Cleerly LABS vs EchoNext

Similar category, different focus. These tools serve overlapping but distinct needs. Comparability 65/100 Comparability is an AI-graded 0–100 score of how directly these two tools compete — higher means a more apples-to-apples comparison.
by Cleerly
VS
by Pathway Labs

AI Verdict

Cleerly LABS and EchoNext are adjacent tools in cardiology AI, both FDA-cleared and HIPAA-compliant, but they differ significantly in their diagnostic approach. Cleerly LABS focuses on detailed CCTA analysis for atherosclerosis and stenosis, providing comprehensive plaque assessment and disease progression tracking. In contrast, EchoNext analyzes standard ECGs to detect hidden structural heart disease like heart failure and valve disease, offering a more accessible initial screening tool.

Choose Cleerly LABS if…

Choose Cleerly LABS if you require a highly detailed, visual assessment of coronary artery disease directly from CCTA scans. This tool is ideal for cardiologists and radiologists who need to precisely quantify plaque volume and type, assess stenosis, and track disease progression over time for personalized heart disease management, especially when a comprehensive understanding of the coronary anatomy and pathology is critical.

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Choose EchoNext if…

Choose EchoNext if you need a cost-effective, non-invasive screening tool to identify hidden structural heart disease from standard ECGs. This is particularly well-suited for primary care physicians, family medicine, or hospital medicine settings where early detection of conditions like heart failure, valve disease, or pulmonary hypertension is crucial for guiding further diagnostic workup and intervention, without the need for advanced imaging initially.

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Reviewed by Pouyan Golshani, MD — Interventional Radiologist

Quick Comparison

Feature Cleerly LABS EchoNext
Pricing Per analysis Starts at $600/month
Deployment Cloud-based (AWS), web-based application, with on-site Cleerly Proxy for data transfer. Available through the OpenEvidence clinical decision support platform.
BAA Available Unknown Yes AI-estimated
FDA Status 1 AI-estimated Yes AI-estimated
HIPAA Unknown Yes AI-estimated

Head-to-Head

AI-generated assessment across six dimensions based on each tool's documented features and compliance posture. Grounded in public data — not a substitute for hands-on evaluation.

Usability

Cleerly LABS

Cleerly LABS offers a web-based application with 3D visualization and integration with PACS, RIS, and EHR, suggesting a comprehensive and interactive user experience for clinicians. EchoNext is available through the OpenEvidence platform, which is a clinical decision support platform used by many physicians, implying ease of access within an existing workflow. However, Cleerly's detailed reporting and interactive platform for reviewing plaque, stenosis, and ischemia analysis likely provide a richer diagnostic user experience.

Clinical Value

EchoNext

EchoNext has demonstrated high accuracy in detecting structural heart disease from ECGs, even outperforming cardiologists in some studies, and has been shown to identify previously undiagnosed heart disease in a pilot study. Cleerly LABS provides comprehensive coronary plaque assessment and ischemia detection, with studies showing its effectiveness in identifying high-grade stenosis and changing clinical management. However, EchoNext's ability to screen for a broad range of hidden structural heart diseases from a routine, inexpensive ECG, potentially leading to earlier diagnosis and intervention for conditions often missed, gives it a slight edge in broader clinical impact and early detection.

Pricing & Value

Tie

Cleerly LABS is priced per analysis, with a retail price of $1500, currently offered at a discounted rate of $750, plus the separate cost of the CCTA scan (totaling $1000-$1500 out-of-pocket). EchoNext has tiered pricing starting at $600/month, with additional fees for implementation and onboarding, and add-ons for premium features. Both tools have some insurance coverage available, but out-of-pocket costs can be significant. Given the different pricing models (per analysis vs. subscription) and varying insurance coverage, it is difficult to definitively declare one as a clear winner in terms of overall pricing and value without more specific use-case and volume information.

Enterprise Readiness

Cleerly LABS

Cleerly LABS is cloud-based on AWS, with an on-site Cleerly Proxy for data transfer, and offers integration with PACS, RIS, and EHR, indicating robust enterprise capabilities and data management. EchoNext is deployed through the OpenEvidence clinical decision support platform and is designed for broad access, from major hospitals to community practices. Cleerly's explicit mention of integration capabilities with existing hospital systems and its cloud infrastructure built on AWS suggests a more detailed and established approach to enterprise deployment and scalability.

Innovation

EchoNext

EchoNext is highlighted as the world's first FDA-cleared AI tool to detect hidden structural heart disease from standard ECGs, a widely available and inexpensive test. This represents a significant innovation in leveraging a common diagnostic for a novel screening purpose. Cleerly LABS offers advanced AI-powered CCTA analysis for comprehensive plaque assessment and ischemia detection, which is also innovative in refining existing imaging techniques. However, EchoNext's ability to extract critical information from a routine ECG to identify conditions previously undetectable by this method offers a more disruptive and broadly accessible innovation in early disease detection.

