Caristo Diagnostics, an Oxford spinout, won FDA de novo authorization for CaRi-Heart, an AI tool that reads routine coronary CT angiography to quantify vessel inflammation and estimate 10-year cardiovascular mortality risk. The aim is patients with chest pain who lack obstructive coronary disease, a group linked to many major cardiac events in U.K. data on more than 40,000 CCTA patients. Caristo plans a U.S. commercial launch this quarter, using reimbursement codes that began in January. Why it matters: U.S. regulators green-lit inflammation imaging AI beyond plaque and stenosis scores. Caveat: outcome evidence is largely observational U.K. cohorts, not a finished U.S. outcomes trial.