EACVI 2025: Advancements in Cardiovascular Imaging and Guideline Alignment

The European Association of Cardiovascular Imaging (EACVI 2025) will showcase how integrated multimodality imaging and practical AI tools can sharpen diagnostic precision across cardiovascular care. There will be a focus on combining echocardiography, CMR, CT and nuclear techniques with deployable AI workflows, clarifying pathways to more precise, guideline-aligned decisions that improve diagnostic accuracy and downstream therapy selection.

Echocardiography, cardiac MRI, cardiac CT and nuclear cardiology are emphasized as complementary modalities that together resolve diagnostic ambiguities such as structural valve disease, ischemia versus inflammation, and myocardial tissue characterization. Cross‑modality correlation — for example, matching tissue signals on CMR with perfusion patterns on nuclear imaging and CT-based coronary assessment — can distinguish myocardial inflammation from ischemic scar and resolved diagnostic uncertainty in complex cases, enabling more targeted downstream testing and therapy selection.

Automation advances being presented at the meeting translate into concrete tools: automated chamber volumes and strain, CT calcium scoring pipelines, and image‑quality checks that accelerate interpretation and standardize measurements. These tools can improve report turnaround and inter-reader consistency but require staged validation, careful PACS/EMR integration, and retained clinician oversight.

The meeting will also highlight practical next steps centered on skills and safety, including a Hands-on Imaging Training Hub to build competence, local protocol updates to harmonize multimodality use, targeted validation studies to test AI tools in real‑world settings, and staged AI deployment with quality oversight.