Evidence map›Paper›PMID 42673581›Full record

ArticleJournal of medical Internet research2026

Impact of AI-Triaged Worklists and AI-Assisted Report Generation on Radiology Turnaround Times: Prospective Real-World Study.

Srinath Sridharan, Nicholas Png, Alicia X H Seah, Narayan Venkataraman, Kelvin S H Sng, Wee Kiong Lim, Han Leong Goh, Yan Xian Goh, Andy Ta, Kang Min Wong and 3 more

Abstract read
In one paragraph

Article in Journal of medical Internet research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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0cells of the map it votes in
0citing papers in PubMed
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1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Srinath SridharanData Science & Intelligence, Changi General Hospital, Singapore, Singapore, Singapore.ORCID https://orcid.org/0000-0001-9754-4925
Nicholas PngDepartment of Vascular and Interventional Radiology, Singapore General Hospital, Singapore, Singapore.ORCID https://orcid.org/0009-0007-3893-7252
Alicia X H SeahData Science & Intelligence, Changi General Hospital, Singapore, Singapore, Singapore.ORCID https://orcid.org/0009-0004-5463-5631
Narayan VenkataramanData Science & Intelligence, Changi General Hospital, Singapore, Singapore, Singapore.ORCID https://orcid.org/0000-0001-5322-5471
Kelvin S H SngData, AI & Innovation, Synapxe Pte Ltd, Singapore, Singapore.ORCID https://orcid.org/0009-0009-6900-2227
Wee Kiong LimData, AI & Innovation, Synapxe Pte Ltd, Singapore, Singapore.ORCID https://orcid.org/0009-0002-9650-4811
Han Leong GohData, AI & Innovation, Synapxe Pte Ltd, Singapore, Singapore.ORCID https://orcid.org/0000-0002-6694-5969
Yan Xian GohData, AI & Innovation, Synapxe Pte Ltd, Singapore, Singapore.ORCID https://orcid.org/0009-0006-7898-3360
Andy TaData, AI & Innovation, Synapxe Pte Ltd, Singapore, Singapore.ORCID https://orcid.org/0009-0008-8836-8403
Kang Min WongDepartment of Radiology, Changi General Hospital, Singapore, Singapore.ORCID https://orcid.org/0000-0002-4601-9626
Weien ChowCDDO Division & Department of Cardiology, Changi General Hospital, Singapore, Singapore.ORCID https://orcid.org/0000-0003-3275-3114
Kee Chong NgChangi General Hospital, Singapore, Singapore.ORCID https://orcid.org/0000-0003-4602-1248
Charlene LiewDepartment of Radiology, Changi General Hospital, Singapore, Singapore.ORCID https://orcid.org/0000-0002-6403-4539

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundRadiology departments frequently manage large, heterogeneous worklists using first-in, first-out (FIFO) reporting workflows. This approach does not account for clinical urgency and may contribute to prolonged reporting delays, particularly in high-volume settings. AI systems are increasingly being integrated into radiology workflows, not only for image analysis but also as tools for worklist prioritization and report generation. However, real-world evidence of their operational impact remains limited.

objectiveThis study aimed to evaluate the impact of an AI-triaged reading worklist combined with AI-assisted report generation on radiologist workflow efficiency, measured by report generation time (RGT) and overall turnaround time (TAT) for chest radiographs in a real-world hospital setting.

methodsWe conducted a single-center prospective paired study using a single-sequence crossover design. Eight board-certified radiologists interpreted chest radiographs during 2 reporting sessions: an unaided session using standard FIFO worklists and an AI-assisted session using an AI-triaged worklist with integrated report generation tools, separated by a 4-week washout period. Chest radiographs acquired between November 2023 and January 2024 were included. RGT was defined as the time from opening a study to report finalization, and TAT was defined as the time from the start of a reporting session to report finalization. Statistical comparisons were performed using nonparametric tests.

resultsA total of 1054 chest radiographs were included. Median RGT decreased from 2 (IQR 1-4) minutes in the unaided session to 0.53 (IQR 0.22-1.12) minutes in the AI-assisted session (P<.001), representing a 73.3% reduction. The largest reduction was observed in radiographs categorized as normal, with median RGT decreasing from 2 (IQR 1-3) minutes to 0.2 (IQR 0.13-0.35) minutes (a 90% reduction). Mean TAT decreased from 876.21 (SD 1014.20; 95% CI 816.06-940.55) minutes to 82.25 (SD 83.38; 95% CI 76.98-87.27) minutes with AI assistance, corresponding to a 90.6% reduction. Significant reductions in TAT were observed across all urgency categories, including critical studies (all P<.001).

conclusionsIn a real-world clinical setting, the use of AI-triaged worklists and AI-assisted report generation was associated with substantial reductions in RGT and overall TAT for chest radiographs. These findings suggest that AI, when deployed as workflow infrastructure rather than a diagnostic replacement, may meaningfully improve radiology operational efficiency and reporting timeliness.

Indexed as

Artificial IntelligenceRadiology Department, HospitalWorkflowCross-Over StudiesHumansProspective StudiesTime FactorsAIartificial intelligenceradiographyradiology information systemsthoracictime factorsworkflow

Identifiers

PMID42673581
PMCPMC13575548

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.