
Veterinary Radiology AI: Ensuring Accuracy, Trust, and Quality Care
When you take a radiograph to better understand a patient’s condition, an accurate reading of the image is paramount to ensure the animal receives the appropriate treatment. That’s why U.S. board-certified radiologists on the Vetology team worked in conjunction with the technology crew to hone our artificial intelligence (AI) models. By integrating expert oversight, rigorous testing, and quality assurance measures, AI can support diagnostic efficiency while maintaining the trust and reliability veterinarians need for patient care.
To help you better understand the Vetology AI radiology tool, this article explains how it was developed and validated, and how it is improved.
Relying on the Experts
To develop our AI model, we used more than a million images from hundreds of thousands of cases, ensuring a comprehensive representation of anatomical variations and disease conditions. Each image was evaluated and annotated by a U.S. board-certified veterinary radiologist, providing high-quality, expert-labeled data (i.e., ground truth) that allows the AI to learn from professional interpretations.
Training the AI
Convolutional Neural Networks
CNNs are designed for image recognition and pattern detection, enabling the automated analysis of radiographs with high accuracy. The images first undergo preprocessing to ensure consistency. This includes image orientation, maximizing image clarity, and contrast adjustments. The CNN then learns to identify features and detect patterns.
- The first convolutional layers identify edges, textures, and contrasts, distinguishing bones, organs, and soft tissues.
- Multi-output CNNs can determine whether an X-ray belongs to a dog or cat and pinpoint the anatomical region being analyzed.
- Once trained, a CNN can determine orientation and recognize certain abnormalities and conditions.
Confusion Matrices
A confusion matrix helps measure how well an AI model classifies radiographic images, ensuring it can correctly identify normal versus abnormal scans, specific conditions, and disease severity. It compares the AI’s predictions with the ground truth, which is determined by U.S. board-certified veterinary radiologists. The table below outlines the relationship between the four key components:

When used to evaluate results, the confusion matrix describes the AI’s performance by measuring key performance metrics, including:
- Accuracy = (TP + TN) / total cases
- Sensitivity = TP / (TP + FN) — How well the AI detects conditions
- Specificity = TN / (TN + FN) — How well the AI identifies normal cases
- Precision = TP / (TP + FP) — How many positive predictions are correct
- F1 score = The balance between precision and recall, ensuring AI does not over or under diagnose
Quality Assurance Regression Testing
QA regression testing compares AI-generated results with known labeled images to identify errors, inconsistencies, and areas for improvement. This process enables our developers to fine-tune the AI, reducing false positives and false negatives, and thus enhancing results over time.
Large Language Models
Large Language Models (LLMs) are trained to recognize and generate common veterinary diagnostic phrases, sentence structures, and condition descriptions to create professional and structured reports.
Board-certified veterinary radiologists are once again involved to review the generated phrases and confirm that the AI is accurately interpreting the images and the LLM is producing relevant and coherent statements.
AI Screening Features
AI screening features enhance veterinary radiology through efficiency tools that promote improved AI reports and consistent image interpretation. Key features include:
- Image preprocessing and standardization: Pre-AI tools adjust orientation, brightness, and contrast for clearer analysis.
- Automated cropping: EfficientDet SSD technology isolates the area of concern, improving contextual accuracy for AI interpretations.
- Anomaly detection: AI identifies abnormalities, such as fractures, tumors, and changes in lung patterns, and can detect species- and region-specific changes. Severity grading models can also help classify the condition’s severity.
Keeping Updated
To ensure our AI model remains accurate and aligned with evolving veterinary radiology practices, we regularly update it with new data to integrate the latest medical findings and maintain optimal performance. The modifications undergo a structured change management process to ensure the updates improve accuracy without introducing errors, and we track all changes between AI versions to maintain transparency and traceability of updates.
Vetology’s AI radiology model is designed to support, not replace veterinary expertise, improving image analysis and providing clinicians with faster, more consistent insights. Utilizing an AI radiology tool can help veterinary teams make more informed decisions before seeking expert consultation. Veterinarians can use this tool as an initial screening step before sending cases to a teleradiologist, helping streamline workflows, prioritize urgent cases, and improve diagnostic efficiency.