Artificial intelligence in radiology: the ecosystem essential to improving patient care
Abstract
The rapid development of artificial intelligence (AI) has led to its widespread use in multiple industries, including healthcare. AI has the potential to be a transformative technology that will significantly impact patient care. Particularly, AI has a promising role in radiology, in which computers are indispensable and new technological advances are often sought out and adopted early in clinical practice. We present an overview of the basic definitions of common terms, the development of an AI ecosystem in imaging and its value in mitigating the challenges of implementation in clinical practice.
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While the possibility of AI replacing radiologists was extensively mentioned in recent radiology publications, none of the interviewees in this research identified with this threat.
“While the possibility of AI replacing radiologists, and thereby threatening their professional identity, was extensively mentioned in many recent radiology publications [5, 9, 16, 44], none of the interviewees in this research identified with this threat.”
From Implementation of artificial intelligence (AI) applications in radiology: hindering and facilitating factors (2020) · cites this paper as [5]
AI is expected to cause large changes in clinical work practices and requires complementary skills from radiologists.
“AI is expected to cause large changes in clinical work practices and requires complementary skills from radiologists [5, 7, 8].”
From Implementation of artificial intelligence (AI) applications in radiology: hindering and facilitating factors (2020) · cites this paper as [5]
Literature has mainly blamed the failure of early CAD systems on low technical performance, while other potential barriers such as organizational or social aspects have been largely ignored.
“Literature has mainly blamed this on low technical performance of these early applications [5, 14–16], while other potential barriers to successful implementation, such as organizational or social aspects, have been largely ignored [17].”
From Implementation of artificial intelligence (AI) applications in radiology: hindering and facilitating factors (2020) · cites this paper as [5]
Cites
Radiomics: Images Are More than Pictures, They Are Data
Gillies, R. J., Kinahan, P. E., & Hricak, H. (2016) · Radiology · doi:10.1148/radiol.2015151169 · Cited by 8,421 · see citing works
The Triple Aim: Care, Health, And Cost
Berwick, D. M., Nolan, T. W., & Whittington, J. (2008) · Health Affairs · doi:10.1377/hlthaff.27.3.759 · Cited by 5,136 · see citing works
From Triple to Quadruple Aim: Care of the Patient Requires Care of the Provider
Bodenheimer, T., & Sinsky, C. (2014) · The Annals of Family Medicine · doi:10.1370/afm.1713 · Cited by 3,462 · see citing works
Deep Learning for Health Informatics
Ravì, D., Wong, C., Deligianni, F., Berthelot, M., Andreu-Perez, J., Lo, B., & Yang, G.-Z. (2017) · IEEE Journal of Biomedical and Health Informatics · doi:10.1109/jbhi.2016.2636665 · Cited by 2,000 · see citing works
Steps toward Artificial Intelligence
Minsky, M. (1961) · Proceedings of the IRE · doi:10.1109/jrproc.1961.287775 · Cited by 1,706 · see citing works
Deep Learning: A Primer for Radiologists
Chartrand, G., Cheng, P. M., Vorontsov, E., Drozdzal, M., Turcotte, S., Pal, C. J., Kadoury, S., & Tang, A. (2017) · RadioGraphics · doi:10.1148/rg.2017170077 · Cited by 1,115 · see citing works
Pesapane, F., Codari, M., & Sardanelli, F. (2018) · European Radiology Experimental · doi:10.1186/s41747-018-0061-6 · Cited by 839 · see citing works
Rising Use Of Diagnostic Medical Imaging In A Large Integrated Health System
Smith‐Bindman, R., Miglioretti, D. L., & Larson, E. B. (2008) · Health Affairs · doi:10.1377/hlthaff.27.6.1491 · Cited by 838 · see citing works
Detecting and classifying lesions in mammograms with Deep Learning
Ribli, D., Horváth, A., Unger, Z., Pollner, P., & Csabai, I. (2018) · Scientific Reports · doi:10.1038/s41598-018-22437-z · Cited by 696 · see citing works
Diagnostic Accuracy of Digital Screening Mammography With and Without Computer-Aided Detection
Lehman, C. D., Wellman, R. D., Buist, D. S. M., Kerlikowske, K., Tosteson, A. N. A., & Miglioretti, D. L. (2015) · JAMA Internal Medicine · doi:10.1001/jamainternmed.2015.5231 · Cited by 678 · see citing works
Bhargavan, M., & Sunshine, J. H. (2005) · Radiology · doi:10.1148/radiol.2343031536 · Cited by 280 · see citing works
A deep learning method for classifying mammographic breast density categories
Mohamed, A. A., Berg, W. A., Peng, H., Luo, Y., Jankowitz, R. C., & Wu, S. (2017) · Medical Physics · doi:10.1002/mp.12683 · Cited by 266 · see citing works
Will Artificial Intelligence Replace Radiologists?
