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Artificial Intelligence-Based Automated Echocardiographic Analysis and the Workflow of Sonographers: A Randomized
Akira Sakamoto1, Nobuyuki Kagiyama1, Eiichiro Sato1
1Department of Cardiovascular Biology and Medicine Juntendo University Graduate School of Medicine Tokyo Japan.
Journal of the American Heart Association
|December 17, 2025
Summary
Artificial intelligence (AI) in echocardiography significantly improved workflow efficiency by reducing examination times and increasing daily scans. This AI integration also lowered sonographer fatigue and enhanced image quality in clinical practice.
Area of Science:
- Cardiology
- Medical Imaging
- Artificial Intelligence
Background:
- Evaluating the impact of artificial intelligence (AI) on echocardiography workflows in clinical settings.
- Assessing AI's role in improving sonographer efficiency and patient care.
Purpose of the Study:
- To determine if AI-based automatic analysis of echocardiograms can enhance sonographer workflow.
- To measure the effects of AI assistance on examination efficiency, sonographer fatigue, and image quality.
Main Methods:
- A single-center crossover trial involving 4 sonographers comparing AI-assisted and manual echocardiography workflows.
- Primary endpoint: examination efficiency (time per patient, examinations per day).
- Secondary endpoints: sonographer fatigue, number of parameters analyzed, and image quality.
Main Results:
- AI assistance reduced examination time by 9% and increased daily examinations by 18%.
- The number of echocardiographic parameters analyzed per examination increased 3.4-fold with AI.
- Sonographer mental fatigue scores decreased, and image quality significantly improved with AI assistance.
Conclusions:
- AI-based echocardiographic analysis improves workflow efficiency, reduces sonographer fatigue, and enhances image quality.
- AI integration is a promising strategy for optimizing high-volume echocardiography practices.
- The study demonstrates AI's potential to maintain diagnostic integrity while streamlining echocardiography procedures.
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