Transformer-based multi-view multiple-instance learning (MIL) framework for patient-level coronary stenosis classification from multi-view invasive coronary angiography. Rather than requiring expensive view-level stenosis annotations, SegmentMIL is trained end-to-end on real-world clinical data using only patient-level labels already present in hospital systems, and jointly predicts stenosis presence while localizing the affected artery (left/right) and segment. It captures temporal dynamics and dependencies across the multiple angiographic views per patient (which prior view-level models ignore), and outperforms both single-view models and classical MIL baselines on internal and external clinical evaluations.

Fully automated pipeline for interpreting coronary angiograms that chains four purpose-built neural networks: (1) angiographic projection-angle identification, (2) left/right coronary artery detection, (3) arterial segment localization, and (4) stenosis-severity estimation. Trained on 13,843 angiographic studies (195,195 videos) from 11,972 adult patients at UCSF (2008-2019), with projection-angle and LCA/RCA-detection tasks each reaching precision/sensitivity/F1 at or above 90%. For predicting obstructive coronary artery disease (>=70% stenosis), CathAI reaches an AUC of 0.862 internally, 0.869 on external angiograms from the University of Ottawa Heart Institute, and 0.775 after retraining on quantitative-coronary-angiography labels from the Montreal Heart Institute core lab. No public code or model weights have been released.

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.

AI-driven pipeline for quantitative coronary-stenosis assessment from routine DICOM coronary angiography videos, combining vessel tracking with a video Swin3D transformer trained and validated on 182,418 angiography videos spanning 5 years at the Montreal Heart Institute. Achieves a mean absolute error of 20.15% and a classification AUROC of 0.8294 for stenosis-percentage prediction against cardiologist assessment, with lower inter-rater variability than two expert interventional cardiologists, and can be fine-tuned to quantitative coronary angiography (QCA) data for even lower error (MAE 7.75%).

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.