
2016年,“AI教父”杰弗里·辛顿(Geoffrey Hinton)在多伦多举办的一场机器学习大会上公开发言,称人工智能很快将彻底取代放射科医生。
彼时他直言,社会甚至应当停止培养新放射科医生,因为“显而易见”,不出五年(最多十年),人工智能在影像诊断上的表现就会超越人类。
辛顿打比方称:“身为放射科医生,你就像已冲出悬崖的郊狼,只是还没看清脚下的深渊。”
多年来,辛顿等科技专家一直预测人工智能将取代放射科医生,部分原因在于,放射科医生的部分工作流程看似刻板、重复,比如阅片、撰写诊断报告。
然而,尽管“行业末日”的预言甚嚣尘上,放射科的现状却恰恰印证:人工智能大规模取代人类工作的警告,往往言过其实。据《纽约时报》报道,就连辛顿本人也在去年收回了这一激进论断,澄清自己当时的说法仅针对影像分析这一环节。他表示,未来人类放射科医生将与人工智能协同工作,从而进一步提升诊疗效率与精准度。
弗吉尼亚大学达顿商学院(University of Virginia’s Darden School of Business)经济学家、工商管理学教授克里斯托夫·赫普弗(Christoph Herpfer)主要研究医疗金融与医师劳动力市场。他表示,过去十年间,美国在职放射科医生数量增长了约10%。
“现实情况是,放射科医生缺口巨大,和当年的预测完全背道而驰。”他向《财富》杂志透露。
诚然,随着美国人口老龄化加剧,以及《平价医疗法案》扩大医保覆盖范围,全社会对医疗岗位与医疗服务的整体需求一直在稳步增长。
关于人工智能取代人类工作的讨论早已屡见不鲜。Snap、Block等科技公司都以人工智能为由裁员数千人;Anthropic首席执行官达里奥·阿莫迪(Dario Amodei)曾警告,五年内人工智能可能淘汰半数初级白领岗位,不过,他近期改口称,人工智能更多是重塑、拓展部分工种,而非单纯取而代之。
即便如此,专注放射科人才招聘的平台RadBoard.io的分析显示,仅今年5月,美国仍有7469个放射科岗位正在招聘,其中1470个岗位空缺时间已超60天。Medscape的研究显示,人才紧缺推动行业薪酬水平上涨,2025年放射科医生平均年薪达57.1万美元,较上年同期上涨9%。
数年前人工智能专家纷纷唱衰放射科的职业前景,如今已有不少科技领袖转变论调。
英伟达(Nvidia)首席执行官黄仁勋(Jensen Huang)今年早些时候做客Dwarkesh播客时表示,唱衰放射科职业前景的人混淆了“阅片”这一具体任务与放射科医生的完整岗位职责。奈飞(Netflix)联合创始人里德·哈斯廷斯(Reed Hastings)今年早些时候在Possible播客中也提到,放射科医生的案例印证:即便工作受到人工智能影响,职业本身也不会被完全取代。
他表示:“我们总容易被人工智能彻底颠覆行业的叙事吸引,但事实是,放射科行业并没有被颠覆。或许终有一天会出现这种情况,但过去五年里,丝毫看不出任何迹象。”
制度层面的约束,决定了人工智能短期内几乎不可能完全取代放射科医生。美国联邦医疗保险(Medicare)与医疗补助计划(Medicaid)明确规定:只有持证执业医师出具最终诊断报告,影像检查项目才可纳入医保报销;同时,人工智能漏诊的责任界定问题,至今仍无明确解决方案。
与黄仁勋的观点一致,赫普弗指出放射科职业得以存续的另一核心原因:阅片只是医生日常工作的一部分。放射科医生还需参与临床会诊、跟进患者病情,介入放射科医生还要开展各类有创诊疗操作。赫普弗认为,人工智能实现阅片和报告撰写自动化后,医生不过是将节省下来的时间投入到其他工作中而已。
他表示:“医生这类复合型职业包含大量细分工作。即便能让其中一两项实现自动化,从业者也只是将时间重新分配给其他任务。除非人工智能能完全胜任这份工作的全部内容,否则这一职业不会消失。”
美国食品药品监督管理局(FDA)已批准多款人工智能影像工具,这类工具降低了影像检查成本、提升了出片效率,进一步推高了临床影像检查需求,也使放射科医生长期处于高负荷工作状态。《美国放射学会杂志》的数据显示,2018年至2025年初,放射科病例量飙升了25%。
“放射科医生每年要处理的病例量持续攀升,医保报销额度却不断缩减,从业者的职业倦怠问题十分突出。”曾是执业急诊放射科医生、现为人工智能医疗初创公司Rad AI联合创始人的杰夫·张(Jeff Chang)博士对《财富》杂志表示。
杰夫·张对此深有体会。2018年创办公司前,他已在急诊放射科工作十年,每个夜班需审阅150到200份影像报告。他的公司开发人工智能工具的初衷并非取代放射科医生,而是通过自动生成报告结论,为医生每个班次节省近一小时的工作时间。
尽管他的初创公司正将人工智能引入放射科工作流程,但他并不认为这项技术能彻底取代这一职业。
“‘人工智能完全取代放射科医生’这个想法,从一开始就站不住脚。”杰夫·张说。
