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Peer-Reviewed Publication
NPJ Digit Med2026;9(1)April 4, 2026Journal Article

Comparison of AI-generated radiology impressions: a multi-stakeholder evaluation.

Sharang Phadke1, Nivedita Suresh1, Zachary Allen1, Anjali Balagopal1, Stephen Chan1, Anish Shah2, Megan Winter2, Cesar Lam2, Trevor Rose2, Cyrillo Araujo2, Abraham Ahmed2, Iman Imanirad2, Lincoln Berland1, Andrew Del Gaizo3,4
1Rad AI, San Francisco, CA, USA.
2Moffitt Cancer Center, Tampa, FL, USA.
3Rad AI, San Francisco, CA, USA. andrew.delgaizo@moffitt.org.
4Moffitt Cancer Center, Tampa, FL, USA. andrew.delgaizo@moffitt.org.

Abstract

A retrospective, blinded evaluation of 200 oncologic computed tomography reports compared original radiologist-authored impressions, impressions generated by a custom domain-specific AI model fine-tuned on institutional data, and impressions generated by a general-purpose large language model. Ten clinicians, including original radiologists (n = 4), independent radiologists (n = 3), and oncologist…

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