Tessa S. Cook

M. Jorge Cardoso, Julia Moosbauer, Tessa S. Cook et al.

The integration of AI into radiology introduces opportunities for improved clinical care provision and efficiency but it demands a meticulous approach to mitigate potential risks as with any other new technology. Beginning with rigorous pre-deployment evaluation and validation, the focus should be on ensuring models meet the highest standards of safety, effectiveness and efficacy for their intended applications. Input and output guardrails implemented during production usage act as an additional layer of protection, identifying and addressing individual failures as they occur. Continuous post-deployment monitoring allows for tracking population-level performance (data drift), fairness, and value delivery over time. Scheduling reviews of post-deployment model performance and educating radiologists about new algorithmic-driven findings is critical for AI to be effective in clinical practice. Recognizing that no single AI solution can provide absolute assurance even when limited to its intended use, the synergistic application of quality assurance at multiple levels - regulatory, clinical, technical, and ethical - is emphasized. Collaborative efforts between stakeholders spanning healthcare systems, industry, academia, and government are imperative to address the multifaceted challenges involved. Trust in AI is an earned privilege, contingent on a broad set of goals, among them transparently demonstrating that the AI adheres to the same rigorous safety, effectiveness and efficacy standards as other established medical technologies. By doing so, developers can instil confidence among providers and patients alike, enabling the responsible scaling of AI and the realization of its potential benefits. The roadmap presented herein aims to expedite the achievement of deployable, reliable, and safe AI in radiology.

Satvik Tripathi, Don Enwerem, Kevin Song et al.

Transparent and standardized reporting is essential for reproducible scientific research, yet adherence to reporting guidelines remains inconsistent because of the manual effort required to select and complete checklists. We present CheckSupport, an open-source, locally deployable system that uses large language models to automate the recommendation of reporting checklists and the evidence-grounded completion of checklists for scientific manuscripts. CheckSupport employs a staged prompting strategy that decomposes reporting workflows into constrained inference tasks, prioritizing faithful extraction over generative text synthesis. All inference is performed locally using instruction-tuned models, preserving data privacy and enabling reproducible, auditable workflows. Evaluated on a corpus of peer-reviewed manuscripts, CheckSupport achieved 90% overall accuracy for checklist recommendations and 88% overall accuracy for item-level completion while operating on CPU-only hardware. On average, the wall-clock time per manuscript was 12.5 seconds, including the checklist recommendation and full checklist completion. These results demonstrate that large language models, when applied as structured inference components, can reduce reporting burden and support more transparent and reproducible scientific reporting across disciplines.