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Why did NICE not Recommend AI for CXR Reading in the UK?
1Hardian Health, UK.
Seminars in Roentgenology
|July 30, 2026
Summary
National Institute for Health and Care Excellence
Area of Science:
- Health technology assessment
- Artificial intelligence in healthcare
- Digital health technologies
Background:
- The National Institute for Health and Care Excellence (NICE) established the Early Value Assessment (EVA) pathway in 2020.
- The EVA pathway aims to expedite access to innovative digital and AI technologies pending further evidence generation.
- A cohort of 13 AI tools for interpreting chest X-rays (CXRs) for suspected lung cancer did not receive a conditional recommendation.
Purpose of the Study:
- To analyze the reasons behind NICE's decision regarding the AI CXR tools.
- To contextualize the decision within the UK's health technology assessment framework.
Main Methods:
- Narrative policy analysis of NICE guidance documents.
- Examination of NICE committee meeting documentation.
Main Results:
- The manuscript details the policy analysis and contextualization of the NICE decision.
- Specific findings regarding the rationale for the non-recommendation are presented.
Conclusions:
- The study provides insights into the decision-making process for AI tools within the NICE EVA pathway.
- Understanding this rationale is crucial for developers and regulators of AI in healthcare.
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