Every Image Screened, Not Just the Ones You Choose to Send

Every Image Screened, Not Just the Ones You Choose to Send

ARTICLE ABSTRACT

This article walks through how automated AI screening complements teleradiology in a real practice workflow: the veterinarian reads the film, the AI corroborates what they saw and surfaces incidental findings, and teleradiology adds a board-certified or board-eligible specialist’s depth on the cases that genuinely warrant one.

The result is in-appointment answers for the pet owner, fewer next-day callbacks, and more focused telerad referrals on the cases that actually need a specialist’s interpretation.

How automatic AI screening adds comprehensive coverage without changing how you practice

Teleradiology is a trusted and valuable part of veterinary practice. When a case calls for a board-certified radiologist’s interpretation, the ability to send images and receive a detailed report has improved patient care across the profession. Most practices have a teleradiology provider they rely on, and that relationship matters.

Vetology’s AI screening serves a different purpose. It is not a replacement for teleradiology, it is a complement that adds something teleradiology was never designed to do: screen every image, automatically, before anyone has to decide which cases need a specialist read.

The two services work hand in hand. AI screening provides the always-on baseline that catches findings on every study. Teleradiology provides a board-certified or board-eligible radiologist’s interpretation on the cases where a specialist’s depth adds the most.

The Difference Between Selective and Comprehensive

Teleradiology works on a case-by-case basis. The veterinarian evaluates the images, identifies cases that would benefit from specialist input, and submits those for review. This is exactly how the service is designed to work, and it works well.

AI screening works differently. When a practice uses Vetology, every radiograph submitted through the workflow is automatically analyzed across 91+ classifiers covering conditions in canine and feline thorax, abdomen, and spine/musculoskeletal categories. There is no selection step. The screening happens on every study, validated on 300,000 board-certified veterinary radiologist-reviewed cases with published sensitivity and specificity for every condition.

This means the AI is reviewing images that the DVM may already feel confident about. Here’s where the added value shows up: A thorax taken to evaluate a cough also gets screened for cardiac changes, lymphadenopathy, and spinal findings. An abdomen taken for GI signs is screened for organ size changes, mineralization, and structural abnormalities. The AI adds breadth to every study, regardless of the original clinical question.

What This Looks Like at 2 PM on a Tuesday

Standard Teleradiology-Only Workflow

A Labrador presents for a persistent cough. You take thoracic radiographs. With teleradiology, you submit the images, move the client out, and call tomorrow with results. The pet parent goes home without answers, and you add another callback to tomorrow’s list.

icon graphic showing the veterinary diagnostic imaging workflow with AI

Imaging Workflow with AI in the Mix

With AI screening, the report is available within minutes, while the client is still in the room. The AI flags a bronchial pattern consistent with your clinical suspicion, but it also notes early left atrial enlargement and mild thoracic lymphadenopathy.

You now have a more complete picture to discuss with the client before they leave. If the lymphadenopathy reading prompts a closer look, you can submit that single case for a teleradiology read knowing exactly why you are asking for one.

The AI surfaces the question; the teleradiologist provides the credentialed answer. When you recommend a specialist read to a pet owner, the recommendation is grounded in something specific you saw on the image.

For some veterinarians, that in-appointment information is exactly what they want. Clients leave with clarity and a treatment plan instead of waiting overnight.

For others, the value is more analytical: five fewer callbacks per day at 8 to 10 minutes each adds up to 40 to 50 minutes of recovered time. That is nearly one additional appointment, or time back in a day that already feels too short. The per-case cost of AI screening on an unlimited subscription is a fraction of a teleradiology read, and the information arrives while it can still shape the visit.

Comprehensive Screening in Practice

In practical terms, AI screening means:

  • A thorax submitted for cardiac evaluation is also screened for pulmonary patterns, pleural findings, mediastinal changes, and thoracic spine conditions.
  • An abdomen submitted for vomiting is also screened for organ size, masses, mineralization, and structural findings across all visible organs.
  • A spine study is also screened for degenerative changes, congenital anomalies, and adjacent soft tissue findings.

The AI presents its findings in a structured report alongside the veterinarian’s own assessment. Some findings will confirm what the doctor already noted. Others may highlight something worth a closer look. The veterinarian always makes the final clinical decision.