一线执业放射科医生则表示,人工智能无法复刻诊疗过程中的人文关怀。得克萨斯州的介入放射科医生托尼·莱因克(Tonie Reincke)博士称,人工智能无法共情、安抚患者,也无法在沟通中像人类一样传递非语言信号。
她对《财富》杂志说:“患者哭泣时,电脑没法握住他们的手,也没法给他们递一张纸巾。”
莱因克担心,“人工智能彻底取代放射科医生”的炒作会劝退医学生。她表示,放射科是美国医学领域竞争最激烈的科室之一,住院医师规培时长也位居各科室前列,根据细分方向不同,通常需要五到六年。她补充道,即便人工智能替代论缺乏实际依据,这种焦虑情绪也可能进一步加剧放射科医生短缺的局面。
赫普弗表示,放射科的发展经验对各行各业都具有借鉴意义。类似的剧情也曾在会计行业上演——上世纪90年代,人们曾预测电子表格软件会让会计师彻底消失。实际上,Excel只是替代了常规的数字计算工作,让会计师腾出时间处理更复杂的咨询类业务。
“除非人工智能实现质的飞跃,诞生通用人工智能,进而引发岗位全面替代的极端状况,否则从中期来看,绝大多数工作岗位都不会面临被淘汰的风险。这便是我们能从放射科医生身上学到的经验。”赫普弗总结道。(财富中文网)
译者:中慧言-王芳
2016年,“AI教父”杰弗里·辛顿(Geoffrey Hinton)在多伦多举办的一场机器学习大会上公开发言,称人工智能很快将彻底取代放射科医生。
彼时他直言,社会甚至应当停止培养新放射科医生,因为“显而易见”,不出五年(最多十年),人工智能在影像诊断上的表现就会超越人类。
辛顿打比方称:“身为放射科医生,你就像已冲出悬崖的郊狼,只是还没看清脚下的深渊。”
多年来,辛顿等科技专家一直预测人工智能将取代放射科医生,部分原因在于,放射科医生的部分工作流程看似刻板、重复,比如阅片、撰写诊断报告。
然而,尽管“行业末日”的预言甚嚣尘上,放射科的现状却恰恰印证:人工智能大规模取代人类工作的警告,往往言过其实。据《纽约时报》报道,就连辛顿本人也在去年收回了这一激进论断,澄清自己当时的说法仅针对影像分析这一环节。他表示,未来人类放射科医生将与人工智能协同工作,从而进一步提升诊疗效率与精准度。
弗吉尼亚大学达顿商学院(University of Virginia’s Darden School of Business)经济学家、工商管理学教授克里斯托夫·赫普弗(Christoph Herpfer)主要研究医疗金融与医师劳动力市场。他表示,过去十年间,美国在职放射科医生数量增长了约10%。
“现实情况是,放射科医生缺口巨大,和当年的预测完全背道而驰。”他向《财富》杂志透露。
诚然,随着美国人口老龄化加剧,以及《平价医疗法案》扩大医保覆盖范围,全社会对医疗岗位与医疗服务的整体需求一直在稳步增长。
关于人工智能取代人类工作的讨论早已屡见不鲜。Snap、Block等科技公司都以人工智能为由裁员数千人;Anthropic首席执行官达里奥·阿莫迪(Dario Amodei)曾警告,五年内人工智能可能淘汰半数初级白领岗位,不过,他近期改口称,人工智能更多是重塑、拓展部分工种,而非单纯取而代之。
即便如此,专注放射科人才招聘的平台RadBoard.io的分析显示,仅今年5月,美国仍有7469个放射科岗位正在招聘,其中1470个岗位空缺时间已超60天。Medscape的研究显示,人才紧缺推动行业薪酬水平上涨,2025年放射科医生平均年薪达57.1万美元,较上年同期上涨9%。
数年前人工智能专家纷纷唱衰放射科的职业前景,如今已有不少科技领袖转变论调。
英伟达(Nvidia)首席执行官黄仁勋(Jensen Huang)今年早些时候做客Dwarkesh播客时表示,唱衰放射科职业前景的人混淆了“阅片”这一具体任务与放射科医生的完整岗位职责。奈飞(Netflix)联合创始人里德·哈斯廷斯(Reed Hastings)今年早些时候在Possible播客中也提到,放射科医生的案例印证:即便工作受到人工智能影响,职业本身也不会被完全取代。
他表示:“我们总容易被人工智能彻底颠覆行业的叙事吸引,但事实是,放射科行业并没有被颠覆。或许终有一天会出现这种情况,但过去五年里,丝毫看不出任何迹象。”
制度层面的约束,决定了人工智能短期内几乎不可能完全取代放射科医生。美国联邦医疗保险(Medicare)与医疗补助计划(Medicaid)明确规定:只有持证执业医师出具最终诊断报告,影像检查项目才可纳入医保报销;同时,人工智能漏诊的责任界定问题,至今仍无明确解决方案。
与黄仁勋的观点一致,赫普弗指出放射科职业得以存续的另一核心原因:阅片只是医生日常工作的一部分。放射科医生还需参与临床会诊、跟进患者病情,介入放射科医生还要开展各类有创诊疗操作。赫普弗认为,人工智能实现阅片和报告撰写自动化后,医生不过是将节省下来的时间投入到其他工作中而已。
他表示:“医生这类复合型职业包含大量细分工作。即便能让其中一两项实现自动化,从业者也只是将时间重新分配给其他任务。除非人工智能能完全胜任这份工作的全部内容,否则这一职业不会消失。”
