Cleerly ISCHEMIA 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

Both Cleerly ISCHEMIA and EchoNext are FDA-cleared AI tools in cardiology, but they focus on different diagnostic approaches. Cleerly ISCHEMIA analyzes CCTA scans for coronary artery ischemia and plaque characterization, while EchoNext uses standard ECGs to detect hidden structural heart disease like heart failure and valve disease. The choice between them depends on whether the diagnostic need is for detailed coronary artery assessment or broader structural heart disease screening.

Choose Cleerly ISCHEMIA if…

Choose Cleerly ISCHEMIA if you need a detailed, non-invasive assessment of coronary artery disease, including plaque characterization, stenosis severity, and vessel-level ischemia likelihood, based on CCTA scans. This tool is ideal for guiding personalized treatment plans and potentially reducing the need for more invasive procedures by providing a comprehensive 3D model of the coronary arteries.

View Cleerly ISCHEMIA →

Choose EchoNext if…

Choose EchoNext if you require a broad, non-invasive screening tool to detect hidden structural heart disease, such as heart failure, valve disease, and pulmonary hypertension, from a standard ECG. This tool is particularly well-suited for early detection in a wide range of clinical settings, from major hospitals to community practices, and can help identify patients who may need further evaluation with an echocardiogram.

View EchoNext →

Reviewed by Pouyan Golshani, MD — Interventional Radiologist

Quick Comparison

Feature Cleerly ISCHEMIA EchoNext
Pricing Contact for details Starts at $600/month
Deployment Web-based platform; data transfer via Cleerly Proxy (VPN or virtual appliance) 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 ISCHEMIA

Cleerly ISCHEMIA offers comprehensive interactive web-based reports and 3D digital models of coronary arteries, providing a highly visual and detailed user experience. It also integrates with PowerScribe via API, suggesting a streamlined workflow for radiologists. EchoNext, while available through a clinical decision support platform, focuses on ECG analysis, which is a simpler input, but its output and reporting features are not as extensively detailed in the provided information as Cleerly's visual reports.

Clinical Value

Cleerly ISCHEMIA

Cleerly ISCHEMIA provides non-invasive fractional flow reserve (FFR) estimation, vessel-level ischemia likelihood determination, and detailed coronary plaque characterization, offering a comprehensive assessment of heart disease. It has been validated in multiple clinical trials, demonstrating higher diagnostic accuracy and prognostic utility compared to other non-invasive measures. EchoNext detects hidden structural heart disease from ECGs and has shown higher accuracy than cardiologists in identifying structural heart problems. However, Cleerly's detailed plaque analysis and FFR estimation offer a more in-depth understanding of coronary artery disease progression and risk.

Pricing & Value

EchoNext

EchoNext has transparent tiered pricing starting at $600/month, with discounts available, making its cost structure clear to potential users. Cleerly ISCHEMIA's pricing is 'contact for details' and 'varies by provider,' which offers less transparency upfront. While Cleerly's analysis may cost between $500 and $1,500 on top of the CTA, EchoNext's subscription model could be more predictable for ongoing use.

Enterprise Readiness

Tie

Both tools demonstrate strong enterprise readiness. Cleerly ISCHEMIA is HIPAA compliant, has a BAA, and is deployed via a web-based platform with data transfer options, indicating robust security and integration capabilities. EchoNext is also HIPAA compliant, has a BAA, and is available through the OpenEvidence clinical decision support platform, which serves a large physician base. Both are FDA-cleared, further supporting their readiness for clinical adoption in enterprise settings.

Innovation

Tie

Both tools represent significant innovation in cardiology AI. Cleerly ISCHEMIA offers AI-enabled CCTA analysis for non-invasive FFR estimation and detailed plaque characterization, providing a novel approach to understanding coronary artery disease. EchoNext innovates by detecting hidden structural heart disease from standard ECGs, a widely available and inexpensive test, which can significantly broaden early detection efforts. The choice of winner depends on whether the innovation in advanced imaging analysis (Cleerly) or widespread, early screening (EchoNext) is prioritized.