This is not about replacing clinical judgment. It is about having a consistent, validated screening layer that catches incidental findings the same way every time, whether it is 9 AM or 5:45 PM on a Friday. When something on the screen warrants a specialist’s interpretation, the AI report helps the veterinarian put a focused clinical question on the teleradiology submission. Instead of “please read these films,” the question becomes “please assess thoracic lymphadenopathy and confirm cardiac silhouette.” The radiologist still reads with fresh eyes, on their own, but the clinician’s question is sharper. That sharper question is what makes the report more useful when it comes back.

How the Workflow Plays Out

You read the radiograph the way you always have. The AI report arrives on the same case within minutes, and you check it against what you saw. Most of the time, the AI confirms your read and may add a few findings you were not specifically looking for. That confirmation is the value. You move to diagnosis and treatment planning with one more layer of corroboration behind your decision, and the structured AI report becomes fast and familiar to read over time.

Some cases do not resolve that easily. The findings are subtle, the clinical picture is unclear, or you and the AI together still cannot get to a confident diagnosis or treatment plan. That is where teleradiology adds a layer of human specialist support. The case goes to a board-certified or board-eligible radiologist who can give the read the depth it needs.

Over time, the rhythm becomes natural. You read, the AI corroborates, and you decide whether you have what you need or whether the case warrants a specialist’s interpretation. The AI is the helper that confirms what you already saw. The teleradiologist is the human specialist you turn to when confirmation alone is not enough.

How the Whole Practice Benefits

Practice managers benefit from more complete initial visits. When more information is available during the appointment, more treatment decisions happen while the client is in the room. This means smoother scheduling, fewer follow-up calls to coordinate, and better client retention. Clients who leave with answers are more likely to follow through on treatment plans and return for follow-ups.

Veterinary technicians gain a new dimension to their work. Techs who capture quality radiographs can see the AI’s findings on the images they produced. Over time, this builds familiarity with a broader range of imaging findings and adds professional development value to the imaging workflow.

Front desk and client services staff benefit from the downstream effect: when appointments are more complete, there are fewer follow-up calls to manage and fewer schedule adjustments to coordinate. The day runs more predictably for everyone.

AI Screening and Teleradiology Work Together

These services answer different clinical questions, and knowing when to use each is part of running an efficient imaging workflow.

Lean on AI screening when:

  • You want a baseline read on every study, including the ones you already feel confident about
  • The pet parent is in the room and a same-visit conversation matters
  • You want a structured screen for incidental findings outside the original clinical question
  • You want to triage which cases in a busy day actually warrant a specialist’s time

Lean on teleradiology when:

  • The case is complex, the findings are subtle, or the clinical stakes are high
  • You want a board-certified or board-eligible radiologist’s interpretation on the medical record
  • The owner is asking for a specialist opinion before committing to next steps
  • You want a credentialed reading you can cite to a referring practice or in a follow-up conversation

In practice, the workflow is straightforward. The AI screens every case automatically. The veterinarian reviews the AI report alongside their own assessment of the films. When something warrants a specialist’s interpretation, the case goes to teleradiology with a sharper clinical question on the submission. The radiologist reads with fresh eyes, the way they always have. The clinician gets a credentialed reading on the cases that need one. The pet parent gets answers in the room when answers are available, and a thorough specialist review when one is appropriate.

Vetology offers both AI screening and teleradiology read by board-certified and board-eligible radiologists, including DACVR/ECVDI diplomates, board-certified cardiologists, and a board-certified dentist. STAT reads return in 2 hours; routine reads in 24. The AI subscription also works alongside whatever teleradiology provider a practice currently uses, so clinics do not have to choose between them.

Simple, Predictable Pricing

Vetology’s AI screening subscription is $200/month for unlimited studies. Not per-case, not tiered by volume. A flat monthly cost that covers every radiograph the practice submits, whether that is a handful per week or dozens per day. No contracts, no PACS required, and free DICOM storage included.

The AI subscription is the practice’s recurring imaging cost. Teleradiology fees, which start at $86 per single-region report, are billed to the pet owner on the cases the veterinarian sends for a specialist read.

The flat AI cost gives the clinic broad coverage on every study; the per-case telerad fee gives the pet owner a credentialed read on the cases that warrant one. Together they make for a more intentional imaging workflow.

The system integrates with widely used practice management systems including DaySmart Vet, ezyVet, VetRocket, ScribbleVet, and CoVet with more on the way.

Want to see AI in action?

