HeartFlow Analysis

by HeartFlow  · Based in United States →Decisive Coronary Care
Cardiology Radiology

Contact vendor for pricing
Regulatory Status Disclosed

Overview

HeartFlow Analysis is an AI-powered medical device software that transforms standard coronary computed tomography angiography (CCTA) images into a personalized, digital 3D model of a patient’s coronary arteries. This non-invasive diagnostic tool leverages advanced artificial intelligence and computational fluid dynamics (CFD) to simulate blood flow and assess the impact of blockages on coronary blood flow. The platform provides clinicians with detailed insights, including fractional flow reserve (FFRct) values, plaque localization and characterization, and anatomical data, to aid in the diagnosis, risk assessment, and treatment planning for coronary artery disease (CAD). It aims to improve diagnostic accuracy, reduce the need for unnecessary invasive procedures, and enable personalized care pathways for patients with suspected or known CAD.

Reviewed by Pouyan Golshani, MD — Interventional Radiologist

Key Features

  • AI-powered 3D modeling of coronary arteries
  • Fractional Flow Reserve derived from CT (FFRct) analysis
  • Plaque Analysis (quantification and characterization)
  • Roadmapu2122 Analysis for CCTA reading
  • Non-invasive diagnostic assessment
  • Personalized patient insights
  • Computational Fluid Dynamics (CFD) for blood flow simulation
  • High diagnostic accuracy
  • Reduces need for unnecessary invasive procedures
  • Supported by extensive clinical evidence and guidelines

Use Cases

  • Diagnosing coronary artery disease (CAD)
  • Assessing the functional significance of coronary stenoses
  • Guiding treatment decisions (medical therapy, revascularization)
  • Risk stratification for major adverse cardiovascular events (MACE)
  • Reducing unnecessary invasive diagnostic coronary angiograms
  • Optimizing care pathways for patients with stable or acute chest pain

What Physicians Need to Know

Cardiac CT/MRI Analysis
HeartFlow leverages AI and computational fluid dynamics to transform standard Coronary CT Angiography (CCTA) data into personalized 3D models of coronary arteries. This includes FFRct Analysis to simulate blood flow and assess the impact of blockages, and Plaque Analysis to quantify and characterize plaque volume and type.
Heart Failure Risk Prediction
While not a direct heart failure prediction tool, HeartFlow's detailed assessment of coronary artery disease, including plaque burden and functional significance, contributes to a more precise risk stratification for major adverse cardiac events, including myocardial infarction and cardiovascular death.
Coronary Artery Assessment
HeartFlow provides a comprehensive, non-invasive assessment of coronary artery disease (CAD) by integrating anatomical information (stenosis visualization via Roadmap Analysis, plaque quantification and characterization via Plaque Analysis) and physiological insights (blood flow limitation via FFRct Analysis). It helps determine if a blockage is hemodynamically significant, guiding revascularization decisions.
Cardiac Monitoring Integration
HeartFlow supports technology integration with PACS (Picture Archiving and Communication Systems) and EMR (Electronic Medical Records) systems to streamline workflows and deliver insights directly to clinicians.
AHA/ACC Guideline Alignment
HeartFlow FFRct Analysis is recognized by the American College of Cardiology (ACC) and American Heart Association (AHA) guidelines (Class of Recommendation 2a) as an important tool for diagnosing CAD and guiding revascularization decisions. HeartFlow Plaque Analysis is also supported by ACC/AHA scientific statements for personalized patient management.
Physician Tip

HeartFlow Analysis offers a non-invasive pathway to gain a comprehensive understanding of coronary artery disease (CAD) by combining anatomical and physiological insights from a single CCTA scan. This can significantly enhance diagnostic accuracy, reduce the need for unnecessary invasive procedures like cardiac catheterization, and enable more precise, personalized treatment planning for patients with suspected CAD. Utilize the FFRct values and plaque analysis to stratify risk and guide decisions on medical management versus revascularization, even in patients with non-obstructive CAD or zero calcium scores where plaque burden might still indicate risk.

HeartFlow is designed for seamless integration into existing clinical workflows. It supports deployment and configuration with PACS and EMR systems, allowing for efficient transfer of CCTA data and delivery of the personalized 3D models and analysis results directly to the physician's workstation. This integration aims to streamline coronary care, improve diagnostic efficiency, and facilitate timely clinical decision-making.

