Machine-learning surrogate model for estimating pulsatile hemodynamic fields (velocity, pressure) in coronary arteries from a steady-state computational fluid dynamics (CFD) prior, avoiding the high computational cost of full pulsatile CFD. The model, a neural field conditioned on hemodynamic boundary conditions, is discretisation-independent and can be parametrised with message-passing or self-attention layers by relaxing point-wise action to permutation-equivariance. Evaluated on 74 stenotic coronary arteries from coronary CT angiography (CCTA) with patient-specific pulsatile CFD as ground truth, the model produced accurate, discretisation-independent estimates of pulsatile velocity and pressure fields.

Coronary artery calcium (CAC) scoring model that transfers a CNN trained for calcium scoring on non-contrast CT (NCCT) to coronary CT angiography (CCTA), where iodinated contrast otherwise confounds calcium detection and large annotated CCTA training sets are scarce. The CAC-scoring CNN is split into a feature generator and a classifier; the feature generator is trained on the NCCT source domain and adapted to the CCTA target domain via adversarial learning combined with a maximum-mean-discrepancy loss, while the source-domain classifier is reused unchanged for the target domain. Builds directly on the authors' earlier non-contrast CT calcium-scoring network.

U-Net-variant segmentation model that identifies and quantifies coronary artery calcium (CAC) directly from routine non-gated, non-contrast chest CT scans -- the kind ordered for lung-cancer screening or unrelated indications rather than a dedicated cardiac scan -- so that the tens of millions of such scans performed annually can be opportunistically screened for cardiovascular risk without any extra imaging. Predicted calcium masks are combined with the CT's Hounsfield units to compute an Agatston-equivalent score. Trained on 446 expert-segmented scans from 98 medical centers across the U.S. Department of Veterans Affairs national health system (capturing substantial heterogeneity in scanners and protocols) and benchmarked against 795 patients with a paired same-year gated CAC study: nongated AI-CAC differentiates zero-vs-nonzero and <100-vs->=100 Agatston categories with 89.4% (F1 0.93) and 87.3% (F1 0.89) accuracy respectively, and its score stratifies 10-year all-cause mortality (CAC 0 vs. >400: 25.4% vs. 60.2%, hazard ratio 3.49) and composite stroke/MI/death risk (33.5% vs. 63.8%, hazard ratio 3.00). In a simulated opportunistic-screening run across 8,052 low-dose CT scans, cardiologists confirmed 99.2% of patients flagged with AI-CAC >400 would benefit from lipid-lowering therapy. Code and trained model weights are both public under an MIT license.

Largest federated cardiac CT analysis to date (n=8,104 scans) across a real-world federation of German university hospitals, addressing partially-labeled data across sites via a two-step semi-supervised knowledge-distillation strategy: task-specific CNNs first predict on unlabeled data per label type, then a SWIN-UNETR transformer learns from these predictions with label-specific heads. Learns a single federated model that simultaneously predicts TAVI-relevant landmarks (aortic hinge points, coronary ostia, membranous septum) and calcification from cardiac CT, improving generalizability over UNet-based baselines on downstream tasks.