Experts debate saving and billing for adjunctive artificial intelligence in breast imaging

Breast imaging experts call adjunctive artificial intelligence (AI) a second set of eyes, not a replacement for radiologist judgment; they split on saving its outputs and cautioned against charging patients for access.

• Dr. Bahl’s team does not save AI ultrasound outputs in picture archiving and communication system (PACS) because the tool assesses only current images and lacks clinical context, such as prior stability; saving every output would force reports to justify disagreements.
• Dr. Patel’s facility does save AI notations in PACS to support internal monitoring and audits, and Dr. Berg adds saved outputs document algorithm versions over time for medicolegal clarity.
• All panelists raised access concerns about practices charging patients cash for adjunctive AI, noting rural facilities may already lack contrast-enhanced mammography and breast MRI.

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