Embodiments relate to finding similar coronary angiograms in a database of coronary angiograms. An aspect includes receiving angiography data for a coronary artery, processing the angiography data to identify one or more semantic features of the coronary artery, and identifying one or more nearest coronary angiograms for each of the one or more semantic features from the database of coronary angiograms. The method also includes receiving a disease attribute associated with each of the one or more nearest coronary angiograms.