Article | Aug 29, 2025

This randomized crossover trial is the first to evaluate daily use of artificial intelligence–based automated echocardiographic analysis in real‐world clinical practice, demonstrating reduced examination time, increased daily scan volume, and improved image quality.

What Are the Clinical Implications?

  • Artificial intelligence integration enabled sonographers to complete more echocardiograms with less mental fatigue, supporting its role in sustaining high‐volume laboratories while maintaining diagnostic quality.
  • By enhancing efficiency and image quality, artificial intelligence–assisted workflows may facilitate broader use of advanced echocardiographic parameters and improve patient care in routine cardiovascular practice.

Read our interview with Dr. Nobuyuki Kagiyama to learn about the key takeaways from the study and the experience of implementing Us2.ai at Juntendo University.

Read the manuscript here →

AI Echo Automation Improves Workflow for Sonographers


Sakamoto, A., Kagiyama, N., Sato, E., Nakamura, Y., Murata, A., Kaneko, T., Miyazaki, S., Ashikawa, Y., Sugihara, K., & Minamino, T. (2025). Artificial Intelligence–Based Automated Echocardiographic Analysis and the Workflow of Sonographers: A Randomized Crossover Trial (AI‐Echo RCT). Journal of the American Heart Association, 15(1), e045637–e045637. https://doi.org/10.1161/jaha.125.045637