Support & Docs

Tie

Both companies are FDA-cleared and HIPAA compliant, implying a commitment to regulatory standards and data security. Both have published clinical validation studies, indicating a scientific basis for their tools. However, specific details regarding ongoing customer support, training programs, or the breadth and accessibility of documentation for either tool are not extensively provided in the given information or search results, leading to a tie in this dimension.

Feature-by-Feature

Detail beyond the Quick Comparison summary. For pricing, deployment, BAA, FDA, and HIPAA see the Overview tab.

Feature Cleerly LABS EchoNext
Tool Name Cleerly LABS EchoNext
Company Cleerly Pathway Labs
Description AI-powered, FDA-cleared web-based software for comprehensive analysis of coronary CT angiography (CCTA) to detect, quantify, and characterize atherosclerosis and stenosis, aiding in personalized heart disease management. FDA-cleared AI tool that analyzes standard ECGs to detect hidden structural heart disease, including heart failure, valve disease, and pulmonary hypertension.
Key Features AI-powered CCTA image analysis, Comprehensive coronary plaque assessment (volume, type), Stenosis detection and quantification, Ischemia detection (with Cleerly ISCHEMIA module), 3D visualization of coronary arteries, Personalized heart disease risk assessment, Tracking disease progression over time, Integration with PACS, RIS, EHR via Cleerly Proxy AI-powered ECG analysis, Detection of hidden structural heart disease, Identifies heart failure risk, Screens for valve disease, Detects pulmonary hypertension indicators, Utilizes standard 12-lead ECGs, FDA-cleared technology, Non-invasive diagnostic support
Specialties Cardiology, Radiology Cardiology, Family Medicine, Hospital Medicine, Internal Medicine

Videos

Demos, reviews, and walkthroughs featuring Cleerly LABS and EchoNext.

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Frequently Asked Questions

Cleerly LABS integrates with PACS, RIS, and EHR systems via the Cleerly Proxy, a cloud-based solution with a minimal on-site footprint that automates the upload of CCTA scans and delivery of reports. EchoNext is available through the OpenEvidence clinical decision support platform, aiming to put its screening output in front of physicians using tools they already utilize at the point of care.
Cleerly LABS has demonstrated high diagnostic performance for moderate and severe stenosis, with per-patient AUCs of 0.88 for u226550% stenosis and 0.92 for u226570% stenosis, and per-vessel AUCs of 0.90 for u226550% stenosis and 0.95 for u226570% stenosis. It also showed 98% sensitivity in plaque detection in a 2022 JACC study. EchoNext achieved an AUROC of 85.2% in internal tests and 78-80% in external validation for detecting structural heart disease. In a comparison with cardiologists, EchoNext alone achieved 77% accuracy, while cardiologists achieved 64% accuracy, increasing modestly to 69% with AI assistance.
Cleerly LABS is a web-based software intended for use by trained medical professionals as an interactive tool for viewing and analyzing cardiac CT data. EchoNext analyzes standard 12-lead ECGs to detect hidden structural heart disease. Both tools are designed to provide diagnostic support and insights, suggesting that while initial training on the specific interface and interpretation of AI-generated results will be necessary, they aim to augment, rather than replace, physician expertise.
Cleerly offers client support for existing users to address challenges quickly and efficiently. Pathway Labs, the company behind EchoNext, is partnering with OpenEvidence to make the tool broadly accessible, suggesting a focus on widespread deployment and support through that platform.
Cleerly LABS is designed for patients undergoing CCTA for evaluation of coronary artery disease (CAD) or suspected CAD, providing comprehensive coronary plaque assessment and stenosis detection to aid in personalized heart disease management and track disease progression. EchoNext is designed for broad access, from major hospitals to community practices, analyzing standard ECGs to detect hidden structural heart disease, including heart failure, valve disease, and pulmonary hypertension, potentially enabling earlier detection in patients who might otherwise be missed.
Cleerly LABS has implemented security features for device and data protection, with cybersecurity requirements, risk analysis, and mitigation addressed in accordance with FDA guidance. Cleerly's platform, built on AWS, leverages HIPAA-compliant offerings for securing the environment and patient data privacy with end-to-end encryption, making it straightforward to implement and audit. While specific audit-trail features for EchoNext are not detailed, its deployment through the OpenEvidence platform and focus on clinical decision support suggest that tracking of AI-driven insights and their influence on care pathways would be a critical component.

Backers

Who funded each tool's parent company.

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