Support & Docs

Tie

Both companies indicate a commitment to supporting their products. Cleerly provides comprehensive reports and integration capabilities, suggesting good documentation for implementation and use. EchoNext's collaboration with OpenEvidence implies access to a broad support network for its users. However, specific details about the breadth and depth of their support and documentation (e.g., online knowledge bases, dedicated support teams, training programs) are not explicitly provided for either tool, leading to a tie.

Feature-by-Feature

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

Feature Cleerly ISCHEMIA EchoNext
Tool Name Cleerly ISCHEMIA EchoNext
Company Cleerly Pathway Labs
Description FDA-cleared AI tool that analyzes CCTA scans to non-invasively determine the likelihood of coronary artery ischemia at a vessel level, aiding physicians in personalized diagnosis and treatment planning for heart disease. FDA-cleared AI tool from Pathway Labs that analyzes standard ECGs to detect hidden structural heart disease, including heart failure, valve disease, and pulmonary hypertension.
Primary Input CCTA scans Standard ECGs
Key Output/Detection Vessel-level ischemia likelihood, coronary plaque characterization, stenosis severity assessment, non-invasive fractional flow reserve (FFR) estimation Hidden structural heart disease (heart failure, valve disease, pulmonary hypertension)
Specialties Cardiology, Radiology Cardiology, Family Medicine, Hospital Medicine, Internal Medicine

Videos

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

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Frequently Asked Questions

Cleerly ISCHEMIA integrates with existing hospital and practice workflows, allowing CCTA uploads through various methods like direct upload, Nuance Powershare, Intelerad Inteleshare, and Cleerly Proxy. Reports are delivered via email, DICOM PDF, DICOM SC, or a web portal, and it integrates with PowerScribe via API. EchoNext is available through the OpenEvidence clinical decision support platform, which is used by many physicians, embedding its screening outputs directly into common clinical workflows without requiring a separate system.
Cleerly ISCHEMIA has demonstrated strong diagnostic accuracy with AUC values of 0.80 in the CREDENCE validation cohort and 0.85 in the PACIFIC-1 cohort for detecting coronary artery ischemia, outperforming FFRcT, MPI, and PET. EchoNext has shown high accuracy in detecting structural heart disease, achieving an AUROC of 85.2% and an AUPRC of 78.5% in internal tests, and 78-80% in external validation. In a comparison study, EchoNext achieved 77% accuracy, outperforming cardiologists who achieved 64% accuracy without AI assistance and 69% with AI assistance.
Cleerly ISCHEMIA is primarily suited for cardiology and radiology, providing vessel-level ischemia likelihood, coronary plaque characterization (volume, type, location), and stenosis severity assessment from CCTA scans. EchoNext is designed for a broader range of specialties including cardiology, family medicine, hospital medicine, and internal medicine, as it analyzes standard ECGs to detect hidden structural heart disease, including heart failure, valve disease, and pulmonary hypertension.
Cleerly ISCHEMIA provides comprehensive interactive web-based reports and 3D digital models of coronary arteries, with its analysis grounded in extensive clinical trial data, suggesting that physicians would primarily need to learn to interpret these detailed reports and integrate them into their diagnostic process. EchoNext integrates into existing clinical decision support platforms like OpenEvidence, aiming to minimize the learning curve by placing its output directly within tools physicians already use, rather than requiring a separate system.
Cleerly's approach is grounded in science, based on over 10 million images from over 40,000 patients gathered over a 15-year period in landmark, multi-center clinical trials, suggesting robust scientific backing and resources. Pathway Labs, the company behind EchoNext, has secured funding to support expansion across health systems, further clinical validation, and continued research and development, indicating ongoing support and resource development.

Backers

Who funded each tool's parent company.

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