Press Release

HeartFlow Receives FDA 510(k) Clearance for its Plaque Analysis and RoadMap™ Analysis

HeartFlow is the first and only company to provide non-invasive anatomy, physiology, and plaque information based on coronary computed tomography angiography (CCTA).

October 18, 2022

MOUNTAIN VIEW, Calif. – October 18, 2022HeartFlow, Inc., the leader in revolutionizing precision heart care, has received U.S. Food and Drug Administration(FDA) 510 (k) clearance on two new, AI-powered products: Plaque analysis and RoadMap analysis. With its expanded product portfolio, HeartFlow is the first and only company to provide non-invasive coronary artery anatomy (RoadMap analysis), physiology (HeartFlow® FFRCT), and plaque information (Plaque analysis) based on CCTA. These products enable physicians to gain a more comprehensive understanding of a patient’s coronary artery disease (CAD) and are the most accurate approach to predict risk of a heart attack.1

“The 510(k) clearance of our Plaque and RoadMap analyses represents a major milestone in the company’s commitment to provide physicians with richer clinical insights to help diagnose and treat individual patients, no matter where they are on the coronary disease spectrum,” said John Farquhar, President and Chief Executive Officer, HeartFlow. “FFRCT has already been recognized by the recent ACC/AHA Chest Pain Guidelines and is poised to change the standard-of-care in patients. Plaque and RoadMap analyses, together with FFRCT, establish HeartFlow’s platform technologies and will enable further development of AI-powered risk scoring to better identify asymptomatic patients at risk of heart attack.”

HeartFlow’s Plaque analysis has been studied in 11,000+ patients and will provide physicians with comprehensive and actionable data showing plaque characteristics and volume in all major coronary arteries.2 It enables critical information regarding coronary plaque to be delivered conveniently to physicians along with anatomy and physiology.3 Centers for Medicare & Medicaid Services recently announced that, as of October 1, 2022, the plaque analysis is paid as a separate service in the hospital outpatient department.

The RoadMap analysis will enable CT readers to improve CAD diagnosis by providing visualization and quantification of the location and severity of anatomic narrowings in the coronary arteries on every CCTA. It has been shown to provide reproducible results and can help enable efficient, standardized, and high quality CT interpretation.4

“It is exciting to note the work HeartFlow is doing to bring forward the innovative technologies to help us advance our understanding and care for patients with coronary artery disease. Combining anatomy, physiology, and plaque morphology would be essential for personalized patient care,” said Jagat Narula, MD, PhD, Chief of Cardiology at Mount Sinai Morningside Hospital.

With this FDA 510(k) clearance, HeartFlow will begin real-world clinical use of the Plaque and RoadMap analyses with select hospitals and health systems. HeartFlow’s latest technologies will play a vital role in improving cardiovascular patient care.


About HeartFlow

HeartFlow is the global leader in revolutionizing precision heart care, uniquely combining human ingenuity with advanced AI technology. Headquartered in Mountain View, California, our technology has been published in more than 500 peer-reviewed publications that showcase the value of anatomy, physiology, and plaque. We began our journey to improve coronary artery disease (CAD) diagnosis with FFRCT and have now expanded our product portfolio to include anatomic stenosis and plaque information. To date, clinicians have used our technology for more than 135,000 patients to aid in the diagnosis of heart disease.5 For more information, visit and connect on Twitter and LinkedIn.


Linly Ku

  1. Emerald I - Lee, et al. JACC Imaging 2019.
  2. HeartFlow NOMOGRAM Data. Presented at SCCT July 2022
  3. Williams, et al. Circulation 2020. Low-Attenuation Noncalcified Plaque on Coronary Computed Tomography Angiography Predicts Myocardial Infarction.
  4. Khasanova, et al. JCCT 2022.
  5. Data on file at HeartFlow

173941400 v2