Radiologists may misidentify AI images
CT and MRI images were harder to distinguish than radiographs and ultrasound, while subspecialty expertise was associated with greater accuracy.
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By
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Andrea Surnit
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August 26, 2026
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Radiologists identified 75% of AI-generated images correctly, with accuracy varying by imaging modality and subspecialty expertise.
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The study involved 182 radiologists reviewing 30 images, including 20 AI-generated and 10 real images across various modalities.
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CT images had the lowest median accuracy at 70%, while radiographs had the highest accuracy at 91% for identifying real and AI-generated images.
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Radiologists with relevant subspecialty expertise achieved higher classification accuracy, particularly in chest and cardiac imaging.
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The study noted limitations, including the presentation format of images and potential selection bias among participants.