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So, I want you rads guys to take a look at that chart. It may mean nothing to you and that's fine but that's the "The Last Ones" security AI test build by the UK AI Security Institute to test AI cyber capabilities. It's a 32 step simulated corporate network red-team penetration testing attack chain. It takes the absolute best of the best humans in the world about 20 hours of focused work to complete it. GPT-4o could only get 1.7 steps. Opus 4.6 got around 10 steps. Claude Mythos preview is the first model to ever complete it. Look at those massive generational leaps in capability. We're talking mid-20025 models to one year later. If you guys think these models can't and won't overtake your ability to safely, efficiently and accurately diagnose radiology imaging, you are crazy. And it won't take 15 years either. That's just the scary reality of a medical specialty that has little to no patient interaction. It's pure cognitive work. (Diagnostics) ANY job centered about human cognitive work WILL absolutely be overtaken by AI. It's inevitable. Does that mean you'll be without a job in a few years? Of course not. What it means is that the AI that you dismiss as (AI slop) will become good enough that it starts to impress you and then impressed you even more and then you will find yourself relying on it more and more. That's the key to keeping your jobs. Leveraging it to make you MORE productive. Who knows, you might find that you finish the day feeling less stressed than you do now because you could get so much done with AI and the reads have lower medicolegal risk because it's getting checked over and over by the systems QA.
The absolute worst thing any of us can do is dismiss the technology which is the human thing to do when we all feel like our job is threatened. (Nobody can do it as well as ME, etc..) What's important is for all of us to jump on board leveraging this technology. I think what most of us will find is that we are probably as physicians one of the last human workers to be replaced by AI because as some of you have said, the human interaction is important. Discussing the read with the surgeon who's planning a surgical approach. The ER doc that wants to talk with you about the clinical presentation and ask you a few questions about the read. That kind of stuff can't readily be replaced by AI (Yet) and I think that's going to be true for quite a long time so I don't think any of us need to worry about that.
If you DO get replaced, it's more than likely going to be a new radiology grad, nowhere near your level of experience or expertise that jumped on the AI bandwagon early and can knock out reports in half the time that you can leading to them being overwhelmingly productive and your employer deciding to let you go and keep the young guy.
As for the rest of the discussion in here, I hope none of the rad guys see us as enemies because I was honestly a bit surprised to see some of the snarky comments in here. There's no way any of us could do our jobs without you. 100% of management and disposition depends on DIAGNOSTICs and you guys are the gatekeepers. If you feel overwhelmed with the amount of reads, don't project that onto us please. We are slammed each and every day and forced to see more and more people in les and less time in a growing medicolegal environment and diagnostic imaging is just part of that beast. You guys are being forced to read more and more reads when you probably need MORE people and that's just admin screwing both of us but we truly are not enemies and I hope we can always remember that.