美国食品药品监督管理局(FDA)已批准多款人工智能影像工具,这类工具降低了影像检查成本、提升了出片效率,进一步推高了临床影像检查需求,也使放射科医生长期处于高负荷工作状态。《美国放射学会杂志》的数据显示,2018年至2025年初,放射科病例量飙升了25%。
“放射科医生每年要处理的病例量持续攀升,医保报销额度却不断缩减,从业者的职业倦怠问题十分突出。”曾是执业急诊放射科医生、现为人工智能医疗初创公司Rad AI联合创始人的杰夫·张(Jeff Chang)博士对《财富》杂志表示。
杰夫·张对此深有体会。2018年创办公司前,他已在急诊放射科工作十年,每个夜班需审阅150到200份影像报告。他的公司开发人工智能工具的初衷并非取代放射科医生,而是通过自动生成报告结论,为医生每个班次节省近一小时的工作时间。
尽管他的初创公司正将人工智能引入放射科工作流程,但他并不认为这项技术能彻底取代这一职业。
“‘人工智能完全取代放射科医生’这个想法,从一开始就站不住脚。”杰夫·张说。
一线执业放射科医生则表示,人工智能无法复刻诊疗过程中的人文关怀。得克萨斯州的介入放射科医生托尼·莱因克(Tonie Reincke)博士称,人工智能无法共情、安抚患者,也无法在沟通中像人类一样传递非语言信号。
她对《财富》杂志说:“患者哭泣时,电脑没法握住他们的手,也没法给他们递一张纸巾。”
莱因克担心,“人工智能彻底取代放射科医生”的炒作会劝退医学生。她表示,放射科是美国医学领域竞争最激烈的科室之一,住院医师规培时长也位居各科室前列,根据细分方向不同,通常需要五到六年。她补充道,即便人工智能替代论缺乏实际依据,这种焦虑情绪也可能进一步加剧放射科医生短缺的局面。
赫普弗表示,放射科的发展经验对各行各业都具有借鉴意义。类似的剧情也曾在会计行业上演——上世纪90年代,人们曾预测电子表格软件会让会计师彻底消失。实际上,Excel只是替代了常规的数字计算工作,让会计师腾出时间处理更复杂的咨询类业务。
“除非人工智能实现质的飞跃,诞生通用人工智能,进而引发岗位全面替代的极端状况,否则从中期来看,绝大多数工作岗位都不会面临被淘汰的风险。这便是我们能从放射科医生身上学到的经验。”赫普弗总结道。(财富中文网)
译者:中慧言-王芳
In 2016, the “Godfather of AI,” Geoffrey Hinton, stood onstage at a machine learning conference in Toronto and declared AI would soon kill the radiology profession.
At the time, he said people should even stop training new radiologists because it was “completely obvious” that within five years (or 10 at most) AI would do a better job than humans at the same tasks.
“If you work as a radiologist, you’re like the coyote that’s already over the edge of the cliff but hasn’t yet looked down,” Hinton said.
For years, tech experts like Hinton predicted displacement by AI partly because some radiologists’ tasks are seemingly formulaic and repetitive, such as reading scans and writing reports.
And yet, despite the doomsday predictions, radiology may serve as an example that the warnings of AI-fueled job replacement may be oversold. Even Hinton stepped back from his drastic call last year, clarifying he was speaking purely about image analysis, the New York Times reported. In the future, he said human radiologists will work with AI to be even more efficient and effective.