Langlotz, C. P. (2019) · Radiology Artificial Intelligence · doi:10.1148/ryai.2019190058 · Cited by 254 · see citing works
Bahl, M., Barzilay, R., Yedidia, A., Locascio, N., Yu, L., & Lehman, C. D. (2017) · Radiology · doi:10.1148/radiol.2017170549 · Cited by 180 · see citing works
The past, present and future role of artificial intelligence in imaging
Fazal, M. I., Patel, M. S. E., Tye, J., & Gupta, Y. (2018) · European Journal of Radiology · doi:10.1016/j.ejrad.2018.06.020 · Cited by 178 · see citing works
Artificial Intelligence in Radiology: Current Technology and Future Directions
Syed, A., & Zoga, A. (2018) · Seminars in Musculoskeletal Radiology · doi:10.1055/s-0038-1673383 · Cited by 140 · see citing works
Artificial intelligence and deep learning – Radiology's next frontier?
Mayo, R. C., & Leung, J. W. T. (2017) · Clinical Imaging · doi:10.1016/j.clinimag.2017.11.007 · Cited by 128 · see citing works
Allen, B., Seltzer, S. E., Langlotz, C. P., Dreyer, K., Summers, R. M., Petrick, N., Marinac‐Dabic, D., Cruz, M. L., Alkasab, T. K., Hanisch, R. J., et al. (2019) · Journal of the American College of Radiology · doi:10.1016/j.jacr.2019.04.014 · Cited by 128 · see citing works
Self-citationEllenbogen, P. H. (2013) · Journal of the American College of Radiology · doi:10.1016/j.jacr.2013.02.011 · Cited by 114 · see citing works
Martin, A. B., Hartman, M., Washington, B., & Catlin, A. (2018) · Health Affairs · doi:10.1377/hlthaff.2018.05085 · Cited by 95 · see citing works
Machine Learning for Predicting Patient Wait Times and Appointment Delays
Curtis, C., Liu, C., Bollerman, T. J., & Pianykh, O. S. (2017) · Journal of the American College of Radiology · doi:10.1016/j.jacr.2017.08.021 · Cited by 90 · see citing works
Solenov, D., Brieler, J. A., & Scherrer, J. F. (2018) · Europe PMC (PubMed Central) · Cited by 89 · see citing works
The Doctor-Patient Relationship With Artificial Intelligence
Aminololama‐Shakeri, S., & López, J. E. (2018) · American Journal of Roentgenology · doi:10.2214/ajr.18.20509 · Cited by 70 · see citing works
Deep learning in radiology: an overview of the concepts and a survey of the state of the artPreprint
Mazurowski, M. A., Buda, M., Saha, A., & Bashir, M. R. (2018) · arXiv (Cornell University) · doi:10.48550/arxiv.1802.08717 · Cited by 33 · see citing works
Verma, S. P., Gómez‐Arias, E., & Andaverde, J. (2009) · International Geology Review · doi:10.1080/00206810903234296 · Cited by 28 · see citing works
McGinty, G. B., & Allen, B. (2018) · Journal of the American College of Radiology · doi:10.1016/j.jacr.2017.12.024 · Cited by 19 · see citing works
Self-citationCombining human and machine intelligence for making predictions
Nagar, Y. (2013) · DSpace@MIT (Massachusetts Institute of Technology) · Cited by 17 · see citing works
The Artificial Intelligence Ecosystem for the Radiological Sciences: Ideas to Clinical Practice
Allen, B., & Dreyer, K. (2018) · Journal of the American College of Radiology · doi:10.1016/j.jacr.2018.02.032 · Cited by 14 · see citing works
Self-citationThe Role of an Artificial Intelligence Ecosystem in Radiology
Allen, B., Gish, R., & Dreyer, K. (2019) · Springer eBooks · doi:10.1007/978-3-319-94878-2_19 · Cited by 10 · see citing works
Self-citation
Flagged first, then by citations
Cited by
Sorted by citations
Strohm, L., Hehakaya, C., Ranschaert, E. R., Boon, W. P. C., & Moors, E. H. M. (2020) · European Radiology · doi:10.1007/s00330-020-06946-y · Cited by 329 · see citing works
“While the possibility of AI replacing radiologists, and thereby threatening their professional identity, was extensively mentioned in many recent radiology publications [5, 9, 16, 44], none of the interviewees in this research identified with this threat.”
