Systems and methods are provided for automated analysis of angiographic images. An angiographic imaging system is configured to capture a first image of a region of interest, representing a first time, and a second image of a region of interest, representing a second time. A registration component is configured to register the first image to the second image. A difference component is configured to generate a difference image from the first image and the second image. A pattern recognition component is configured to assign a clinical parameter to the region of interest from the difference image and at least one of the first image and the second image.
