AI Implementation in Radiology : Challenges and Opportunities in Clinical Practice

This book describes change management in the context of implementing AI in medicine and radiology. Why do many medical institutions struggle to use AI in their clinical practice? What are the essential steps for and before an effective implementation of AI in radiology workflow? How can AI implementation trigger enduring improvements in the clinical process? The book shows how change management is crucial to effectively introduce AI to medicine and radiology, transform healthcare delivery and ensure a smooth transition while maximizing the benefits of AI and minimizing potential disruptions.

Change management in the context of AI in medicine and radiology involves a systematic approach to identify, plan, implement, and evaluate the integration of AI technologies into healthcare systems. It engages the necessary stakeholders at the appropriate points in the process to ensure that change is implemented properly. By effectively managing the change, healthcare organizations can harness the potential of AI to enhance patient care, improve diagnosis accuracy, and optimize operational efficiency in radiology and other medical specialties.

Throughout this change management process, organizations should prioritize ethical considerations, data privacy, and regulatory compliance to ensure that AI technologies are deployed responsibly and in accordance with relevant guidelines and regulations.

Dr. Erik Ranschaert is a radiologist at the St. Nikolaus Hospital in Eupen, Belgium, while also holding the position of visiting professor at Ghent University. With a strong focus on AI research, he collaborated with multiple institutions, including the Netherlands Cancer Institute, Tilburg University, VU Amsterdam, and Oxford University. During his tenure as President of the European Society of Medical Imaging Informatics (EuSoMII) from 2018 to 2021, Dr. Ranschaert spearheaded advancements in medical imaging technology. He continues to contribute as the chairman of the society's educational committee. Notably, his extensive portfolio includes several scientific publications, delving into the development and integration of AI applications in radiology. Dr. Ranschaert actively participated in various book projects, co-editing and co-authoring works on imaging informatics, including the pioneering book on AI in radiology. His expertise extends to advising hospitals, startups, and companies on the development and utilisation of AI for medical purposes, making him a respected authority in the field.

Mohammad H. Rezazade Mehrizi is an Associate Professor at KIN Center for Digital Innovation, at Vrije Universiteit Amsterdam. He is also an affiliated Organizational Learning Advisor to Leiden Medical Center, Radiology Department. He holds a PhD in Science and Technology Policy from Sharif University of Technology (in collaboration with SPRU), Iran, and a second PhD in Management Sciences from ESADE Business School, Barcelona. His interest lies in understanding and helping organizations and their associated communities to unlock their historical chains that prevent them from making a better future. He is research centers around how knowledge work and expertise are shaped by modern technologies, particularly by studying the effect of algorithmic technologies on professional work and organizing knowledge work. His scholarly work has contributed to numerous academic communities, and he has engaged with organizations and practitioners from various domains such as healthcare, digital technologies, financial services, and education.

Dr. Willem Grootjans is an assistant professor and technical physician at the department of Radiology at the Leiden University Medical Center. He graduated cum laude from the Technical University of Twente at the faculty of Science and Technology in Technical Medicine with a specialization in Robotics and Imaging. In 2012, he started his PhD at the department of Radiology and Nuclear Medicine of the Radboud University Medical Center in Nijmegen, focusing on the use of positron emission tomography for personalizing clinical management of patients with lung cancer. In 2016 he obtained his PhD at the Radboud faculty of Medical Sciences and started as a postdoctoral fellow at the Leiden University Medical Center at the department of Radiology. In 2018 he formed a specialized image processing group, at the department of Radiology of the Leiden University Medical Center, responsible for extracting relevant information from medical images for diagnosis and image-guided treatment decisions, also known as the ‘Imaging Services Group’ (ISG). Since 2019 he is head of the ISG which is now responsible for delivering high quality quantitative information to radiologists by using state-of-the art image processing software (including AI) that can be used for radiological reporting in clinical routine. Willem continues his mission to research and implement new technological innovations to improve the quality of healthcare, while keeping in mind the needs of the patient, healthcare professional, and society at the same time.

Dr. Tessa Cook is an Associate Professor of Radiology at the Perelman School of Medicine at the University of Pennsylvania in Philadelphia, and Vice Chair of Practice Transformation in the Department of Radiology. She is an active member of multiple radiology societies, including the RSNA, ACR, SIIM, and AUR. She is the director of the Penn Radiology Imaging Informatics Fellowship and Modality Chief of 3-D and Advanced Imaging. In 2020, Dr. Cook was inducted into the College of Fellows of the Society for Imaging Informatics in Medicine (SIIM) and received SIIM’s Dr. Ruth Dayhoff Award for the Advancement of Women in Medical Imaging Informatics. She was Chair of the SIIM Board of Directors from 2022-2024. Dr. Cook pursues innovative methods to enhance care delivery in radiology and improve radiologists' workflow.