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Patient Views on the Use of AI for Chest X-Ray Assessment

2026·0 Zitationen·European Medical JournalOpen Access
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6

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2026

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Abstract

<strong>Background: </strong>Healthcare organisations are experiencing significant challenges and delays in radiological reporting and clinical assessment. AI tools can assist the interpretation of chest X-rays and enable risk stratification. <strong>Objective:</strong> To assess patient perspectives on the use of AI in chest X-ray interpretation, focusing on their knowledge, comfort levels, and preferences regarding AI-assisted radiological care. <strong>Methods: </strong>A patient survey on AI use in chest X-ray interpretation was conducted at a single UK tertiary hospital. Patients attending their chest X-ray appointment were invited to participate. The survey captured information on their knowledge and perceptions of AI use in the chest X-ray service. Responses were summarised using descriptive statistics. Free-text comments were interpreted using thematic analysis. Correlation analysis assessed relationships between responses. <strong>Results: </strong>Of the 175 patients who participated in the study, 149 completed the survey. Overall, 52.1% reported being comfortable with the use of AI in their care, 24.9% were neutral, while 21.9% were uncertain. Only two participants objected to the use of AI in their care. Most (92.6%) would prefer a chest X-ray AI tool to be used as a decision aid, rather than reporting autonomously (4.9%) or not being used at all (2.5%). Patients with higher self-reported knowledge of AI were more likely to be comfortable with the use of AI in their care (p=0.003; τ<sub>b</sub>=0.24). The open-ended responses showed that participants generally accepted the AI’s ability to improve care; however, many indicated that further information was needed. <strong>Conclusion: </strong>Patients who self-reported greater knowledge of AI were more likely to accept its use in chest X-ray reporting and prioritisation. This finding highlights the importance of improving public understanding through clear communication and education.

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Artificial Intelligence in Healthcare and EducationRadiology practices and educationCOVID-19 diagnosis using AI
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