To tour the platform and learn more, contact our team, or book a demo for a firsthand look at our AI and teleradiology platform.

Radiology Support Built for the Way Veterinarians Work

Radiology Support Built for the Way Veterinarians Work

AI Screenings Add Fast Imaging Analysis to the Veterinary Generalist's Toolkit

Veterinarians have a remarkable and diverse skillset. On any given day, a GP might perform surgery, vaccinate a puppy, help a pet parent manage a complex diabetes case, and perform a dental procedure. No other medical profession asks its practitioners to work across this many disciplines at this level of competence, every single day.

Radiology is one of those disciplines. Board-certified veterinary radiologists spend years in fellowship training after veterinary school, developing expertise in a field that spans thousands of conditions across multiple species and body systems. In general practice, that same breadth of imaging interpretation falls to the veterinarian.

Vetology’s AI screening report was designed with this reality in mind. Not to replace the veterinarian’s judgment, but to add a layer of specialist-level screening that supports the work practicing veterinarians are already doing.

How It Works in Practice

When a practice submits radiographs through Vetology, the AI automatically analyzes every image across our growing list of classifiers covering canine and feline thorax, abdomen, and spine/musculoskeletal conditions. Results arrive in minutes. There is no extra submission, no case selection, and no waiting for a specialist’s availability.

The system has been validated on a foundation of 300,000 board-certified veterinary radiologist-reviewed multi-image cases. These are real patient studies from real veterinary practices, each reviewed by diplomates of the American College of Veterinary Radiology (DACVR) or European College of Veterinary Diagnostic Imaging (ECVDI).

The AI provides a structured analysis that highlights findings across 94+ conditions. Some of these are conditions the veterinarian is already evaluating. Others are incidental findings that benefit from being flagged: subtle lymphadenopathy alongside a cardiac workup, early organ size changes on a GI study, mineralization that warrants monitoring. The veterinarian reviews everything in context and makes every clinical decision.

A Resource for the Whole Practice Team

AI screening benefits more than the doctor reading the images.

For veterinary technicians, AI reports create a learning opportunity built into the daily workflow. Techs who position patients and capture radiographs can see what the AI identified on the images they produced. This builds familiarity with imaging findings over time and adds professional development value to work the team is already doing.

For practice managers and operations leads, the impact shows up in workflow. When more findings are identified during the initial visit, more treatment conversations happen while the client is still in the room. This means smoother scheduling, more complete appointments, and fewer situations where the team needs to coordinate follow-up calls and return visits after the fact.

For front desk staff, the benefit is practical: when cases are more fully resolved on the first visit, there are fewer follow-up calls to coordinate and fewer schedule adjustments to manage. The front desk may not read radiographs, but they feel the difference when the day runs more smoothly.

Confidence and Collaboration

Vetology AI is a screening tool, not a diagnostic replacement. It does not tell the veterinarian what to do. It provides additional information that the DVM incorporates into their clinical picture alongside history, physical exam, and their own radiographic assessment.

Veterinarians who use AI screening consistently describe it as a confidence builder. When the AI confirms their interpretation, it reinforces their treatment plan. When the AI highlights something they had not focused on, it gives them a reason to take a second look. Either way, they have more information available when making their clinical decisions.

That added confidence has a practical impact. Veterinarians who feel well-supported in their imaging interpretation tend to use diagnostic imaging more effectively in discussions with clients, and keep more of their caseload in-house.

Designed for General Practice Economics

Vetology’s unlimited monthly subscription is built for the way general practice operates. There are no per-case fees, no contracts, and we include a PACS for free if you need one. The system integrates with widely used practice management systems and AI scribes including ezyVet, DaySmart Vet, CoVet, Scribblevet, VetRocket with more on the way, and includes free DICOM storage.

For practices that also need board-certified radiologist interpretations, Vetology offers teleradiology with 2-hour STAT and 24-hour routine turnaround from DACVR and ECVDI diplomates, as well as board-certified cardiologists and a board-certified dentist. AI screening and specialist reads work together under one platform.

Specialist-Level Support, Built for Generalists

The breadth of what general practice veterinarians manage every day is extraordinary. Vetology’s role is to make one part of that work a little easier by adding consistent, validated radiology screening to every imaging study the practice performs.

It is the kind of support that lets the whole team do what they do best, with more information and more confidence behind every decision.

Want to see AI in action?

