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The Potential Role of Artificial Intelligence in Systematic Follow-Up Recommendation Tracking and Outcome Assessment
Stacy D O'Connor1, Tarik Alkasab2, Joel K R Samuel3
1Vice Chair of Innovation, Department of Imaging Sciences, University of Rochester Medical Center, Rochester, New York.
Journal of the American College of Radiology : JACR
|October 16, 2025
Summary
Recommended follow-up imaging after radiology exams is often missed, delaying diagnoses. Artificial intelligence can improve tracking systems to ensure patients complete necessary diagnostic procedures and close the care loop.
Area of Science:
- Radiology and Medical Imaging
- Health Informatics
- Artificial Intelligence in Medicine
Background:
- Actionable findings requiring follow-up are common in radiology reports.
- Inconsistent completion of recommended follow-up can delay diagnoses, including cancer.
- Current follow-up tracking systems require significant manual effort.
Purpose of the Study:
- To review the components of radiology follow-up recommendation management systems.
- To explore the potential of artificial intelligence (AI) in improving these systems.
- To enhance efficiency and expand capabilities in managing diagnostic follow-up.
Main Methods:
- Review of key components: identification, communication, tracking, and outcomes.
- Exploration of AI, specifically large language models, for data extraction and aggregation.
- Discussion of how AI can optimize manual processes in follow-up management.
Main Results:
- AI offers potential for automating data extraction from unstructured radiology reports.
- Large language models can improve efficiency in managing follow-up recommendations.
- AI can enhance the robustness and completeness of follow-up tracking systems.
Conclusions:
- AI integration can significantly improve the efficiency of radiology follow-up management.
- AI tools can help ensure completion of recommended diagnostic procedures.
- Implementing AI can lead to better patient outcomes by closing the care loop.