Imaging

Cardiovascular imaging research has the potential to transform disease diagnosis, risk assessment, and treatment. This area aims to improve access to imaging data linked to health-relevant datasets across the UK, enabling innovative research and improving patient outcomes.

Theme Lead: Professor Michelle Williams

Cardiovascular imaging provides detailed insights into heart and circulatory diseases, but unlocking its full potential requires linking imaging data with other healthcare datasets and applying advanced AI and machine learning techniques. These approaches present technical, governance, and analytical challenges. We’re addressing these challenges by improving imaging data accessibility, supporting research, and developing new methodologies to drive impactful discoveries. 

What we do

We work with researchers, clinicians, data custodians, and patient representatives to: 

  • Improve access to imaging datasets for cardiovascular research 
  • Develop tools to enhance the usability and quality of imaging data 
  • Explore new approaches, such as synthetic data and federated analysis, to enable large scale research 
  • Ensure research aligns with public priorities through patient and public involvement 

Key areas of work

Establishing Cardiovascular Imaging Research Priorities

We collaborated with over 80 experts to identify and prioritise 500 key research questions in cardiovascular imaging. Using a structured framework, we distilled these into a Top 10 list, focusing on patient impact, feasibility, and potential to reduce healthcare inequalities. 

Read the full workshop report.
View the research priorities publication.

Engaging Patients and the Public

To support us with setting research priorities, we co-designed a public survey to align research with patient needs and priorities. The findings will continue to guide our work, ensuring imaging research delivers the greatest public benefit. 

Read the survey report.
Watch our PPIE webinar.

SHIELD-CVD

ScottisH medical Imaging dataset with Evaluation of Linked Data for CardioVascular Disease (SHIELD-CVD)

Unlocking the Potential of Imaging Data for Cardiovascular Research 

The Scottish Medical Imaging (SMI) dataset is a pioneering national resource, encompassing over 57 million de-identified imaging examinations collected across Scotland between 2010 and 2018. Managed by Public Health Scotland, this dataset represents the UK’s first comprehensive compilation of routinely collected imaging data.  

Despite its vast potential, the SMI dataset remains underutilised in cardiovascular research. A significant barrier is the lack of accessible information regarding the types of cardiovascular imaging available and their corresponding disease representations, making it challenging for researchers to plan and conduct studies effectively. 

About SHIELD-CVD 

SHIELD-CVD (ScottisH medical Imaging dataset with Evaluation of Linked Data for CardioVascular Disease) is a collaborative initiative led by the British Heart Foundation Data Science Centre, in partnership with Public Health Scotland and experts from King’s College London. The project’s primary aim is to enhance the usability and accessibility of the SMI dataset for cardiovascular research. 

Our Objectives 

  • Enhance Dataset Transparency: Provide clear, detailed information on imaging modalities and their disease representations within the SMI dataset. 
  • Streamline Governance Processes: Simplify the administrative procedures required for researchers to access and utilise the dataset. 
  • Develop Reusable Curation Tools: Create and share code and methodologies that facilitate efficient data curation and analysis. 
  • Apply FAIR Principles: Ensure the dataset is Findable, Accessible, Interoperable, and Reusable, aligning with best practices in data management. 

SHIELD-CVD webinars 

Click here to access the recordings of the previous SHIELD-CVD webinars: 

Accessing the SMI Dataset 

Researchers interested in utilising the SMI dataset must submit an application to NHS Scotland’s Public Benefit and Privacy Panel for Health and Social Care (PBPP). To assist in this process, the BHF Data Science Centre will provide a sample application and supporting documents, which can serve as a reference for prospective applicants. We will share this information here when it is available.  

We encourage researchers to engage with us prior to submission to discuss potential support and guidance. 

Reusable curation tools 

Reusable code for data curation will be shared on the BHF Data Science Centre GitHub site. Access that here 

Collaborate with Us 

SHIELD-CVD is committed to fostering a collaborative research environment. By improving access to and understanding of the SMI dataset, we aim to empower researchers to conduct impactful cardiovascular studies that ultimately benefit patients and the wider public. 

Read the SHIELD-CVD Privacy Notice

Scaling Up Imaging Research using Advanced Methods

We are exploring two key approaches to enable secure, large-scale research: 

  • Synthetic Data – Running an open challenge to develop AI models using synthetic ECG images, with the winning entry showcased at the European Society of Cardiology Conference 2025. 
  • Federated Analysis – Conducting a national survey to assess researcher needs and opportunities for federated data analysis. 

Driving Policy and Implementation

Professor Michelle Williams contributed to British Standard BS 30440, a framework guiding the validation and deployment of AI tools in NHS healthcare. This ensures that AI-driven imaging research translates into real-world patient benefits. 

Learn more about BS 30440.

Areas of work

Find out more about our data-led research.