[Machine learning in radiology : Terminology from individual timepoint to trajectory]

Machine learning (ML) algorithms have an increasingly relevant role in radiology tackling tasks such as the automatic detection and segmentation of diagnosis-relevant markers, the quantification of progression and response, and their prediction in individual patients.

ML algorithms are relevant for all image acquisition techniques from computed tomography (CT) and magnetic resonance imaging (MRI) to ultrasound. However, different modalities result in different challenges with respect to standardization and variability.

ML algorithms are increasingly able to analyze longitudinal data for the training of prediction models. This is relevant since it enables the use of comprehensive information for predicting individual progression and response, and the associated support of treatment decisions by ML models.

The quality of detection and segmentation algorithms of lesions has reached an acceptable level in several areas. The accuracy of prediction models is still increasing, but is dependent on the availability of representative training data.

The development of ML algorithms in radiology is progressing although many solutions are still at a validation stage. It is accompanied by a parallel and increasingly interlinked development of basic methods and techniques which will gradually be put into practice in radiology.

Two factors will impact the relevance of ML in radiological practice: the thorough validation of algorithms and solutions, and the creation of representative diverse data for the training and validation in a realistic context.