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AI Isn't Replacing Radiologists (worksinprogress.news) 42

Despite AI models outperforming radiologists on benchmark tests since 2017, demand for human radiologists has reached record highs. American diagnostic radiology residency programs offered 1,208 positions this year, up 4% from 2024, while average salaries hit $520,000 -- 48% higher than 2015. Over 700 FDA-cleared radiology AI models exist, yet only 48% of radiologists use AI at all. Models trained on standardized datasets lose up to 20% points accuracy when deployed in different hospitals. Radiologists spend just 36% of their time interpreting images, with the majority devoted to patient communication, teaching, and administrative tasks that current AI cannot perform.
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AI Isn't Replacing Radiologists

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  • Now tell that to the c suite and startups hellbent on forcing AI down our throats.
  • by Junta ( 36770 ) on Thursday September 25, 2025 @01:30PM (#65683072)

    Radiologists spend just 36% of their time interpreting images

    Think this translates to a lot of the 'AI should replace them' positions people think about.

    I'm a "software developer". There are certainly some code-heavy times, but there are days where I don't 'code' at all, and days like today where I've only messed with around 6 lines of code. A minority of my job is taken up with tasks that are even hypothetically in the discussion for AI replacement. It just so happens the LLMs tend to suck at most of my niche as well, but even if it were spot on for prose-to-code it still would only reduce a smaller fraction of my job than an outsider would guess....

    • by Anonymous Coward

      The radiologist having a tool to analyze images is like the programmer having an IDE that checks for syntax errors and provides auto complete. It will help them to spot the stupid mistakes and enabled them to put their concentration on the logic instead of searching for minutes where the semicolon is missing. And as the IDE never gets tired reminding you of the missing semicolon, the image AI never gets tired of highlighting relevant parts of an image. Humans on the other hand have their ups and downs.

      • by Junta ( 36770 )

        the IDE never gets tired reminding you of the missing semicolon, the image AI never gets tired of highlighting relevant parts of a... colon?

  • Wait... what? (Score:5, Interesting)

    by 93 Escort Wagon ( 326346 ) on Thursday September 25, 2025 @01:31PM (#65683074)

    "Only" 48% of radiologists use AI? That actually seems to indicate AI has made huge inroads into the field and is well-accepted.

    And radiologists spend "just" 36% of their time interpreting images? That's a pretty hefty chuck of their time!

    This article - BTW WTF is worksinprogress.news? - seems to be AI generated.

    • Careful. "AI" has been around for decades. We use to call it machine learning, and in this field it's been going on now for about 15 years.

      AI has "slowly" been gaining adoption in radiology fields for a while now; machine learning algorithms have been being used in image analysis since the early 2010s. Most of these are the traditional place for AI, improving a skilled worker's productivity, and with machine learning image analysis systems that has been trained for some time, the AI can spot relativel

    • BTW WTF is worksinprogress.news? - seems to be AI generated.

      A printed magazine that publishes 6 issues per year since August 2020.

  • by russotto ( 537200 ) on Thursday September 25, 2025 @01:36PM (#65683082) Journal

    Radiologists? Patient communication? Come on, now, pull the other one. Next to forensic pathologists, radiologists are the specialty least likely to communicate with patients. Maybe they're the absolute least likely, though the communications would be rather one way with the forensic pathologists. They do write reports, but they're short and typically intended for other doctors anyway.

    • 5 workdays per week, 52 weeks per year, $520,000 pay. 8 hours a workday. They get $250 per hour to look at pictures and talk to people? This sounds like the industry H1b is needed for. Or AI. Whatever decreases that insane labor cost.
      • Re: (Score:2, Troll)

        by kackle ( 910159 )
        H1-B is for when a company can't find an American worker, not to cut Americans' salaries. Why would Americans vote for such a law?
    • A lot is hanging on what's meant by "patient communication".

      I worked for almost 10 years with pathologists, and there is a whole lot that goes into communication. A gastroenterologist friend once said to me "pathologists are the only ones in a hospital who make an actual diagnosis". This means that when a pathologist or radiologist is writing their report they are laying down some key markers for how a patient will be managed as much or more than strictly documenting a diagnostic finding. That might mean c

  • And AI has an actual intelligence and combined with robotics decides to take over and subjugate humanity and we become it's slaves?
    • Re: (Score:2, Flamebait)

      by allo ( 1728082 )

      What if the moon crashes into the earth or a super villain puts lasers on sharks? We need to be prepared!

    • And AI has an actual intelligence and combined with robotics decides to take over and subjugate humanity and we become it's slaves?

      Rather than debate the likelihood, I'll just address this question as asked.

