FWIW, https://pmc.ncbi.nlm.nih.gov/articles/PMC11073588/ from 2024 Apr 4 ("Revolutionizing Breast Cancer Detection With Artificial Intelligence (AI) in Radiology and Radiation Oncology: A Systematic Review") says:
"Presently, when a pre-selection threshold is established (without the radiologist's involvement), the performance of AI and a radiologist is roughly comparable. However, this threshold may result in the AI missing certain cancers.
To clarify, both the radiologist and the AI system may overlook an equal number of cases in a breast cancer screening population, albeit different ones. Whether this poses a significant problem hinges on the type of breast cancer detected and missed by both parties. Further assessment is imperative to ascertain the long-term implications"
and concludes
"Given the limitations in the literature currently regarding all studies being retrospective, it has not been fully clear whether this system can be beneficial to breast radiologists in a real-time setting. This can only be evaluated by performing a prospective study and seeing in what situations the system works optimally. To truly gauge the system's effectiveness in real-time clinical practice, prospective studies are necessary to address current limitations stemming from retrospective data."
The amount of training a radiation technologist (the person who makes you put your body in uncomfortable positions when you break something) is significant. My partner has made a career of it, and the amount of school needed and clinical hours is non-trivial, and harder to do than becoming a nurse from what I understand.
They need to know as much about bones as orthopedic surgeons while also knowing how radiation works, as well as how the entire imagining tech stack works, while also having the soft skills needed to guide injured/ill patients to do difficult things (often in the midst of medical trauma).
The part where a doctor looks at images is really just a very small part of the entire "product." The radiologists who say "there's a broken arm" are never in the room, never see the patient, never have context. It's something that, frankly, an AI can do much more consistently and accurately at this point.