MICCAI 2026 CARDIAC IMAGING THEME  ·  JOINTLY WITH THE STACOM WORKSHOP

EchoRisk-MICCAI

Advancing Cardio-Oncology AI for the Early Prediction and Assessment of
Therapy-Induced Cardiotoxicity from Echocardiography

An official MICCAI 2026 challenge dedicated to advancing cardio-oncology. Develop and benchmark your models on a unique, multicentre dataset featuring over 1,900 real-world echocardiograms across 5 longitudinal clinical timepoints.

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391
Unique Patients
1,950
Echocardiograms
1,015
Clinical Exams
5
Timepoints
3
Challenge Tasks

Why EchoRisk?

Breast cancer therapy saves lives — but anthracyclines and trastuzumab carry a cardiac cost. Up to 20–30% of patients on anthracyclines and 7–10% on trastuzumab develop measurable cardiac dysfunction, yet the subclinical decline that precedes it is routinely missed until irreversible damage has occurred.

Echocardiography is the monitoring standard across cardio-oncology guidelines, but manual analysis is operator-dependent, time-intensive, and subject to inter-observer variability that erodes the sensitivity needed for early detection in longitudinal surveillance programmes.

Training AI to detect these early warning signs demands the right substrate. EchoRisk-MICCAI introduces the first publicly benchmarked, multicentre, longitudinal echocardiography dataset with explicit therapy-induced cardiotoxicity labels — spanning 391 patients, 1,950 echocardiograms, and five prospective timepoints. By pairing expert-annotated LVEF estimates with validated LV dysfunction labels, the challenge frames cardiotoxicity surveillance as a structured machine learning problem with clear, clinically meaningful evaluation criteria — establishing a reproducible AI benchmark for cardio-oncology.

The dataset was collected prospectively under the EU Horizon 2020 CARDIOCARE project (Grant No. 945175), capturing real-world clinical heterogeneity across sites — reflecting the population variability that deployed systems will face.

Clinical Need
Subclinical Dysfunction Goes Undetected

Manual echocardiographic assessment is operator-dependent and highly variable, limiting reliable early detection across longitudinal cancer monitoring programmes.

Technical Gap
No Cardiotoxicity-Specific Benchmark

Existing echocardiography challenges target generic cardiac function. No public dataset pairs therapy-induced cardiotoxicity labels with longitudinal imaging.

Our Contribution
Three Clinically Grounded Tasks

From LVEF regression to LV dysfunction classification and early risk prediction — tasks designed around real clinical decision points in cardio-oncology workflows.

EchoRisk Committee

Organising Committee

KM
Challenge Chair
Kostas Marias
Foundation for Research and Technology – Hellas (FORTH)
GK
Challenge Lead
Grigorios Kalliatakis
Foundation for Research and Technology – Hellas (FORTH)
GKa
Challenge Organiser
Georgia Karanasiou
University of Ioannina
GM
Challenge Organiser
Georgios Manikis
Foundation for Research and Technology – Hellas (FORTH)
DF
Scientific Advisor
Dimitrios Fotiadis
University of Ioannina
MT
Scientific Advisor
Manolis Tsiknakis
Hellenic Mediterranean University
MY
Scientific Advisor
Mohammad Yaqub
Mohamed bin Zayed University of Artificial Intelligence

Clinical Committee

DT
Cardiology Advisor & Data Lead
Dorothea Tsekoura
National & Kapodistrian University of Athens
KN
Cardiology Advisor
Katerina Naka
University Hospital of Ioannina
LL
Cardiology Advisor & Data Lead
Lampros Lakkas
University Hospital of Ioannina
VB
Cardiology Advisor & Data Lead
Vasileios Bouratzis
University Hospital of Ioannina
GF
Cardiology Advisor
Gerasimos Filippatos
National & Kapodistrian University of Athens
AC
Oncology & Precision Medicine Advisor
Anastasia Constantinidou
Bank of Cyprus Oncology Centre
KM
Patient Outcomes Advisor
Ketti Mazzocco
Istituto Europeo di Oncologia, Milan

// Get Started

Ready to participate?

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Questions? echorisk.miccai@gmail.com

CARDIOCARE
FORTH
UOI
HMU
NKUA
BOCOC
IEO