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Message
re: AI Radiology software outperforming Radiologists?
Posted on 9/25/25 at 8:52 pm to MrSpock
Posted on 9/25/25 at 8:52 pm to MrSpock
Unfortunately, I am in the middle of getting all sorts of tests and the imaging place sent me email that my x-ray and ultrasound were ready. I downloaded the report from them (could not wait on Dr to call to explain) and it didn't make sense to me.
I then uploaded those PDF reports to SuperGrok and asked it to explain it to me. Within 30 seconds I know exactly what the report said. The next day the Dr told me exactly what the Grok said. Amazing in that aspect.
I then uploaded those PDF reports to SuperGrok and asked it to explain it to me. Within 30 seconds I know exactly what the report said. The next day the Dr told me exactly what the Grok said. Amazing in that aspect.
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Posted on 9/25/25 at 8:55 pm to Odysseus32
quote:
Anything else is basically useless. Even looking up guidance is useless. Often times the references are wrong, or worse they don't exist at all.
This is because you have shite developers. Along with users likely using ambiguous prompts.
Posted on 9/25/25 at 8:58 pm to BigBinBR
quote:
Who is going to get sued - the AI?
"Winner, winner, chicken dinner."
There will always be an MD who will have to sign off on the interpretation so someone other than the AI can later be sued. How difficult will it be finding a radiologist to put their name out there for medical liability purposes? How much will the supervising MD get paid and where's that extra money coming from? 
Posted on 9/25/25 at 9:01 pm to TigerOnThe Hill
quote:
There will always be an MD who will have to sign off on the interpretation so someone other than the AI can later be sued.
You sure? If the average radiologist in pulling in >500k a year, these medical groups will happily show them the door and gamble on the 99.9% accuracy of the AI and pay higher insurance rates to cover the fallout, a premium increase which will be cheaper than retaining the docs.
Posted on 9/25/25 at 9:07 pm to Spankum
quote:
If they make this much money, why wouldn’t everyone do it? You go to trade school for a year and make $700,000 per year?
Winner for dumb arse take of the century. One year of trade school?!! Rads go thru med school, residency, plus fellowship for some specialties and require a vast amount of anatomy and pathology knowledge. Reviewing a good radiologists report is fascinating when you’ve actually sat with them and listened to them dictate.
Posted on 9/25/25 at 9:07 pm to BigBinBR
quote:
They said that AI is really good at catching a lot of stuff, but it misses a bunch of stuff too. They also said that it hits false positives for stuff all the time and they have to override it. They like the fact that it flags stuff for additional review so it’s basically like a second set of eyes looking at stuff.
This means AI will add extra costs to medical care. A friend of mine is in medicine and says 1/4- 1/3 of the xrays she orders are to further investigate something the radiologist saw on an x-ray study that was outside the area of interest in the original study. The incidental finding requires further x-ray studies (usually an expensive CT or MRI, not an inexpensive regular x-ray) to be sure it's ok. Sometimes something important is found, but usually it's not important. It sounds like AI will likely add an extra layer of expenses. It's unlikely a radiologist is gonna go out on a limb and flatly say AI is wrong and mores study is not needed.
Posted on 9/25/25 at 9:09 pm to T1gerNate
quote:
Radiologists don’t make $520K
Only the broke-dick ones do.
Posted on 9/25/25 at 9:12 pm to TigerOnThe Hill
quote:
(usually an expensive CT or MRI, not an inexpensive regular x-ray
I know this is not a thread about what medical groups charge for imaging, but a lot of doctors (at least in Memorial Hermann) don't realize how much MH charges for imaging. $1,200 (after "insurance") for an ultrasound ten years ago kind of charges. Meanwhile, if you go independent and pay cash I could get it for under $150. Same for MRIs, CT scans, etc.
Posted on 9/25/25 at 9:12 pm to DesScorp
There’s a lot more to radiology than just finding abnormalities on the scans. To be worthwhile, you’ve got to understand the clinical picture and put the findings into context of the underlying clinical history. Many of the AI radiology work I’ve seen has fallen flat because it is way to broad to actually be useful. Like it provides a huge differential that doesn’t better answer the question of what is the actual problem and because of that it recommends increased workup and follow up testing.
Radiologists wont be replaced before garbage men, taxi drivers, cashiers, etc. Paradoxically the field is going to become more managerial/less difficult in our lifetimes as AI will handle more of the mundane tasks and can help generate reports.
