Multi-view foundation model for coronary angiography trained with video-text contrastive learning on 203,808 angiography videos from 28,117 patients across 32,473 studies at the Montreal Heart Institute, externally validated on 4,249 studies from UCSF. Integrates multiple angiographic projections with attention-based pooling for study-level assessment spanning diagnostic, prognostic, and disease-progression tasks: significant-stenosis detection (AUROC 0.888 internal / 0.89 external), stenosis-percentage estimation (MAE 13.6% vs. 19.0% for clinical reports), chronic total occlusion, intracoronary thrombus, and coronary calcification detection. Transfer learning further enables one-year MACE prediction (AUROC 0.79) and LVEF estimation (MAE 7.3%) from the same angiography embeddings, with a mean in-hospital inference time of 4.2 seconds.

Open-weight video-based deep neural network that predicts reduced right-ventricular systolic function (RVSF) directly from routine left and right coronary angiogram videos, enabling real-time RV-dysfunction screening in the catheterization lab when echocardiography is unavailable. Built on an X3D-M spatiotemporal video architecture (Kinetics-400 pretrained) that aggregates per-video probabilities into a study-level normal-vs-reduced RVSF classification, with Grad-CAM/Guided-Backpropagation explainability confirming attention to RV-specific coronary motion rather than left-ventricular signal. Trained on 8,053 angiographic studies from 6,923 Montreal Heart Institute patients (2017-2023), externally validated at UCSF, and prospectively deployed at MHI via the PACS-AI platform, where AI assistance improved reader accuracy from 72.1% to 77.6% for cardiologists and 43.5% to 64.0% for medical students.