A measured 35% shorter echo study at Endeavor Health
Clinicians at the Endeavor Health Cardiovascular Institute timed routine adult transthoracic echocardiograms from acquisition to completion, with and without the Us2.ai workflow, and published the result in the Journal of the American Society of Echocardiography.
AI saves time, in theory
AI-guided echocardiography is widely expected to save time, but its effect on real throughput and on sonographers' working day had been little studied. An earlier survey in the same lab, three months into an AI reporting pilot, found cardiologists and sonographers adopting it at different rates: 79% of cardiologists referenced the AI measurements, against 33% of sonographers.
Acquisition to completion, timed
The team timed standard adult transthoracic echocardiograms performed by three sonographers of varying experience, from acquisition to completion, in two arms: the Us2.ai workflow, where the software supplies the measurements for the report, and the standard workflow with manual measurement. 47 studies were timed, 23 with the AI workflow and 24 standard, and the sonographers answered a short survey afterwards.
11 minutes saved per study
- Total study time fell from 31 min 39 s (± 8 min 20 s) to 20 min 35 s (± 8 min 17 s), a saving of 11 min 04 s, or 35.0% (p < 0.0001).
- Inpatient studies (16): 28 min 35 s to 17 min 10 s, a 39.9% saving (p = 0.0021).
- Outpatient studies (31): 33 min 11 s to 22 min 24 s, a 32.5% saving (p = 0.0029).
- All three sonographers reported a much lower click burden, and all three preferred to keep the AI workflow.
The study is small, at one academic health system, with three sonographers, so read the figures as that lab's measured experience rather than as a specification.
Procurement through a platform partner
Endeavor Health bought Us2.ai through the Viz.ai platform. In a recorded interview, NorthShore at Endeavor Health described going from contract to live in 6 to 9 weeks; the details are on the Viz.ai integration page.
Publications & announcements
Artificial Intelligence Optimizes Efficiency and Sonographer Workflow in Routine Adult Transthoracic Echocardiography: A Mixed-Methods Time-Motion Study
Journal of the American Society of Echocardiography
Interview · 2026Inside Endeavor Health's AI Echo Adoption: A Conversation with Dr. Ilya Karagodin
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