To tour the platform and learn more, contact our team, or book a demo for a firsthand look at our AI and teleradiology platform.

Behind The Scenes With the Vetology Support Team 

Behind The Scenes With the Vetology Support Team 

In veterinary medicine, time is short and expectations are high. Clients want answers about their pet’s health quickly, and AI-powered platforms like Vetology can help you deliver. But what happens when you have a question about your AI screening report, need to speak with a human radiologist, or want to train your team to use the platform?

Our client care team is ready to help at a moment’s notice. Clients who regularly interact with the support team tend to get better results from the platform, work more efficiently, and build greater confidence with our AI and teleradiology tools.

Here’s a look at the Vetology support services we provide at no additional cost to help users get the most from our platform.

The Team Behind The Screen

Vetology’s support team is small but mighty. Together, they handle over 14,000 communications each year, including phone calls, emails, scheduled trainings, and now, live on-platform chats.

Our support providers include a blend of veterinary techs, technology, and customer care professionals. With many years of combined experience across multiple disciplines, they’re capable of handling everything from onboarding and software installation to troubleshooting, clinical questions, radiologist follow-ups, and veterinary team coaching.

We’d like to introduce you to two of our key support team members:

Tammie McGill

Tammie McGill

Tammie McGill spent nearly two decades as a human EMT before transitioning into a role as a veterinary assistant. After gaining years of clinical experience, she now uses her strong veterinary technician skills to provide clinical support to Vetology users, which includes answering AI report questions, coordinating discussions with interpreting veterinary radiologists, monitoring radiograph quality, and helping clinical teams troubleshoot imaging techniques to improve safety and optimize outcomes.

Tammie and her fellow veterinary technician, Vivian Paz, also work closely with the radiologists, data scientists, and development teams, offering valuable advice and domain-specific insight.

Sandra Nemis

Sandra Nemis

Sandra Nemis came to Vetology after several years of managing customer care teams, including a technical supervisor role.

She now leads the Vetology support team through client interactions, handles clinic demos, installations, onboarding, training, and day-to-day platform support.

With the help of additional support team members, Aziz Beguliev, Chey Aranzasu, Kath Dato, and our SVP of Information Systems Ruben Venegas, Tammie and Sandra ensure that no question goes unanswered and no case falls through the cracks.

While most have been on the team for more than five years, tenures span from new members to 15 years, reflecting a mix of institutional knowledge and fresh perspectives to help deliver consistently excellent service and fast communication.

From Demo to Diagnostics

When clinics reach out to Vetology through the website, email, or phone, they establish a relationship with our tight-knit client care team from day one.

The onboarding process for new Vetology clients is quick and efficient. After a client completes a short form with clinic information, the Vetology support team creates their internal profile, configures platform access, and schedules an installation and training session.

“We remote into the X-ray computer, add our destination settings to ensure communication, and enable the auto-send feature,” explained Sandra. “When team members take X-rays, they don’t have to do anything extra; the images automatically go to the Vetology platform. Within a few minutes, they have an AI screening report and can submit to a board-certified radiologist, if desired.”

The entire process of installing and configuring the platform and providing initial training to key team members typically takes less than an hour, so you can be up and running fast and avoid downtime in the clinic.

Clinical Coaching and Aftercare

Vetology’s support combines technical help with clinical collaboration. Our two veterinary support specialists have nearly three decades of combined experience. Together, they provide a crucial “aftercare” service for teams using the Vetology platform.

When the team spots an issue with image quality or safety, they provide feedback and coaching. They can offer tips for technicians to hone their radiology skills and how to use positioning aids, something that they may or may not have learned or practiced in school.

“Clinics are very responsive when we reach out,” said Tammie. “I’ve also had doctors call to ask, ‘What else can we do to make this better?’ I’ll talk to anybody in the clinic that has time or is willing to learn more.”

Coaching support helps improve image quality and diagnostic accuracy, reduce retakes, and protect team members from unnecessary radiation exposure.

Contacting Vetology Support

You can contact Vetology’s support team by phone, email, the website, or the live chat feature on the platform.

However you choose to contact the team, you can expect a rapid response. The team is available from 6 a.m. to 6 p.m. Pacific time, and responds to emails during regular hours within five to 10 minutes. If you have a question after hours, send an email you can expect a response first thing the following morning.

Most importantly, when you contact Vetology’s support team, your questions will be answered by a real person. Our goal is to provide quick help so you get the most from our platform without slowing down your day.