BackgroundResultCoppola, F., Faggioni, L., Regge, D., Giovagnoni, A., Golfieri, R., Bibbolino, C., Miele, V., Neri, E., & Grassi, R. (2020) · La radiologia medica · doi:10.1007/s11547-020-01205-y · Cited by 171 · see citing works
Coppola, F., Faggioni, L., Gabelloni, M., Vietro, F. D., Mendola, V., Cattabriga, A., Cocozza, M. A., Vara, G., Piccinino, A., Monaco, S. L., et al. (2021) · Frontiers in Psychology · doi:10.3389/fpsyg.2021.710982 · Cited by 95 · see citing works
Determinants and Barriers of Artificial Intelligence Adoption – A Literature Review
Radhakrishnan, J., & Chattopadhyay, M. (2020) · IFIP Advances in Information and Communication Technology · doi:10.1007/978-3-030-64849-7_9 · Cited by 95 · see citing works
Lamb, L. R., Lehman, C. D., Gastounioti, A., Conant, E. F., & Bahl, M. (2022) · American Journal of Roentgenology · doi:10.2214/ajr.21.27071 · Cited by 78 · see citing works
Is Artificial Intelligence the New Friend for Radiologists? A Review Article
Gampala, S., Vankeshwaram, V., & Gadula, S. S. P. (2020) · Cureus · doi:10.7759/cureus.11137 · Cited by 58 · see citing works
“In contrast, in unsupervised learning, unlabeled data is handed to the computer that the algorithms must learn to self-classify, and it is used in broad AI [15].”
BackgroundMethodBizzo, B. C., Dasegowda, G., Bridge, C. P., Miller, B., Hillis, J. M., Kalra, M. K., Durniak, K., Stout, M. B., Schultz, T., Alkasab, T. K., et al. (2023) · Journal of the American College of Radiology · doi:10.1016/j.jacr.2023.01.002 · Cited by 53 · see citing works
Self-citationMartín‐Noguerol, T., Paulano‐Godino, F., López-Ortega, R., Górriz, J. M., Riascos, R., & Luna, A. (2020) · Clinical Radiology · doi:10.1016/j.crad.2020.11.113 · Cited by 53 · see citing works
Inge, L. J., & Dennis, E. (2020) · Immuno-Oncology Technology · doi:10.1016/j.iotech.2020.04.001 · Cited by 44 · see citing works
Bedrikovetski, S., Dudi-Venkata, N. N., Maicas, G., Kroon, H. M., Seow, W., Carneiro, G., Moore, J. W., & Sammour, T. (2021) · Artificial Intelligence in Medicine · doi:10.1016/j.artmed.2021.102022 · Cited by 41 · see citing works
Understanding Organizations’ Artificial Intelligence Journey: A Qualitative Approach
Radhakrishnan, J., Gupta, S., & Prashar, S. (2022) · Pacific Asia journal of the Association for Information Systems · doi:10.17705/1pais.14602 · Cited by 26 · see citing works
Doo, F. X., & McGinty, G. B. (2023) · Journal of the American College of Radiology · doi:10.1016/j.jacr.2023.06.014 · Cited by 23 · see citing works
Self-citationTraining Radiology Residents, Bloom Style
Smith, E. B., Gellatly, M., Schwartz, C. J., & Jordan, S. G. (2020) · Academic Radiology · doi:10.1016/j.acra.2020.08.013 · Cited by 24 · see citing works
History, current status, and future directions of artificial intelligence
Kubassova, O., Shaikh, F., Melus, C., & Mähler, M. (2021) · Elsevier eBooks · doi:10.1016/b978-0-12-820239-5.00002-4 · Cited by 22 · see citing works
He, C., Liu, W., Xu, J., Huang, Y. S., Dong, Z., Wu, Y., & Kharrazi, H. H. K. (2024) · iRadiology · doi:10.1002/ird3.63 · Cited by 18 · see citing works
