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How AI Can Detect Rare Cardiac Anomalies Hidden in Medical Images: From Incidental CT Findings to Clinical Intelligence

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  AI-Powered Detection of Hidden Cardiac Anomalies By Dr. SB Lee Introduction Medical imaging AI has become increasingly effective at detecting abnormalities that clinicians specifically ask it to find. However, one of the more difficult challenges lies elsewhere: detecting clinically meaningful abnormalities that were never part of the original clinical question. A CT examination performed for suspected aortic disease, pulmonary embolism, abdominal pathology, or cancer staging may contain important information about many other anatomical structures. This creates a fundamental challenge for the next generation of medical AI: Can artificial intelligence identify an unexpected abnormality, determine whether it is real, characterize it anatomically, and help the radiologist decide whether it matters clinically? A rare congenital cardiac anomaly such as a quadricuspid pulmonary valve provides an excellent model for examining this problem. The objective is not simply to teach an AI syst...