Practice Support That Delivers

The best veterinary technology platforms and imaging tools not only provide a place to process images, but they also help teams use them to their full extent. Vetology’s support team aims to provide accessible, proactive help during your daily workflows, when you need it most. We want to ensure that clinics feel supported, confident, and ready to make the most of every feature.

When clinics use our responsive support, teams learn to optimize their images and submissions, radiologists and AI screenings have higher-quality studies to work from, reports become more accurate, and pets receive better, more timely care.

Trusted Support is a Click or Call Away

Our helpful, professional, human support team knows your clinic, understands your challenges, and wants you to succeed. From onboarding to aftercare, we’re committed to helping clients use our AI and teleradiology systems more confidently every day.

Contact Us

Ready to see what it’s like to have a support team that works the way you do? Contact us or schedule a demo to meet the team and discover how Vetology helps clinics deliver better care with our simple, yet powerful platform and world-class support.

Controlling Costs With Veterinary Teleradiology

Controlling Costs With Veterinary Teleradiology

Veterinary care has advanced rapidly in recent years, but better medicine often comes at a cost. As prices for veterinary services steadily rise, clinics find themselves dealing with higher overhead costs, and clients may weigh the cost of services more heavily than potential outcomes when deciding on a treatment plan for their pet.

Veterinary practices, especially general practice clinics, face pressure to balance budgets against the necessity of high-quality patient care. Veterinary teleradiology is one solution to this dilemma, bringing the expertise of board-certified veterinary radiologists into the GP setting in a cost-effective way.

Here’s how veterinary teleradiology helps reduce costs without compromising care.

Key takeaways:

  • Veterinary teleradiology and AI-powered image analysis improve diagnostic speed and accuracy.
  • Collimating to the area of concern and leveraging AI to pre-screen images provides radiologists with quality images and helps guide questions to the radiologist when a consultation is needed.
  • Modern teleradiology platforms are affordable and equipment-light, which reduces expenses for veterinary hospitals.

Fast and Accurate Diagnoses

We all know what veterinary teleradiology does: it connects veterinary hospitals and clinicians in urgent care and general practices with board-certified veterinary radiologists who interpret digital diagnostic imaging, such as radiographs, dental radiographs, ultrasounds, CT scans, and MRI studies. With fast turnaround times – often within a few hours for STAT radiology cases – clinicians can make informed treatment decisions sooner and improve patient outcomes.

When AI-powered radiology screening reports are added to the workflow, the benefits multiply.

Artificial intelligence in veterinary radiology can analyze images and provide instant preliminary radiology reports that help clinical teams confirm findings without escalating a case to a radiologist. This speeds up decision-making and can eliminate the need for additional consults.

Targeted Studies

In many cases, veterinarians can initiate treatment with a focused radiographic study guided by the pet’s clinical history.
By collimating to the region of interest, positioning the patient correctly, and capturing multiple views, clinicians can produce higher-quality images that improve accuracy for both AI interpretation and radiologist reviews.

Hands-free restraint techniques and the use of positioning aids not only ensure safety but also produce sharper, diagnostic-quality images.

Using appropriate exposure settings, sedation when needed, and foam supports to maintain symmetry contributes to consistent, high-quality images that optimize AI radiology analysis and improve radiologist interpretation.

When selecting a veterinary teleradiology provider, look for one that charges per region rather than per image, so you can capture as many diagnostic views as needed without increasing costs. In many cases, a clear AI-powered or radiologist-reviewed report may provide enough information to guide clinical decision-making and avoid additional testing, saving time, cost, and stress for both the patient and the care team.

Board-certified Expertise

Instant access to board-certified veterinary radiologists was once limited to clients and patients of specialty hospitals. However, AI-enabled screening results paired with veterinary teleradiology services can now bring radiologist expertise to general practice clinics. When cases require more detail than an AI read provides, clinicians can easily escalate directly to a board-certified radiologist. This targeted use of human expertise ensures radiologists’ time is reserved for cases where it’s most impactful.

Easy Integration and Storage

Vetology’s veterinary imaging AI subscription includes secure storage of radiology reports and DICOM files, along with free access to an integrated PACS. This centralized image storage keeps prior studies accessible, enabling radiologists and clinicians to compare current images with historical ones for lesion tracking, disease progression monitoring, and treatment evaluation. By maintaining a continuous diagnostic record, practices can reduce the need for repeat imaging and support long-term patient care.

