CAC (gated) Algorithm vs SENSICARDIAC

Tool A, BunkerHill Health's CAC (gated) Algorithm, integrates into standard physician workflows by automatically detecting and quantifying coronary artery calcium and pre-populating structured reports for radiologist review and approval. It offers integrations with EHRs via FHIR, PACS/imaging systems, and laboratory systems, streamlining the reporting process for radiologists. Tool B, SENSICARDIAC, integrates with electronic stethoscopes to provide real-time heart murmur detection and generates detailed cardiac reports as downloadable PDFs, which can be incorporated into patient records. The SensiCardiac Mobi system, which includes the Sensi Diagnostic Heart Murmur Algorithm, runs on a hosted server environment with TCP/IP interfaces to a handheld mobile device for data capture and display.

Tool A provides automatic detection and quantification of coronary artery calcium from non-contrast ECG-gated cardiac CT scans, aiding physicians in assessing coronary artery health and supporting opportunistic detection of cardiovascular disease. This helps identify at-risk patients who might otherwise be missed, enabling earlier intervention. Tool B offers AI-powered heart murmur detection, classifying murmurs as pathological or physiological by analyzing acoustic heart signals against a large validated database. This classification helps physicians in diagnosis and can reduce unnecessary referrals to cardiologists.

Tool A is primarily beneficial for Cardiology and Radiology specialties, focusing on patients aged 30 years and above undergoing non-contrast ECG-gated cardiac CT scans to assess coronary artery disease risk. It is also used for identifying elevated CAC on routine chest CTs for primary care and cardiology follow-up. Tool B is suited for Cardiology, Internal Medicine, and Pediatrics, particularly for patients requiring heart murmur screening and classification, such as during routine physicals or in urgent care settings for patients with shortness of breath or irregular heart rhythms.

Tool A is designed to integrate into standard workflows and pre-populate structured reports, suggesting a streamlined process for radiologists with minimal disruption to existing practices. This can lead to quicker adoption and realization of clinical value by automating a time-intensive task. Tool B features a guided auscultation process and real-time analysis, implying a user-friendly experience that provides immediate feedback and diagnostic support. Training for new users of SENSICARDIAC is part of the onboarding process, covering setup, device pairing, and live-session workflows.

Tool A pre-populates structured reports with CAC measurements for radiologist review and approval, creating a documented record of AI findings and human oversight. The values are released only after attending radiologist sign-off, and optional notifications can inform ordering clinicians once the report is finalized. Tool B generates detailed cardiac reports as downloadable PDFs, which visualize heart recordings with S1 and S2 indicators, showing the location and intensity of any detected murmur. These reports provide comprehensive documentation for quality assurance and sharing with other clinicians.

Tool A is part of BunkerHill Health's broader Carebricks platform, which is designed for AI-powered workflows and enables health systems to build and deploy AI agents, suggesting scalability and integration within a larger ecosystem. Bunkerhill algorithms are deployed in live clinical use at over 150 sites of care in the United States. Tool B is a cloud-based service, which generally facilitates multi-site access and management, and its user management system can centralize multiple facilities with integrated billing. The browser-based nature of the Telesensi application, which includes SENSICARDIAC, simplifies deployment across various settings.