Details

Category Cardiology AI, Radiology & Imaging AI
Pricing Contact vendor for pricing
  • Fee-for-service model; covered by Medicare and most U.S
  • commercial payers; Category I CPT code for FFRct Analysis (75580) and AI-Enabled Quantitative Plaque Analysis (75577 for 2026); CMS payment rates for FFRct Analysis and Plaque Analysis are established
DeploymentCloud-based (AWS)
Compliance
BAA Available Yes AI-estimated
HIPAA Compliant Yes AI-estimated
FDA Status Yes AI-estimated

HeartFlow Analysis (K250902) is an AI-based medical device software for the clinical quantitative and qualitative analysis of previously acquired Computed Tomography DICOM data for adult patients (ages 22 years and older) with suspected coronary artery disease.

Integrations
EHR Not specified
Specialties Cardiology, Radiology

What the Web Says

HeartFlow Analysis is a non-invasive diagnostic tool that creates a personalized 3D model of a patient's coronary arteries to assess the impact of blockages on blood flow (fractional flow reserve or FFRct). It aims to improve diagnostic accuracy for coronary artery disease, reduce the need for invasive procedures like angiography, and guide treatment decisions. Reviews highlight its potential to streamline patient care pathways and provide more precise physiological information.

Overall: Positive

Strengths

  • Reduces unnecessary invasive angiograms and associated risks/costs.
  • Provides precise, patient-specific physiological data (FFRct) without invasive procedures.
  • Improves diagnostic accuracy for coronary artery disease compared to traditional non-invasive tests.
  • Aids in treatment planning, helping physicians determine if revascularization is truly needed.
  • Non-invasive nature enhances patient comfort and safety.
  • Potential to lower overall healthcare costs by optimizing patient pathways.

Limitations

  • Cost of the analysis can be a barrier, though often covered by insurance.
  • Requires a high-quality CT angiography scan as input, which has its own radiation exposure.
  • Availability may be limited to institutions with the necessary infrastructure and physician training.
  • Some physicians may prefer direct invasive FFR measurement for certain complex cases.
  • Integration into existing clinical workflows can require adjustments.
  • Potential for over-reliance on technology, diminishing clinical judgment in some views.

Based on reviews from: Physician reviews (various medical forums and journals), Healthcare IT publications, Reddit (r/medicine, r/cardiology), G2 (general tech reviews, though limited for medical devices), Capterra (general tech reviews, though limited for medical devices), Clinical trial publications (e.g., PLATFORM, DEFINE-FLOW)

Last updated: 2026-07-18

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Press & Coverage

HeartFlow
HeartFlow Announces Revolutionary Five-Year Data Demonstrating a 63 Percent Mortality Reduction with FFRCT-Guided Care in PAD Patients
A study published in the Journal of Vascular Surgery revealed that coronary CTA with FFRCT care significantly reduces mortality by over 60% at five years in patients with Peripheral Artery Disease (PAD) undergoing major vascular surgery.
2024-05
HeartFlow
HeartFlow AI Plaque Analysis Achieves Major Milestone Towards Medicare Coverage
HeartFlow announced a key Medicare policy milestone for its AI Plaque Analysis, which is a significant step towards expanded patient access.
2024-06
HeartFlow
HeartFlow Introduces Next Generation Interactive Plaque Analysis Platform to Assess Patient Risk in Suspected Coronary Artery Disease
HeartFlow launched its next-generation interactive Plaque Analysis platform, which is fully integrated with FFRCT to provide enhanced insights for clinical decision-making and personalized treatment plans.
2024-07
HeartFlow
HeartFlow Announces Favorable Coverage Determination for Plaque Analysis by Five Medicare Administrative Contractors
HeartFlow announced that its Plaque Analysis will be covered by five of seven Medicare Administrative Contractors, expanding access for Medicare beneficiaries with acute or stable chest pain and less than 70% stenosis.
2024-10
Trinity Health System
St. Mary's expands cardiac care with HeartFlow analysis
St. Mary's Health Care System now offers HeartFlow FFRCT Analysis, a non-invasive diagnostic option that uses AI processing of CT scans to create a 3D model of the heart, helping physicians diagnose and understand the severity of coronary artery disease.
2025-11
HeartFlow
HeartFlow Plaque Analysis Now Supported by Scientific Statements From American College of Cardiology and American Heart Association for Personalized Management of Patients with Suspected CAD
The American College of Cardiology (ACC) and American Heart Association (AHA) published new scientific statements supporting the prognostic value of quantifying coronary plaque and reinforcing the role of the CCTA + HeartFlow pathway in CAD patient management.
2025-12
HeartFlow
HeartFlow Builds Evidence Base Across the Heart Disease Care Continuum, From Precision Risk Stratification to CT-Guided Intervention Planning
HeartFlow announced new clinical evidence and the launch of the NAVIGATE-PCI Registry, further establishing AI-powered HeartFlow Plaque Analysis as a leading tool for identifying high-risk patients and guiding effective medical management.
2026-03
Crouse Health
Crouse Health Announces Availability of HeartFlow Analysis to Enhance Cardiac Care Diagnostics
Crouse Health now offers HeartFlow Plaque Analysis, an AI-enabled technology that uses CT images to accurately measure coronary artery plaque volume, helping physicians assess heart disease and optimize patient management.
2025-06

