Will AI replace doctors who read X-rays and other body scans, or just make them better?

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As artificial intelligence moves into medicine, perhaps no one has more to gain or lose than radiologists.

Updated: 46 seconds agoDr. Laurie Margolies demonstrates the Koios DS Smart Ultrasound software, Wednesday, May 8, 2024, at Mount Sinai hospital in New York. The breast imaging AI is used to get a second opinion on mammography ultrasounds. “I will tell patients, ‘I looked at it, and the computer looked at it, and we both agree,’” Margolies said. “Hearing me say that we both agree, I think that gives the patient an even greater level of confidence.

Radiologists have used computers to enhance images and flag suspicious areas since the 1990s. But the latest AI programs can go much further, interpreting the scans, offering a potential diagnosis and even drafting written reports about their findings. The algorithms are often trained on millions of X-rays and other images collected from hospitals.

But European regulators in 2022 approved the first fully automatic software that reviews and writes reports for chest X-rays that look healthy and normal. The company behind the app, Oxipit, is submitting its U.S. application to the FDA. Radiologists tend to overestimate their own accuracy, McClennan says. Research by his company found physicians viewing the same breast scans disagreed with each other more than 30% of the time on whether to do a biopsy. The same radiologists even disagreed with their own initial assessments 20% of the time, when viewing the same images a month later.

That approach offers reassurances to both doctors and patients, says Dr. Laurie Margolies, of Mount Sinai hospital network in New York. The system uses Koios breast imaging AI to get a second opinion on breast ultrasounds.

 

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