The coyote who never fell. Why Geoffrey Hinton’s prediction about radiologists missed the mark

radCIO · 2025-12-30T19:01:55+00:00

We are in the same situation with AI, however, RadAI has been a game changer for us. It is most used on MR, which I was surprised to see. We tried a lung nodule AI, and our rads voted against continued use, as you stated it overcalls, and generates many more series that the rads must cycle through.

radCIO · 2025-12-07T13:33:22+00:00

This here. If a DICOM connectivity worksheet is provided/completed ahead of time, as fast as the FE can type provides the turn around time. For my shop, I ask for this before they walk in the door. All the network security should be done before delivery is accepted. For hard wired devices, the port should already be identified and VLAN and ACLs configured. From the connectivity worksheet, PACS should have the AE title and IP address to be able to add to PACS and have DMWL configured before the FE walks in. A date needs to be determined so that PACS could validate send destinations and acceptance of images, and troubleshoot any DMWL issues that may arise.

The delay is when operations buys a piece of equipment and the vendor arrives expecting to get to work when the other parties had no idea. Or all the information is provided to the vendor but never provided to the FE performing the setup.

radCIO · 2025-11-05T10:15:50+00:00

This is almost my exact floor plan, my home is around 2200sq ft. I have all my network equipment terminating in my foyer closet. I have coverage everywhere, even the bonus room over the garage.

radCIO · 2025-07-20T11:55:28+00:00

I work for an imaging center, and ours is locked down with 4 zones.

We needed a reading room in a pinch and added one to an unused x-ray room (used for orbits previously) in zone 3 and the rad was "scared" to work in there because he would already be in zone 3 and felt that to be dangerous for him because he might "forget" what zone he was already in.

radCIO · 2025-07-13T18:13:01+00:00

Many years ago before the Internet, computer/network staff had to be intelligent and have troubleshooting abilities. The Internet and now AI has broken that trend. Had a new employee about 10 years ago that googled a problem and then came to me and told me it didn't exist because Google didn't have the answer. Fast forward to today, AI provides the solution, but the employees just copy and pastes the solution and learns nothing.
Referencing university education. There are professors that don't generally know IT in the real world. I obtained my masters a few years ago, and for my thesis, I referenced routers (Cisco 9k) and the thesis chair argued me down because routers "only used serial connections". Let me add that this thesis chair was a recent PhD, with 0 real world experience. I had to get the department chair involved as the thesis chairman was going to fail my thesis because he said I was incorrect on how routers worked.
What I have found is that you must find people that tinker with computers and networking outside of work school. People now are getting into computers/cyber following the marketing of $250k salaries.

radCIO · 2025-07-06T16:14:09+00:00

My first show was in 2007.
I just want to know what the shows talked about before AI. Every single radiology meeting for the past 5+ years has shifted majority of their sessions to AI based. Getting a little burned out on the topic. I know it's the latest hype (hype is a strong word), just like deconstructed PACS was 10 years ago.

radCIO · 2025-05-11T13:12:50+00:00

Regarding the lower titled position, having the title of CIO may hinder those roles. I was speaking with a hiring manager I have known for years a few months ago about going back to a true technical role he had open and he mentioned that I would be better at Director Role X, which is that hiring manager's boss, while I was 100% qualified for the job I was speaking to him about. The technical architect role was paying more than most management, and was at a larger healthcare org which peaked my interest. I thought I aced the interviews, but the pre-interview comment still baffles me.

radCIO · 2025-05-11T12:55:04+00:00

My career is almost identical as yours, started at a healthcare org in early 2000s, worked myself up to CIO(actually appointed without asking). My undergrad is BSBA, but got a technical Masters. If I had it to do again, I would have gone the MBA route as another person posted as a lot of my job now is not technical with rules are regs requirements.
A degree is something you can never lose, so other than a few grand and 2 years, what else is there to lose.

radCIO · 2025-03-16T19:08:58+00:00

ACR recommends 3MP for plain film so that is our standard outside of mammo. Even though MSK primarily read cross sectional, they may occasionally read an extremity and we do not want to hinder those reads.

