In September, the FDA cleared a radiology AI tool from a2z Radiology AI to flag ten more findings on abdomen-pelvis CT scans, bringing its total to seventeen. It is a triage clearance: the software flags suspected findings and prioritizes the worklist, and the radiologist still reads every scan.
That is triage, not report writing. The AI I use in my own practice plays a different role: it drafts the report itself.
In my practice I use an AI tool called Mosaic. It is a vision-language model that pre-drafts reports for my X-rays, CTs and MRIs before I look at them, summarizing what it detects. After that, I go through the images myself and verify that the information is correct.
I read roughly 80 to 100 cases a day. Most are CTs, with ultrasounds and MRIs mixed in, and the diagnoses are made in real time. Before I dictate, the AI pulls up the case with a draft report waiting. The draft gives me a template to dictate from, and it already carries context I would otherwise assemble by hand: the indication for the study, the patient’s demographics, and whether the scan was performed with or without contrast. When I have finished reviewing the images, I insert my diagnosis and sign the final report.
I see AI as a tool, and for me its most important help is workflow. The pre-drafting pulls out a template and matches the patient’s record correctly. It matches the study title, which keeps billing aligned and spares me the addenda I used to write to correct titles. It gets routine details right, such as the patient’s age and sex, avoiding small errors that can slip into a report. In my reports, those errors have disappeared. It has also made me more productive: I used to pull these templates and pre-dictate the studies myself.
The AI also looks at the images before I do. In rare cases it comes close to what I think is correct, but usually it is not fully correct, so I come in and make the diagnosis. I am still the radiologist. The report is mine, and with my training I am in charge of patient care.
Mosaic is the tool I use for this. I work with additional AI tools as well.
In my workflow, the draft is a starting point. I review the images myself, verify the information, and make the final diagnosis.
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