Artificial intelligence and radiomics Value in cardiac MRI

Clinical/methodical issue Cardiac diseases are the leading cause of death. Many diseases can be specifically treated once a valid diagnosis is established. Cardiac magnetic resonance imaging (MRI) plays a central role in the workup of many cardiac pathologies. However, image acquisition as well as interpretation and related secondary image evaluation are time-consuming and complex. Standard radiological methods Cardiac MRI is becoming increasingly established in international guidelines for the evaluation of cardiac function and differential diagnosis of a wide variety of cardiac diseases. Methodological innovations Cardiac MRI has limited reproducibility due to the acquisition technique and interpretation of findings with complex secondary measurements. Artificial intelligence techniques and radiomics offer the potential to improve the acquisition, interpretation, and reproducibility of cardiac MRI. Performance Research suggests that artificial intelligence and radiomic analysis can improve cardiac MRI in terms of image acquisition and also diagnostic and prognostic value. Furthermore, the implementation of artificial intelligence and radiomics may result in the identification of new biomarkers. Achievements and practical recommendations The implementation of artificial intelligence in cardiac MRI has great potential. However, the current level of evidence is still limited in some aspects; in particular there are too few prospective and large multicenter studies available. As a result, the algorithms developed are often not sufficiently validated scientifically and are not yet applied in clinical routine.