Radiologists wont be replaced before garbage men, taxi drivers, cashiers, etc. Paradoxically the field is going to become more managerial/less difficult in our lifetimes as AI will handle more of the mundane tasks and can help generate reports.
Posted on 9/25/25 at 9:18 pm to ArmydawgMD
quote:
Radiologists wont be replaced
I love when the imaging techs (who I know aren't supposed to interpret results...for ... reasons) say things like, "Your quad is only partially torn," when burning the CD. Admittedly, looking for musculoskeletal damage is probably different than oncology, etc., but 2 years of school and 15 years of taking images has to count for something.
Posted on 9/25/25 at 9:18 pm to mmmmmbeeer
quote:
You sure? If the average radiologist in pulling in >500k a year, these medical groups will happily show them the door and gamble on the 99.9% accuracy of the AI and pay higher insurance rates to cover the fallout, a premium increase which will be cheaper than retaining the docs.
Yes, I'm sure there'll always be a requirement for an MD to oversee the AI interpretation. A hospital, clinic or imaging center is not going to accept the sole liability of being sued. The AI manufacturer will find a way to word the interpretation/findings/consent form to enable them to avoid medical liability. An MD will have to personally decide whether the oversight fee is worth the time, trouble, loss of productivity (and sometimes pain) of a lawsuit. Yes, it's possible AI will decrease the cost of medicine, but wouldn't that be a first?
Medicine is like car insurance....it never gets cheaper. Posted on 9/25/25 at 9:22 pm to TigerOnThe Hill
quote:
It's unlikely a radiologist is gonna go out on a limb and flatly say AI is wrong and mores study is not needed.
Oh they absolutely override them on just about every reading. It’s what they are there for. They use AI as a tool and not the end all be all.
They learn quick what the AI is picking up that isn’t correct and pretty much quickly look at it just to make sure and then disregard what the AI said.
This post was edited on 9/25/25 at 9:24 pm
Posted on 9/25/25 at 9:31 pm to TigerOnThe Hill
quote:
Winner, winner, chicken dinner." There will always be an MD who will have to sign off on the interpretation so someone other than the AI can later be sued. How difficult will it be finding a radiologist to put their name out there for medical liability purposes? How much will the supervising MD get paid and where's that extra money coming from?
Maybe but I’d bet you need a fraction of them to do this kind of work. Like a highly self autonomous factory, you still need workers but not nearly as many. I bet it cuts their salaries by a lot over the next 10 years.
Posted on 9/25/25 at 9:38 pm to BigBinBR
quote:
Oh they absolutely override them on just about every reading. It’s what they are there for. They use AI as a tool and not the end all be all.
They learn quick what the AI is picking up that isn’t correct and pretty much quickly look at it just to make sure and then disregard what the AI said.
Maybe they'll actually make a definitive statement to clear up the AI findings. That would be good. But the radiologists my friend has dealt w/ through the years don't usually make a definitive statement about anything and rarely say additional imaging is not indicated.
Posted on 9/25/25 at 9:43 pm to Sofaking2
quote:
Like a highly self autonomous factory, you still need workers but not nearly as many. I bet it cuts their salaries by a lot over the next 10 years.
That's a good point. OTOH, as use of AI in radiology increases, the remaining radiologist may still an increase in their pay. There's also a group of radiologist who won't be replaced by AI, interventional radiologists. IR's are the folks who put in tubes, do biopsies, drain fluids, etc.
Posted on 9/25/25 at 9:45 pm to T1gerNate
quote:you would be absolutely shocked at how much they make.
Radiologists don’t make $520K
Posted on 9/25/25 at 9:46 pm to T1gerNate
quote:
Radiologists don’t make $520K
Correct. Closer to double $520k than $520k.
Posted on 9/25/25 at 10:10 pm to TigerOnThe Hill
quote:
That's a good point. OTOH, as use of AI in radiology increases, the remaining radiologist may still an increase in their pay. There's also a group of radiologist who won't be replaced by AI, interventional radiologists. IR's are the folks who put in tubes, do biopsies, drain fluids, etc.
Actually the tubes, biopsies and drains are the easy mundane stuff they do. Much more complicated stuff and when you get into the specialities like oncology or neuro it gets really fun.
Posted on 9/25/25 at 11:03 pm to DesScorp
Quickbooks is trying to introduce AI into their software. I played around with it some, and it categorized a payroll tax payable as an auto expense. Couldn’t be more wrong.
Posted on 9/26/25 at 2:26 am to DesScorp
Look they can outperform everyone in 5 years. But what are we doing to do for money
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