I think it will be radiologists signing-off auto-generated reports, with less reimbursement per study. It'll likely result in more work for diagnostic radiologists to maintain their same salary levels.
It will take a very long time for this to happen, probably decades. Cardiologists are still paid to finalize ECG reports 3 days after a STEMI.
I've worked at places with AI/CAD for lung nodules, mammo and stroke and there isn't even a whisper at cutting fee codes because of AI efficiency gains at the moment.
N.B. I say this as a radiologist who elected not to pursue an interventional fellowship because I see reimbursement for diagnostic work skyrocketing with AI due to increases in efficiency and stagnant fee codes.
Itβs hard to imagine this not happening in the next five years. Just depends on who is prepared to take on the radiologists to reduce their fee codes. Speaking as 2nd year radiology resident in Australia