A Human-Centered Approach to Identifying Promises, Risks, & Challenges of Text-to-Image Generative AI in Radiology

Fuente: arXiv
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Main Authors: Morrison, Katelyn, Mathur, Arpit, Bradshaw, Aidan, Wartmann, Tom, Lundi, Steven, Zandifar, Afrooz, Dai, Weichang, Batmanghelich, Kayhan, Eslami, Motahhare, Perer, Adam
Format: Preprint
Published: 2025
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author Morrison, Katelyn
Mathur, Arpit
Bradshaw, Aidan
Wartmann, Tom
Lundi, Steven
Zandifar, Afrooz
Dai, Weichang
Batmanghelich, Kayhan
Eslami, Motahhare
Perer, Adam
author_facet Morrison, Katelyn
Mathur, Arpit
Bradshaw, Aidan
Wartmann, Tom
Lundi, Steven
Zandifar, Afrooz
Dai, Weichang
Batmanghelich, Kayhan
Eslami, Motahhare
Perer, Adam
contents As text-to-image generative models rapidly improve, AI researchers are making significant advances in developing domain-specific models capable of generating complex medical imagery from text prompts. Despite this, these technical advancements have overlooked whether and how medical professionals would benefit from and use text-to-image generative AI (GenAI) in practice. By developing domain-specific GenAI without involving stakeholders, we risk the potential of building models that are either not useful or even more harmful than helpful. In this paper, we adopt a human-centered approach to responsible model development by involving stakeholders in evaluating and reflecting on the promises, risks, and challenges of a novel text-to-CT Scan GenAI model. Through exploratory model prompting activities, we uncover the perspectives of medical students, radiology trainees, and radiologists on the role that text-to-CT Scan GenAI can play across medical education, training, and practice. This human-centered approach additionally enabled us to surface technical challenges and domain-specific risks of generating synthetic medical images. We conclude by reflecting on the implications of medical text-to-image GenAI.
format Preprint
id arxiv_https___arxiv_org_abs_2507_16207
institution arXiv
publishDate 2025
record_format arxiv
spellingShingle A Human-Centered Approach to Identifying Promises, Risks, & Challenges of Text-to-Image Generative AI in Radiology
Morrison, Katelyn
Mathur, Arpit
Bradshaw, Aidan
Wartmann, Tom
Lundi, Steven
Zandifar, Afrooz
Dai, Weichang
Batmanghelich, Kayhan
Eslami, Motahhare
Perer, Adam
Human-Computer Interaction
Artificial Intelligence
Computers and Society
As text-to-image generative models rapidly improve, AI researchers are making significant advances in developing domain-specific models capable of generating complex medical imagery from text prompts. Despite this, these technical advancements have overlooked whether and how medical professionals would benefit from and use text-to-image generative AI (GenAI) in practice. By developing domain-specific GenAI without involving stakeholders, we risk the potential of building models that are either not useful or even more harmful than helpful. In this paper, we adopt a human-centered approach to responsible model development by involving stakeholders in evaluating and reflecting on the promises, risks, and challenges of a novel text-to-CT Scan GenAI model. Through exploratory model prompting activities, we uncover the perspectives of medical students, radiology trainees, and radiologists on the role that text-to-CT Scan GenAI can play across medical education, training, and practice. This human-centered approach additionally enabled us to surface technical challenges and domain-specific risks of generating synthetic medical images. We conclude by reflecting on the implications of medical text-to-image GenAI.
title A Human-Centered Approach to Identifying Promises, Risks, & Challenges of Text-to-Image Generative AI in Radiology
topic Human-Computer Interaction
Artificial Intelligence
Computers and Society
url https://arxiv.org/abs/2507.16207