Over the last 10 years, the number of active radiologists in the U.S. has grown by about 10%, said Christoph Herpfer, an economist and business administration professor at the University of Virginia’s Darden School of Business who studies health care finance and physician labor markets.
“We actually have a huge shortage of radiologists. So the exact opposite of this prediction has happened,” he told Fortune.
To be sure, demand for health care jobs and health services overall has increased steadily as Americans have gotten older and more people have obtained health insurance under the Affordable Care Act.
Much has been said about AI replacing human jobs. Some tech companies, including Snap and Block, have pointed to AI as a reason for laying off thousands of employees, while Anthropic CEO Dario Amodei had previously warned AI could eliminate half of all entry-level white-collar jobs within five years, though he has more recently argued that AI may also transform and expand certain types of work rather than simply replace them.
Still, there were 7,469 active radiology job postings as of May, including 1,470 that had remained open for more than 60 days, according to a an analysis by radiology-focused recruiting platform, RadBoard.io. This shortage has pushed the average salary for radiologists to $571,000 as of 2025, up 9% year over year, according to a study from Medscape.
While years ago AI experts declared the death of radiology as a career, some tech leaders have recently changed their tone.
Nvidia CEO Jensen Huang said on the Dwarkesh Podcast earlier this year radiology doomers conflate the task of reading scans with the entire job. Netflix cofounder Reed Hastings said on the Possible podcast earlier this year radiologists are an example of how even if jobs are affected by AI, they may not be replaced entirely.
“We’re drawn to these scenarios of AI wiping out things,” he said. “And again, it hasn’t happened in radiology. Maybe it will eventually, but not in the last five years.”
Structural issues may make it nearly impossible for AI to fully replace radiologists anytime soon. Medicare and Medicaid will only reimburse for a radiology study if a licensed physician performs the final read. It’s also unclear how AI can be held responsible for a missed diagnosis.
Like Huang, Herpfer pointed out another reason radiology persists is because reading images is just one of their daily tasks. Radiologists also consult with other physicians, monitor patients, and some, like interventional radiologists, also perform hands-on procedures. Introduce AI automation into scan-reading and report writing, and doctors simply dedicate more time to their other tasks, Herpfer argued.
“Complex jobs like being a doctor consist of many sub-tasks. Even if you can automate one or two of those, you just expand the time you spend on the other tasks,” he said. “Until AI is fully able to do the entirety of all the tasks, the job itself won’t go away.”
Increased demand for scans, fueled partly by AI tools already approved by the Food and Drug Administration that have made imaging cheaper and faster to produce, has also kept radiologists busy. Between 2018 and early 2025, radiology case loads skyrocketed 25%, according to the Journal of the American College of Radiology.
“The number of studies that a radiologist has to do every year keeps going up, the reimbursement keeps going down, and they just get really, really burnt out,” Dr. Jeff Chang, a former practicing ER radiologist who cofounded AI health care startup Rad AI, told Fortune.
Chang knows first hand how burnt out radiologists can get. He spent a decade reading between 150 and 200 imaging studies during each of his night shifts before starting his company in 2018. His company’s AI tools are designed not to replace radiologists but to save them close to an hour per shift by automatically generating the conclusions section of radiology reports.
Despite being the cofounder of a company that introduces AI into radiologists’ workflow, he doesn’t believe the technology can fully replace the profession.
“That entire concept didn’t really make sense to begin with,” Chang said.
On the ground, practicing radiologists say AI cannot simulate the humanity involved in their jobs. Dr. Tonie Reincke, a Texas-based interventional radiologist, said AI can’t offer compassion, empathy, or the nonverbal cues that humans give while speaking to patients.
“A computer can’t hold a patient’s hand when they’re crying,” she told Fortune. “A computer can’t hand them a tissue.”
Reincke worries the hype about AI replacing radiologists entirely may discourage medical students. Radiology is one of the most competitive programs and requires one of the longest residencies in American medicine, often lasting between five or six years depending on the specialization, she said. AI fears, even if they’re not well founded, may worsen the shortage of radiologists, she added.
Herpfer said the broader lesson from radiology extends well beyond medicine. The same dynamic played out with accountants, who were expected to be wiped out by spreadsheet software in the 1990s. Instead, Excel eliminated their routine number-crunching tasks and freed up accountants to move into more complex advisory work.
“As long as AI doesn’t make this quantum leap of becoming sort of AGI [Artificial General Intelligence], as long as this extreme scenario doesn’t happen, most jobs in the medium run are probably going to be reasonably safe,” Herpfer said. “That’s the lesson I think we can learn from the radiologists.”