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Perspective

The Second Reader Should Show Its Work

Dr. Rajiv Anand

Diagnostic Radiologist

Somerfield Regional Medical Center

1 min read

Published March 19, 2026

  • AI Diagnostics
  • Medical Imaging
  • Second Opinions

I don't need an algorithm to agree with me. I need it to show me what it saw.

The tools I've kept using long-term all share one property: when they flag something, I can see what they saw.

Even a highly accurate probability score, offered without reasoning, changes how a radiologist reads. You stop looking as carefully.

The best compliment I can give a diagnostic tool is that it's taught me to notice something I'd have missed.

About the author

Dr. Rajiv Anand

Diagnostic Radiologist

Somerfield Regional Medical Center

Four years into reading imaging alongside AI-assisted diagnostic tools, Rajiv Anand has settled on a single test for whether one is worth keeping.