Human-AI Collaboration in Radiology: The Case of Pulmonary Embolism

Paul Goldsmith-Pinkham; Chenhao Tan; Alexander K. Zentefis

Home/Archive/arXiv

arXiv · 2601.13379

Human-AI Collaboration in Radiology: The Case of Pulmonary Embolism

Paul Goldsmith-Pinkham·Chenhao Tan·Alexander K. Zentefis

View original source ↗Read source document ↗Export metadata ↓

Abstract

We study how radiologists use AI to diagnose pulmonary embolism (PE), tracking over 100,000 scans interpreted by nearly 400 radiologists during the staggered rollout of a real-world FDA-approved diagnostic platform in a hospital system. When AI flags PE, radiologists agree 84% of the time; when AI predicts no PE, they agree 97%. Disagreement evolves substantially: radiologists initially reject AI-positive PEs in 30% of cases, dropping to 12% by year two. Despite a 16% increase in scan volume, diagnostic speed remains stable while per-radiologist monthly volumes nearly double, with no change in patient mortality -- suggesting AI improves workflow without compromising outcomes. We document significant heterogeneity in AI collaboration: some radiologists reject AI-flagged PEs half the time while others accept nearly always; female radiologists are 6 percentage points less likely to override AI than male radiologists. Moderate AI engagement is associated with the highest agreement, whereas both low and high engagement show more disagreement. Follow-up imaging reveals that when radiologists override AI to diagnose PE, 54% of subsequent scans show both agreeing on no PE within 30 days.

Explore related subjects

econ.GN q-fin.EC

Keep this discovery

Explore connections, maps & timelines

BibTeX RIS

Paul Goldsmith-Pinkham, Chenhao Tan, Alexander K. Zentefis. 2026-01-19. Human-AI Collaboration in Radiology: The Case of Pulmonary Embolism. https://arxiv.org/abs/2601.13379

Cite the original work for its findings. Save a collection to share your selection of sources.

KEEP EXPLORING

Related papers

arXiv2026

Local Media and the Shaping of Social Norms: Evidence from the Ebola outbreak

Media's influence on norms and behavior is widely recognized. Less is known about the role played by media being local. I examine this in a high-stakes context, the Ebola outbreak in Guinea. I exploit quasi-random variation in access to radio and the timing of a public-health campaign aired on community radio. I find that 12-17% of Ebola cases could have been prevented if places with access to a neighboring community radio station had instead had their own. Impacts are driven by radio being local rather than by ethno-linguistic belonging. Local media facilitates coordination in behaviors observed and sanctioned locally.

econ.GN↗

arXiv2026

Productivity Shocks and Input Misallocation: A Decomposition

This paper asks how much input misallocation productivity uncertainty generates and at which stage of input decisions it arises. I separate revenue productivity by when each component is revealed and trace each into the gap between an input's marginal revenue product and its price. In six European countries, shocks revealed after an input is committed account for 20 percent of capital gap dispersion and 5 percent of labor gap dispersion. An unanticipated one percent rise in productivity raises the capital gap by 0.92 percent and the labor gap by 0.19 percent, because most of the shock passes into the wage.

econ.GN↗

arXiv2026

When Do Type-Specific Wages Buffer Distributional Incidence in TANK?

When do relative wages buffer the unequal incidence of aggregate shocks? I derive a consumption-gap decomposition and a present-value condition for partial offset in a TANK model. An extension separates wage-setting demand elasticity from substitution between labor segments and allows each segment to contain both financial types. With a zero inherited wage gap and a same-sign discounted wedge, substitution above one gives offsetting earnings reallocation; substitution below one gives amplification. The channel disappears when financial types have identical segment exposure. Numerical experiments assess these mechanisms, shock persistence, policy feedback, and aggregate-IRF matching. In the nested perfect-alignment monetary benchmark, the peak consumption gap is about two-fifths smaller under type-specific wages than under the common-wage closure. These are conditional model comparisons, not empirical effect estimates or welfare rankings.

econ.GN↗