Artificial Intelligence in Intravascular Imaging for Percutaneous Coronary Interventions: A New Era of Precision

Intravascular imaging (IVI), including intravascular ultrasound and optical coherence tomography, play a crucial role in guiding percutaneous coronary intervention by providing detailed visualization of coronary anatomy and plaque morphology. Despite substantial evidence supporting IVI use, its adoption in clinical practice remains limited for multiple reasons including limited operator experience and a lack of confidence in image interpretation. The emergence of artificial intelligence presents a promising solution to these challenges by enhancing procedural efficiency and precision, thereby potentially increasing both IVI adoption and procedural optimization. This manuscript discusses the current applications, challenges, and future directions of artificial intelligence in IVI for percutaneous coronary intervention.