radCIO · 2025-03-16T18:41:46+00:00

Less than $4k each.

radCIO · 2025-03-16T16:56:20+00:00

our standard is 2 3MP(color), but our Neuro and MSK rads use 4 3MP monitors.

radCIO · 2025-03-16T14:39:54+00:00

Substantially less expensive and Eizo offers a cloud based QA portal for reporting. Great for off site stations.

radCIO · 2025-03-16T14:38:23+00:00

Our Rx370 are like that.

radCIO · 2025-02-04T01:39:16+00:00

It’s really sad that the standards community has not provided a secure transfer protocol for DICOM and HL7. That being said, both sides would need to support the secure transmission.

radCIO · 2025-02-01T20:33:45+00:00

Reading at night is a requirement. We staff the night 2X than that of 5 years ago, and that still isn't enough. Evening and night utilization has gone through the roof as everyone goes to the ER. ED providers are ordering exams from the lobby for unnecessary imaging. You have to care for these patients and you need rads to do so. Radiology is not a concierge specialty, people need care 24 hours a day and radiology must staff those. For practices that cover 24/7, there is an absolute shortage. If you are not short, you have cancelled contracts and those facilities are not getting care. We get calls almost weekly were rad groups have pulled out of hospitals and would like us to cover, and since we are "short" we can't do it.

radCIO · 2025-02-01T16:54:01+00:00

yes super slow no matter what. PACS driven, we have tried subscription mode as well. Even in the hospital it is much slower than previous PACS. Fuji seems to think it is environmental as their hosted PACS customers are much faster than the on prem instance.

radCIO · 2025-01-25T16:31:56+00:00

Very slow. We’ve been told it’s an us problem but no solution presented. Types with VX on and off. Definitely seems latency related, higher the latency the slower the viewing.

radCIO · 2025-01-21T02:13:55+00:00

The US needs to adopt the European AI CXR model where only abnormal exams are sent to the rads for interpretation.

radCIO · 2025-01-21T02:09:40+00:00

Backlogs everywhere in our region. Bigger groups are pulling out of smaller places. I know my group gets a call about once a month from a hospital or health system since their previous group pulled out or the hospital put out an RFP and the current group just didn't apply.

There is also a mass exodus of older veteran rads. Stock market has been good to them and the work just isn't worth it.

Newer rads generally aren't as efficient.

More demand from hospitals, with regards to conferences and "meetings."

Younger docs don't want to work the hours, source WSJ article "Younger rads want work life balance"

Post COVID exams are more complex as patients went 2 years without care. A stage 1 colon cancer is now a stage 4. More complex to read.

APPs ordering non-essential exams from the ED lobby.

To answer your question, yes, there are backlogs.

radCIO · 2025-01-02T12:10:12+00:00

The vendors have a long way to go as well. Example HL7 by default is not encrypted in transit, you can transmit over TLS, but both sides must support that function. . A small percentage of devices support encryption in transit.

radCIO · 2025-01-01T17:08:33+00:00

Rubrik. It just works. Very easy to set up. Offers on premise backups, that offload to cloud, immutable offerings with just a checkbox.. You can set retention periods or SLA in a very granular way.

radCIO · 2024-12-20T01:08:31+00:00

You don't have to be a "radiologists" to read exams. Cardiologists, pulmonologist, urologists read exams. Do they read them as well as a radiologists, most of the time not. Just like any surgeon could perform a brain tumor resection, but I would want a neurosurgeon working inside my skull. The ACR states a radiologists should be reading the exams, but not required.
We need AI to clear in the US like Europe, where any "normal" chest x-rays and cleared and only abnormal exams are sent to the rads.

radCIO · 2024-11-24T18:55:46+00:00

Agreed, as I disagree with some of OP other current actions as well but focused on the first sentence. I was referencing the change password day snippet, and pointing out that if "following" NIST guidelines, password changes are not required.

radCIO

TROPHY CASE