      What would be the difference? Most of us are already slaves, just given the illusion of options. Which master do you wish to serve is hardly the question asked of free people.

      On top of that, it's a very short leap from your propose scenario to, "No need to enslave humans when robotics can do all they do, and more than likely reach efficiency metrics created by the AIs specifically so that robotics can meet them better than humans."

  • JFC look at all the CVEs out there. Programmers are garbage, and you want their software to make medical decisions? No thanks.

    • And those are just the security flaws. But isn't that all software?

      • by ebunga ( 95613 )

        And that's why I live in the woods and keep The Computer in one disused bedroom and only go online when I'm cranky and want to piss all over what's making the world a worse place this week. Offline is life.

    • by bn-7bc ( 909819 )
      Are the programmers really garbage orr are most of the CVEs caused by lack of time to do proper testing, witch could be called a issue caused be managers ?
  • by Dan East ( 318230 ) on Thursday September 25, 2025 @02:34PM (#65683188) Journal

    I already commented about this [slashdot.org] on another story, but AI caused this problem back in 2015-2017 when it was all over the news that AI would begin reading studies. This caused enough of a percentage of med students to specialize in other areas, leading to the big shortage we have now.

    As far as AI being used, it is very subtle and minimal. For example our hospital uses iCAD for mammogram imagery [icadmed.com], and all it does spit out a marker file that then can be overlaid on top of the images the Radiologists read, showing areas where it identified extra density and the like. These are just little marker icons showing the radiologist an area that they should review in more detail. Very basic, but it does help keep some things from slipping through.

    Anyway AI created this problem, and now we're almost to the point we need AI to fix it. But really, like every single other thing in healthcare, it comes down to liability, and who gets sued when a screw-up happens and who is paying the malpractice insurance that covers it. Right now the doctors bear that responsibility, so they are in demand and make the big dollars. AI reading images would decrease their demand and thus their salaries...

    • by Anonymous Coward
      This caused enough of a percentage of med students to specialize in other areas

      Obviously and clearly false. To end up with fewer diagnostic radiologists, you need fewer (or unfilled) residency positions in diagnostic radiology. While interventional radiology historically fills all its positions on match day, diagnostic radiology does indeed have some number of unfilled positions on that day, but not ones that persist into the academic year, due to the (continued) high desirability of the residency. Broadl
      • We're not talking about 2025, but the last decade. What's your source and what was the trend over that period of time?

      • https://pmc.ncbi.nlm.nih.gov/a... [nih.gov]

        A 2022 study found that half of medical students who consider specializing in radiology as 1 of their top 3 choices are concerned about the impact of artificial intelligence (AI) on the field

        https://www.auntminnie.com/ima... [auntminnie.com]

        If results from a survey of medical students in the U.S. are any indication, the misperception that artificial intelligence (AI) will replace radiologists poses by far a bigger threat to the specialty than the technology itself, according to research published online June 27 in Current Problems in Diagnostic Radiology.

        After surveying over 150 medical students from radiology interest groups at medical schools around the country, a research team led by Dr. Christian Park of Penn State Health Milton S. Hershey Medical Center in Hershey, PA, found that nearly half of the respondents were less enthusiastic about radiology due to AI.

        "The significance of this is not to be understated in that half of potential candidates to the specialty feel as though there is limited opportunity due to an emerging technology such as AI," the authors wrote. "These sentiments have the potential to create downstream effects such as reduction in recruitment to the field of radiology or even medicine as whole."

        https://www.sciencedirect.com/... [sciencedirect.com]

        A total of 156 students responded with representation from each year of medical school. Over 75% agreed that AI would have a significant role in the future of medicine. Most (66%) agreed that diagnostic radiology would be the specialty most greatly affected
        Nearly half (44%) reported that AI made them less enthusiastic about radiology.

        On and on.

  • Here I wrote what could be everyone favorite radiology-bot:

    function interpretImage() {
            echo "Appears benign."
    }

    • you forgot a line.

      function interpretImage() {
                      echo "Appears benign."
                      echo "Follow up again in 12-18 months."
      }

  • TFTFY.

  • I've heard variations on this many times:

    My wife went in for x-rays of her gall bladder, pain and such. The radiologist referred her to a kidney specialist, he happened to see something on a kidney that he thought ought to be looked at further.

    Sure enough, tumor. Kidney removed. Potential tragedy averted.

    I've heard other examples, shoulder x-rays disclosing lung cancer for example.

    This is perhaps not easy to train an AI to. More to the point, I want a skilled and inquisitive radiologist giving my x-rays a

One man's constant is another man's variable. -- A.J. Perlis

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