the cardiology team to promptly receive Neurology referrals to evaluate patients with suspected AFib for cardiac monitoring and reduce their risk of secondary stroke.
- The Benefits of Outsourced Post-Processing: Using an outsourced cardiac image post-processing solution doesn’t have to mean sacrificing control of the results. Discover how PIA’s customizable post-processing workflow can help you get the most out of your images.
|
|
|
|
|