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Chest X-Ray AI: A 3-Hospital Rollout

How a hospital network ran FDA-cleared chest X-ray AI in production across three facilities.

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About the Project

A three-hospital deployment: PACS integration, clinical change management, and six-month outcomes.

Industry

Healthcare / Radiology

Hospital radiology departments reading ~85,000 chest X-ray studies a year.

  • Radiology
  • Diagnostic Imaging
  • Clinical AI
Business Type

Regional 3-Hospital Network

Three facilities carrying unfilled radiologist positions and rising workload.

  • 3 Hospitals
  • ED & Inpatient
  • Outpatient Imaging
Core Offering

FDA-Cleared Chest X-Ray AI in Production

AI output reaches the radiologist workflow on every eligible study, not a pilot subset.

  • FDA 510(k) Cleared
  • Pneumothorax Detection
  • Consolidation
  • Pulmonary Nodules
Integration Architecture

PACS to AI engine and back to the worklist

Studies auto-route at acquisition and findings return as a DICOM Structured Report.

  • DICOM Routing
  • Structured Reports
  • Acuity Worklist
  • EHR Surfacing
Clinical Governance

Monthly QA and Threshold Tuning

Dismissed findings are reviewed monthly and confidence thresholds tuned from real reads.

  • Monthly QA Review
  • Documented Dismissals
  • Threshold Tuning
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Scope your own clinical AI deployment with our healthcare engineering team.

  • Free Consultation

The Clinical Problem

A high-volume network needed faster, safer chest X-ray reads.

85,000
The network processed ~85,000 chest X-ray studies annually, with unfilled radiologist positions creating workload pressure. Time from acquisition to report was 4.2 hours for routine studies and 47 minutes for flagged urgent ones.
Throughput
Leadership wanted to improve routine throughput, reliably surface critical findings such as pneumothorax, consolidation, and suspicious nodules promptly, and give radiologists a quality-check tool for high-volume reads.
510(k)
The selected tool had FDA 510(k) clearance for pneumothorax, consolidation, pleural effusion, pulmonary nodules, and other chest pathologies, with particular attention to pneumothorax and consolidation detection.

Surface critical findings faster.
Support your radiologists.
Deploy AI that clinicians trust.

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The Integration Architecture

  • DICOM Routing from PACS to AI Engine

    DICOM Routing from PACS to AI Engine

    DICOM Routing from PACS to AI Engine

    • Each PACS sent chest studies to the AI at acquisition
    • Targeted PA and lateral views across all settings
    • Excluded portable ICU ventilator-management views
  • AI Results Back into the Radiologist Workflow

    AI Results Back into the Radiologist Workflow

    AI Results Back into the Radiologist Workflow

    • Findings returned to PACS as a DICOM Structured Report
    • High-confidence pneumothorax studies moved to the top
    • Acuity, not acquisition time, drove reading priority
  • EHR Result Documentation

    EHR Result Documentation

    EHR Result Documentation

    • Preliminary findings shown in the EHR before the report
    • ED physicians and hospitalists saw findings pre-read
    • Framed as preliminary, never a report substitute
  • Feedback Loop & Threshold Tuning

    Feedback Loop & Threshold Tuning

    Feedback Loop & Threshold Tuning

    • Dismissed AI findings reviewed in monthly QA
    • Dismissals judged against AI error and thresholds
    • Confidence thresholds tuned from real clinical experience
  • Governance & Clinical Oversight

    Governance & Clinical Oversight

    Governance & Clinical Oversight

    • Radiology, IT, and compliance signed off on scope before go-live
    • AI findings logged as decision support, never as the final read
    • Performance reviewed against local case mix, not vendor benchmarks

The Change Management Challenge

Hover a row to see what changed.

What Made It Clinically Valuable

Over 90 days, more radiologists chose to see the AI overlay from the start of the read.

The Results

Every number below was measured in production after launch — not projected in a pitch deck.

31 min

Urgent ED Report Time — Down from 47 minutes

78%

Radiologists Report Positive Impact — At the six-month survey

85,000

Studies Processed Annually — Across all three facilities

3

Hospitals Live in Production — Network-wide rollout

Global presence

Three offices. One team.

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