AI Compliance for Radiology AI in California (2026)
Radiology AI is classified as Clinical Decision Support under California law and must follow strict oversight rules.
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AI Applications in Radiology Practices That Require Compliance
- 1AI analyzing X-rays, MRIs, or CT scans
- 2Automated preliminary reads flagging abnormalities
- 3AI-generated radiology reports
- 4Computer-aided detection (CAD) systems
Key Compliance Requirements for Radiology
- Radiologist must review and countersign AI findings
- Immutable audit trail: original AI output vs. final report
- AI cannot autonomously finalize diagnoses
- Patient notification if AI was used in analysis
💡 Radiology Compliance Tip
Maintain complete audit logs showing both the AI's original findings and the radiologist's final interpretation.
California AI Regulations Affecting Radiology Practices
Two primary laws govern AI use in radiology practices in California:
AB 489: The Transparency Mandate
AB 489 requires any AI system that interacts with patients to clearly disclose its non-human nature at the start of every interaction. For radiology practices, this means all patient-facing chatbots, virtual assistants, and automated systems must display clear AI disclosure notices.
AB 3030: Generative AI Oversight
AB 3030 specifically targets Generative AI (like ChatGPT) used in healthcare. If your radiology practice uses GenAI to generate patient communications, clinical summaries, or educational content, a licensed healthcare professional must review and approve the content before it reaches patients.
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