Integration with practice management software or AI Scribe means fewer clicks for your team and faster report turnaround. 

Case Report: Suspicious Gas Pattern

Vomiting pets are a daily occurrence in general practice, and these patients frequently require X-rays to rule out an intestinal obstruction. Abdominal gas and fluid patterns are particularly challenging for many veterinarians, including seasoned veterans, and image interpretation is critical in deciding which of these cases require surgery and which are best managed conservatively.

Take the case of Molly, a 5-year-old Labrador, who presents with acute vomiting. Molly is large, so radiographs are collimated to the upper and lower abdomen in overlapping views. Noting nothing immediately obvious, the clinician reviews the virtual AI radiologist report, which has also analyzed the images.

The AI report highlights an abnormal gas pattern suspicious for a linear obstruction. This immediate feedback prompts the clinician to prioritize Molly’s case, begin supportive care, and discuss the potential need for surgery with the client.

Molly’s owner agrees to a second-opinion teleradiology consultation to confirm the diagnosis before subjecting Molly to major surgery, and the clinician escalates the case to a board-certified veterinary radiologist from within the same platform. Within a few hours, the radiology report confirms a linear foreign body, and Molly goes to surgery. Because Vetology charges by region rather than by the number of images, the doctor can submit all abdominal views without incurring an added cost to the owner.

In Molly’s case, the AI-radiologist screening report provided immediate feedback on X-ray images, preventing delays and enabling the team to allocate appropriate staff time to Molly’s care. Then, the radiologist’s review delivered diagnostic confirmation, giving the clinician and Molly’s parents confidence to move forward with surgery.

Smart Diagnostics Drive Smarter Spending

Vetology helps veterinary practices control costs through per-region pricing and streamlined workflows with AI-first reporting. Whether you run a multi-location urgent care or referral hospital, or a busy general practice clinic, our approach to radiology interpretation helps you deliver high-quality, cost-effective care.

AI + Teleradiology, Built for Veterinary Practices Like Yours

Contact us to learn how our AI-drivenand human-supported teleradiology service, including subspecialty services in ultrasound, dental, CT, and MRI, can fit into your practice model.

Another pair of Eyes: 4 Reasons Veterinary Teleradiology is a Smart Move (Even If You’re an Expert)

Another pair of Eyes: 4 Reasons Veterinary Teleradiology is a Smart Move (Even If You’re an Expert)

This article examines how veterinary teleradiology enhances clinical decision-making, supports skill development, and addresses the shortage of radiologists. It highlights the benefits of collaborating with board-certified radiologists, obtaining rapid interpretations for urgent cases, and utilizing detailed reports for continuous learning. By integrating teleradiology, veterinary practices can improve patient care and operational efficiency. Read more about how:

  • Collaborative medicine improves diagnostic accuracy.
  • Faster answers lead to better outcomes.
  • Expert interpretation supports skill development.
  • Teleradiology meets a growing need.

Interpreting radiographs and other diagnostic images is a core skill for every veterinarian. Still, even the most experienced practitioners know that an extra layer of review can make or break the outcome of a case. Whether you’re a solo practitioner, managing an overnight emergency, or covering cases while the radiologist is on leave, veterinary teleradiology can provide the clarity and support you need to make confident treatment decisions.

Vetology connects clinicians with board-certified radiologists who specialize in interpreting complex diagnostic images. You might think of veterinary teleradiology as merely a backup option for less experienced practitioners. However, it can be a valuable tool that encourages multidisciplinary collaboration among veterinarians in diverse practice areas and career stages. Here are four reasons teleradiology is meant for veterinarians of all skill levels.

1. Collaborative Medicine is Good Medicine

In human healthcare and at veterinary specialty hospitals, surgeons, internists, and radiologists routinely consult with one another before proceeding with treatment. Veterinary teleradiology extends that same collaborative model to veterinary general practice hospitals and urgent care clinics, supporting informed decisions in everyday care.

Opting for a teleradiology consult can feel like you’re second-guessing yourself, but it’s actually a powerful way to strengthen your clinical instincts. Working with veterinary radiologists can enhance your interpretation skills and reinforce your decision-making. Veterinary radiologists can spot subtle signs in radiographs, dental radiographs, ultrasounds, and CT scans that, left unnoticed, can drastically alter the course of treatment.