“Leveraging AI Tools to Bridge the Healthcare Gap in Rural Areas in India”Preprint
Kerketta, A., & Balasundaram, S. (2024) · medRxiv · doi:10.1101/2024.07.30.24311228 · Cited by 17 · see citing works
Abbaspour, E., Mansoori, B., Karimzadhagh, S., Chalian, M., Pouramini, A., Sheida, F., Daskareh, M., & Haseli, S. (2024) · Abdominal Radiology · doi:10.1007/s00261-024-04668-z · Cited by 14 · see citing works
“AI and its subsets, ML and Deep Learning (DL), have significantly influenced personalized medicine, disease detection, therapeutic strategy decision-making, and outcome prediction [18, 19].”
Social media's role in the perception of radiologists and artificial intelligence
Gupta, S., Kattapuram, T. M., & Patel, T. Y. (2020) · Clinical Imaging · doi:10.1016/j.clinimag.2020.06.003 · Cited by 14 · see citing works
Ma, L., Huang, L., Chen, Y., Zhang, L., Nie, D., He, W., & Qi, X. (2023) · Frontiers in Oncology · doi:10.3389/fonc.2023.1133491 · Cited by 14 · see citing works
Color Shadows 2: Assessing the Impact of XAI on Diagnostic Decision-Making
Natali, C., Famiglini, L., Campagner, A., Maida, G. A. L., Gallazzi, E., & Cabitza, F. (2023) · Communications in computer and information science · doi:10.1007/978-3-031-44064-9_33 · Cited by 10 · see citing works
Review of meta-analyses on the use of artificial intelligence in radiology
Vasilev, Y. A., Vladzymyrskyy, A. V., Omelyanskaya, O. V., Reshetnikov, R. V., Blokhin, I. A., Kodenko, M. R., & Nanova, O. G. (2024) · Medical Visualization · doi:10.24835/1607-0763-1425 · Cited by 11 · see citing works
Abufadda, M., Radaideh, K. M., Al-hinnawi, A.-R. M., & Al-Hiari, A. A. (2024) · Informatics in Medicine Unlocked · doi:10.1016/j.imu.2024.101538 · Cited by 7 · see citing works
Procurement of artificial intelligence for radiology practice
Silsand, L., Severinsen, G.-H., Linstad, L. H., & Ellingsen, G. (2023) · Procedia Computer Science · doi:10.1016/j.procs.2023.01.427 · Cited by 7 · see citing works
Arıbal, E. (2023) · European Journal of Breast Health · doi:10.4274/ejbh.galenos.2023.2023-8-3 · Cited by 7 · see citing works
“Pending examinations will be prioritized based on their significance, and comparative reports involving comparison with prior studies and meticulously AI-generated clinical information will be ready for review (15, 16).”
BackgroundCerbone, L. A. (2025) · Physica Medica · doi:10.1016/j.ejmp.2025.105197 · Cited by 6 · see citing works
Machine Learning Model for Chest Radiographs: Using Local Data to Enhance Performance
Mohn, S. F., Law, M., Koleva, M., Lee, B., Berg, A., Murray, N., Nicolaou, S., & Parker, W. A. (2022) · Canadian Association of Radiologists Journal · doi:10.1177/08465371221145023 · Cited by 5 · see citing works
“Performance of ML models can decrease when used at institutions different than the ones where they were developed.(5,7,8) We demonstrated that fine-tuning using a small local dataset may be a solution for adapting models across different institutions.”