Videos

Product demos, reviews, and walkthroughs for HeartFlow Analysis.

View all on YouTube

Frequently Asked Questions

HeartFlow Analysis utilizes advanced artificial intelligence and computational fluid dynamics to create a personalized 3D model of the coronary arteries from a standard CT angiogram (CCTA). This model simulates blood flow and pressure to calculate Fractional Flow Reserve derived from CT (FFRct) values, indicating the hemodynamic significance of blockages. While the AI generates these values, qualified clinicians must integrate the results with the patient's clinical history, symptoms, and other diagnostic tests, exercising their professional judgment for a comprehensive diagnosis.
HeartFlow Analysis has received FDA 510(k) clearance as an AI-based medical device software for the quantitative and qualitative analysis of CT DICOM data. The company asserts that it meets or exceeds stringent international standards for quality systems, global security, and patient data integrity, including HITRUST, SOC 2 Type 2, ISO 13485, and ISO 27001.
HeartFlow FFRct analysis demonstrates good diagnostic accuracy, with reported sensitivity of approximately 85-90% and specificity around 80% when compared to invasive FFR. It generally offers higher specificity than CCTA alone and can outperform other non-invasive tests like SPECT and PET in identifying flow-limiting stenosis. Additionally, HeartFlow Plaque Analysis, another AI-powered tool, shows 95% agreement with intravascular ultrasound (IVUS) for total plaque volume.
The typical cost for a HeartFlow FFRct analysis is around $1,000 per case. HeartFlow FFRct Analysis is covered by Medicare and for over 99% of commercially insured lives, with a Category I CPT code (75580) effective January 1, 2024. HeartFlow Plaque Analysis also has favorable coverage from Medicare Administrative Contractors and major commercial insurers, including Aetna, Cigna, Humana, and UnitedHealthcare, with its own Category I CPT code (75577) effective January 1, 2026.
Limitations can arise from poor CT image quality, significant coronary motion artifacts, or extensive coronary calcification, which may render datasets unsuitable for analysis. The safety and effectiveness of HeartFlow Analysis have not been evaluated for certain patient populations, such as those with acute coronary syndrome, recent myocardial infarction, complex congenital heart disease, or metallic stents. FFRct values can also be influenced by assumptions made to resolve anatomical uncertainties in the imaging data.
While general concerns about AI bias in cardiology, particularly regarding race and ethnicity due to imbalanced training data, are recognized in the broader field, specific known biases within the HeartFlow AI algorithm for FFRct or Plaque Analysis are not detailed in the provided information. HeartFlow emphasizes its continuous algorithm improvement and training on a vast dataset of coronary CT images. However, the broader AI community highlights the importance of diverse datasets and bias detection tools to ensure equitable performance across all patient populations.
HeartFlow Analysis integrates into clinical workflows by securely receiving CCTA scans, processing them with AI, and delivering detailed insights directly into Picture Archiving and Communication Systems (PACS) and Electronic Medical Record (EMR) systems. HeartFlow offers comprehensive support, including clinical, operational, technical, and financial resources, to assist institutions in building and scaling their CCTA programs. The aim is to facilitate efficient, standardized CT interpretation with a median turnaround time of less than 1.5 hours.

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HeartFlow FFRct Analysis is a non-invasive AI-powered diagnostic tool that creates personalized 3D models of coronary arteries from CCTA scans to assess blood flow and aid in diagnosing coronary artery disease.

View company profile →

Suggest an Edit → | Last Verified: 2026-04-18 | First Added: 2026-04-18

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