2. Faster Answers Mean Better Outcomes

Another significant advantage of veterinary teleradiology is availability and speed. When an in-house radiologist is unavailable and the case is urgent, waiting may not be an option. Teleradiology provides your practice with 24/7 access to expert readings, offering a fast turnaround that enables timely treatment.

Rapid answers are especially critical when dealing with emergency conditions, such as:

  • Gastrointestinal obstruction
  • Heart failure
  • Pneumonia
  • Pneumothorax

“Anytime there’s a time factor on a critical case, that’s where telemedicine is at its best,” said Dr. John Mattoon, board-certified veterinary radiologist and senior medical advisor for Vetology.

GI cases are among the most challenging diagnoses that general practitioners face regularly. Teleradiology doesn’t replace the expert opinion, skill, or clinical instincts of the veterinarian, but it can help you prevent serious misdiagnoses.

“Looking at the bowel of vomiting dogs and cats is the most challenging thing we do,” said Dr. Mattoon. “For a veterinarian to say, ‘Your dog is obstructed, you need to go to surgery’ is a pretty bold move. You’d better be right.”

A few other conditions Dr. Mattoon noted as difficult to diagnose without an expert eye included gallstones, which can appear superimposed over the liver on lateral views, and gas in the hepatobiliary system, a subtle change that can provide insight into why a pet is so sick. “Gas within the bile ducts, gallbladder, or the liver itself is not obvious, but when it’s there, it indicates an anaerobic infection or abscess. If you miss it, that condition is often fatal.”

3. Expert Interpretation Supports Skill Development

There’s growing concern that some veterinary teams, especially new graduates, rely too heavily on teleradiology and that overreliance can undermine clinical development and decision-making skills. However, used appropriately, veterinary teleradiology can help early-career veterinarians develop and reinforce those skills.

Radiology reports can be an incredible learning tool. “The opportunity is tremendous for self-learning,” Dr. Mattoon noted. “You have a detailed report that explains the abnormalities on the image, followed by recommendations for appropriate next steps.”

When you commit to studying the images and reports, you can learn and grow with each case. Technicians and support staff can benefit, too. If the radiologist includes their contact information with the image report, you can call with questions about the case to further your understanding of the pathology.

4. Teleradiology Meets A Growing Need

Veterinary radiologists are in short supply, particularly in academia, which limits the training of new specialists. In areas without access to a local radiologist, primary care veterinarians must find ways to meet client and patient care needs in-house, including the use of veterinary teleradiology. “Teleradiology has been huge in allowing DVMs to access radiologists nearly instantaneously,” said Dr. Mattoon. “We can serve more veterinarians and do so more efficiently.”

Teleradiology can help general practitioners with the following scenarios that expand the scope of primary care:

  • Second opinions when another clinician is unavailable
  • Serious, urgent cases with no room for error
  • Client specialist consultation requests
  • Abdominal and thoracic ultrasound interpretation

Teleradiology For All

Veterinary teleradiology can benefit everyone, from new graduates and solo practitioners to experienced clinicians, emergency veterinarians, and even boarded specialists. Any veterinarian who values accuracy, collaboration, and providing the highest standards of patient care can benefit from image interpretation services such as the teleradiology service offered by Vetology.

Contact us for help navigating your next challenging case or when you need a second set of eyes and a fresh perspective to enhance patient care and client service in your clinic. Vetology’s teleradiology service is hassle-free, contract-free and allows flexibility with a pay as you go model. Our team of boarded radiologists, a boarded dental specialist and a cardiologist offer industry-standard STAT and turnaround times, and are available to read canine, feline, equine, exotics, avian and reptile cases.

AI and Teleradiology Questions: Answered

To learn more about Vetology and see our platform in action, click this box, to contact the Vetology support team.

Is AI Better Than a Veterinary Radiologist at Reading Pet X-rays?

Is AI Better Than a Veterinary Radiologist at Reading Pet X-rays?

This article examines the comparison between using AI in veterinary radiology and the human experience. Even though AI does improve efficiency by pre-screening X-rays and generating reports, it cannot replace radiologists due to variability in interpretation. AI performs best in clear conditions with strong expert agreement, while complex cases still require human expertise. Read more about how AI in radiology:

  • Addresses the shortage of veterinary radiologists.
  • Helps with pre-screening and structured reports.
  • Works well for conditions like hepatomegaly or pericardial effusion.
  • Supports, not replaces, veterinary radiologists.

