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Recognising errors in AI implementation in radiology: A narrative review

Stogiannos, N. ORCID: 0000-0003-1378-6631, Cuocolo, R., Akinci D’Antonoli, T. , Pinto dos Santos, D., Harvey, H., Huisman, M., Kocak, B., Kotter, E., Lekadir, K., Shelmerdine, S. C., van Leeuwen, K. G., van Ooijen, P., Klontzas, M. E. & Malamateniou, C. ORCID: 0000-0002-2352-8575 (2025). Recognising errors in AI implementation in radiology: A narrative review. European Journal of Radiology, 191, article number 112311. doi: 10.1016/j.ejrad.2025.112311

Abstract

The implementation of AI can suffer from a wide variety of failures. These failures can impact the performance of AI algorithms, impede the adoption of AI solutions in clinical practice, lead to workflow delays, or create unnecessary costs. This narrative review aims to comprehensively discuss different reasons for AI failures in Radiology through the analysis of published evidence across three main components of AI implementation: (i) the AI models throughout their lifecycle, (ii) the technical infrastructure, including the hardware and software needed to develop and deploy AI models and (iii) the human factors involved. Ultimately, based on the identified errors, this report aims to propose solutions to optimise the use and adoption of AI in radiology.

Publication Type: Article
Additional Information: © 2025 The Author(s). Published by Elsevier B.V. This is an open access article under the CC BY license (http://creativecommons.org/licenses/by/4.0/).
Publisher Keywords: Artificial Intelligence, Radiology, Failures, Errors, Implementation
Subjects: Q Science > QA Mathematics > QA75 Electronic computers. Computer science
R Medicine > RC Internal medicine
Departments: School of Health & Medical Sciences
School of Health & Medical Sciences > Midwifery & Radiography
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