Medical imaging technology plays a dual role in radiology error cases, both helping to prevent misinterpretation and, at times, contributing to disputes about it. Advanced modalities such as high resolution CT and MRI create expectations for detecting smaller abnormalities, which can raise the standard of care for what a radiologist should identify. At the same time, technology limitations, including resolution constraints, artifacts, and the physics of imaging, can provide a defense when a finding falls below the threshold of reliable detection.
Several technological features become relevant in litigation. Digital systems with advanced processing tools may reveal abnormalities more clearly, but they can also contribute to information overload and satisfaction of search errors. Picture archiving and communication systems generate audit trails documenting viewing times, window level adjustments, and access to comparison studies, which can serve as evidence about the thoroughness of an interpretation. Computer aided detection raises questions about the standard of care when such tools are available but not used, or when a radiologist overrides an algorithmic flag.
Equipment and environment also factor in. Maintenance records, quality control testing, and calibration documentation affect whether technical issues excuse a missed finding, and workstation ergonomics, monitor quality, and lighting conditions can influence perception and bear on a claim. The availability of prior imaging through digital systems can eliminate some explanations for missing interval change. Structured reporting systems may reduce errors but can also create liability for template driven oversights.
Emerging artificial intelligence in radiology introduces new questions about the responsibilities of a human radiologist when algorithmic assistance is available, an area that continues to develop. In Georgia, the standard of care under O.C.G.A. § 51-1-27 adapts as technology and accepted practice evolve, and expert testimony explains how the relevant tools should have been used in the specific case. Understanding technology’s role helps establish realistic standards while maintaining accountability for preventable interpretation errors.