03/15/26

Should AI results be disclosed in mammography reports? A randomised survey study of patient responses to concordant and discordant interpretations.

Pesapane, Filippo; Depretto, Catherine; Rotili, Anna; Penco, Silvia; Monzani, Dario; Grasso, Roberto; Nicosia, Luca; Mallardi, Carmen; D'Amelio, Lucrezia; Carriero, Serena; Irmici, Giovanni; Della Pepa, Gianmarco; Pravettoni, Gabriella; Santicchia, Sonia; Scaperrotta, Gianfranco; Cassano, Enrico. Eur Radiol.

Summary

As AI becomes more integrated into clinical care, clear communication with patients about AI findings will be critical. This Italian randomized survey study found that disclosing AI results that conflicted with a radiologist’s interpretation reduced patient's trust, increased their anxiety, and raised their interest in second opinions and legal action. Providing brief context for discordant AI findings may help maintain trust and reduce unnecessary concern.

Pesapane F, Depretto C, Rotili A, et al. Should AI results be disclosed in mammography reports? A randomised survey study of patient responses to concordant and discordant interpretations. Eur Radiol. 2026;36(7):5645-5655.