[notabee]

Honestly, many of the obstacles seem to be social and procedural ones. We already have the technology to easily facilitate better communication between e.g. PCPs and specialists to better diagnose rare diseases, but it's not used well. Medical centers are still faxing everything around, doing manual data migrations, and have little in the way of technological standards. There are flatly stupid traditions such as doctors working 24+ hours at a stretch when we force truckers and airline pilots to limit their hours far below that for less mentally demanding jobs. The social structure of medicine is an ossified, dysfunctional mess and all the diagnostic aids in the world aren't going to fix that. That's why I feel that people want to replace it all, regardless of how feasible it might be right now. Fixing the logistical, economic, and procedural problems that prevent people who need to be in a scanner from getting there quickly enough will do substantially more than getting a few percentage points of extra sensitivity or specificity by letting an AI read the scans. We don't need some far future technology, we need medicine to use existing technology intelligently.