The Use of Artificial Intelligence in Computed Tomography Image Reconstruction: A Systematic Review
Lee, T., & Seeram, E. (2020) · Radiology - Open Journal · doi:10.17140/roj-4-129 · Cited by 5 · see citing works
Li, R., Lei, J., Tang, X., Zheng, S., Qu, J., Xu, Y., & Zheng, H. (2025) · Frontiers in Oncology · doi:10.3389/fonc.2025.1626286 · Cited by 4 · see citing works
Esfandiari, E., Kalroozi, F., Mehrabi, N., & Hosseini, Y. (2024) · Jundishapur Journal of Chronic Disease Care · doi:10.5812/jjcdc-143796 · Cited by 3 · see citing works
Scaling AI Projects for Radiology – Causes and Consequences
Ellingsen, G., Silsand, L., Severinsen, G.-H., & Linstad, L. H. (2022) · Studies in health technology and informatics · doi:10.3233/shti220387 · Cited by 2 · see citing works
DİŞ HEKİMLİĞİ EĞİTİMİNDE YAPAY ZEKA
Coşkun, S., Çoşkun, Ö., & Budakoğlu, I. İ. (2025) · Tıp Eğitimi Dünyası · doi:10.25282/ted.1625590 · Cited by 1 · see citing works
Evaluating The Impact of AI-Based Skin Analysis on Customer Satisfaction in Skin Clinics
Maharani, T., Supit, N., Furinto, A., & Tamara, D. (2025) · Revista de Gestão Social e Ambiental · doi:10.24857/rgsa.v19n5-103 · Cited by 1 · see citing works
Leveraging Artificial Intelligence Tools to Bridge the Healthcare Gap in Rural Areas in India
Kerketta, A., & Balasundaram, S. (2025) · Journal of the Association of Physicians of India · doi:10.59556/japi.73.1186 · Cited by 23 · see citing works
Plodkowski, A. J., Araújo-Filho, J. D. A. B., Simmers, C. D. A., Girshman, J., Raj, M., Zheng, J., Rimner, A., & Ginsberg, M. S. (2020) · Clinical Imaging · doi:10.1016/j.clinimag.2020.07.005 · Cited by 1 · see citing works
“Recent developments in quantitative analysis of medical images using artificial intelligence tools, such as machine learning and deep learning, have created new frontiers in oncologic imaging [20,21].”
BackgroundKrankenhauslogistik – Zusammenfassung und Ausblick
Gimpel, H., Heger, S., Hennrich, J., Schröder, J., & Kriner, H. (2021) · Springer eBooks · doi:10.1007/978-3-658-33064-4_7 · Cited by 1 · see citing works
Aralihond, A., Ashok, S., & Kumar, A. (2026) · Elsevier eBooks · doi:10.1016/b978-0-443-45156-0.00001-7
- Authors
- Sogani, J., Allen, B., Dreyer, K., & McGinty, G.
- Affiliations
- Weill Cornell Medicine (US)
- Grandview Medical Center (US)
- Massachusetts General Hospital (US)
- Corresponding author
- Sogani, Julie
- McGinty, Geraldine
- Venue
- Clinical Imaging
- Publisher
- Elsevier BV
- Published
- 2020-01
- Volume
- 59
- Issue
- 1
- Pages
- A3-A6
- ISSN
- 0899-7071 (ISSN-L)
- OpenAlex
- W2971129090
- Cited by
- 36
- References
- 29
- Citations by year
- 2026: 1 · 2025: 5 · 2024: 6 · 2023: 6 · 2022: 4 · 2021: 4 · 2020: 10
- FWCI
- 1.43
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Clinical Imaging (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Health Informatics › Artificial Intelligence in Healthcare and Education
- Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Radiomics and Machine Learning in Medical Imaging
- Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Radiology practices and education
- Keywords
- artificial intelligence, radiology, AI ecosystem, clinical implementation, patient care, diagnostic imaging, AI terminology
- MeSH terms
- Artificial Intelligence, Diagnostic Imaging, Patient Care, Humans, Radiography, Radiology, Ecosystem
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