HeartFlow® Plaque Analysis

HeartFlow Plaque Analysis is an AI‑enabled analysis of coronary CT angiography that provides Cone Health cardiologists with a deeper, more precise view of coronary artery disease — supporting precision care from diagnosis through treatment planning.

Why Greater Precision Matters: A Clearer, More Precise Diagnosis of Heart Disease

Traditional cardiac imaging focuses primarily on visible narrowing of blood vessels or calcified plaque. While important, these findings alone may not fully represent the presence or severity of coronary artery disease.

HeartFlow Plaque Analysis enhances coronary CT imaging by quantifying all plaque types, including soft and mixed plaque that may not yet cause significant narrowing but still represent active disease. This allows Cone Health providers to:

  • Confirm or rule out coronary artery disease more confidently
  • Better characterize disease severity, even in earlier stages
  • Select treatments that match the patient’s true disease burden

What HeartFlow Plaque Analysis Adds to Diagnosis

HeartFlow Plaque Analysis goes beyond identifying blockages. It measures:

  • Total plaque burden
  • Plaque composition (calcified, non‑calcified, low‑attenuation)
  • Distribution of disease across the coronary arteries

By combining this information with coronary CT imaging, Cone Health physicians gain enhanced diagnostic clarity, especially in patients with subtle, diffuse or early-stage coronary disease.

Improving Care Precision

More precise diagnosis leads to more precise care.

With HeartFlow Plaque Analysis, Cone Health cardiologists can:

  • Differentiate mild, moderate and extensive coronary disease more accurately
  • Match treatment intensity to disease severity rather than symptoms alone
  • Avoid both under-treatment and unnecessary invasive procedures
  • Personalize medical therapy, lifestyle recommendations and follow-up plans

This aligns with Cone Health’s commitment to deliver the right care, at the right time, for the right patient.

How It Works with Other Advanced Cardiac Imaging

Complementary to CT‑FFR

HeartFlow Plaque Analysis is often used alongside CT-FFR (Computed Tomography – Fractional Flow Reserve) when appropriate.

  • CT‑FFR evaluates how coronary disease affects blood flow
  • Plaque Analysis evaluates the nature and extent of the disease itself

Together, these tools provide a comprehensive view of coronary artery disease—combining anatomy, physiology, and plaque biology to support more informed clinical decisions.

Clinical Leadership & Evidence

Cone Health Heart & Vascular Center played a leadership role as the first site in the national DECIDE Registry, which is evaluating how AI‑enabled plaque analysis influences diagnostic confidence and treatment decisions.

Clinical studies show that adding plaque quantification to coronary CT imaging frequently leads to more refined diagnoses and adjustments in patient management, reflecting a clearer understanding of disease severity and risk.

Patient Frequently Asked Questions - FAQs

Who may benefit from HeartFlow Plaque Analysis?
Patients undergoing coronary CT imaging for chest symptoms, risk assessment or evaluation of known or suspected coronary artery disease.

Is this a replacement for other heart tests?
No. It enhances coronary CT imaging by providing additional diagnostic detail that helps guide care decisions.

How does this affect treatment?
By providing a more accurate diagnosis, it allows your care team to tailor treatment recommendations more precisely to your condition.

Schedule an Appointment

Patients seeking HeartFlow Plaque Analysis should request a referral for Coronary CTA from their primary care doctor. Your primary care doctor can either refer you to a Cone Health cardiologist for evaluation or refer you directly for Coronary CTA Imaging. Once a Cone Health cardiologist reviews the results of your Coronary CTA study, he or she will determine if HeartFlow Plaque Analysis is appropriate for you.

How to Make a Referral (for referring providers)

In Epic:

  • Select Coronary CTA order: CT Coronary Morph W/CTA COR W/SCORE W/CA W/CM and/or W/CM
  • The cardiologist that reads the Coronary CTA will determines if Plaque Analysis is appropriate at that time.

If not on Epic:

  • Order Coronary CTA
  • Fax: 336-365-7542

Contact Cardiac CT Scheduling with questions: 336-832-9038

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