AI Versus Veterinary Radiologists: Collaboration, Not Competition

About 94 million U.S. households own at least one pet.[1] That’s a lot of furry, feathered, and scaly family members that may potentially need radiographs to diagnose a medical condition. However, there are only 667 board-certified radiologists in the country [2] creating a bottleneck in radiology services. This shortage can correlate to longer wait times, increased anxiety for clinicians and pet owners, and potential delays in diagnosing critical conditions.

This is where artificial intelligence-based radiology tools can help—not to replace veterinary radiologists, but to support them. Artificial intelligence (AI) can pre-screen images, highlight abnormalities, and generate structured reports, allowing radiologists to focus on complicated cases while improving efficiency for general practitioners. But, how does AI compare to human expertise?

Not all conditions are created equal

Radiology is not an exact science but rather an interpretive discipline that relies on pattern recognition, clinical judgement, and experience. Board-certified veterinary radiologists undergo extensive training, but they don’t always agree on image interpretations, especially if the changes are subtle or the patient has multiple diagnoses, creating overlapping signs.

Studies have shown that radiologists tend to have a high level of agreement when interpreting X-rays that display clear and advanced disease. However, variability in interpretation increases when findings are more subtle, as may be the case in early-stage tumors, mild joint changes, or diffuse lung patterns that could indicate interstitial or early inflammatory disease. When subtle abnormalities are suspected, additional imaging, such as ultrasound, computed tomography (CT), or magnetic resonance imaging (MRI), can provide greater anatomical detail and diagnostic confidence.

How interpretive variability affects AI performance assessment

Understanding variabilities in radiologist interpretations is necessary to fairly evaluate the AI’s diagnostic accuracy, sensitivity, and specificity.

  • AI algorithms rely on human-labeled data (i.e., ground truth) to learn how to detect and classify abnormalities, and if radiologists don’t agree on a diagnosis, the ground truth may have some degree of subjectivity.
  • AI radiology tools are evaluated using accuracy, sensitivity, and specificity, but these measures must be analyzed in the context of how consistently radiologists themselves diagnose the condition.
  • If two radiologists interpret the same case differently, the AI may match one but disagree with the other. This doesn’t mean that the AI is wrong; it only highlights the inherent variability in radiology.

How interpretive variability affects AI radiology use

The inherent variability in veterinary radiology associated with certain conditions means that some are well-suited for AI screening while others aren’t.

For example, conditions such as hepatomegaly, esophageal enlargement, and the presence of pericardial effusion have a high radiologist agreement rate and are well-suited for AI screening.

At Vetology, each AI-generated report includes a clear list of the conditions assessed, so it’s clear exactly what was evaluated, what was flagged, and what falls outside the scope of the current screening. This provides veterinarians with a solid understanding of the AI’s capabilities and limitations, enabling them to focus their clinical decisions on conditions that were not screened for, without expecting input on findings beyond the AI’s parameters.

image of Vetology's AI report featured on a tablet or ipad

Vetology’s AI tools provide guidance for a wide range of thoracic, abdominal, and musculoskeletal conditions in canine and feline patients, including—but not limited to—the following

Abdominal Classifiers

  • Liver enlargement
  • Masses that may indicate neoplasia or inflammatory processes
  • Splenic changes, commonly linked to systemic or localized disease
  • Kidney abnormalities such as mineral deposits, structural size variations that may suggest neoplasia, inflammation, or systemic disease
  • Bladder and urethral stones
  • Pregnancy detection
  • Gastrointestinal tract abnormalities, which may indicate obstruction, motility issues, or other conditions
  • Peritoneal fluid accumulation, inflammation, or infection

Thoracic classifiers

  • Pulmonary patterns
  • Cardiomegaly
  • Pleural fissure lines
  • Fluid accumulation
  • Soft tissue pulmonary nodules
  • Masses
  • Vascular enlargement

Leveraging AI screening alongside teleradiology

Vetology allows veterinarians to optimize AI radiology screening tools and teleradiology services to enhance diagnostic accuracy, improve efficiency, and expedite patient care.

For example, let’s say you handle 60 X-ray cases a month, and you send out only 10 for teleradiologist review to avoid the expense. A Vetology subscription, which provides unlimited access to AI screening and full reports in as little as five minutes, could support your clinical expertise, helping to confirm your suspicions and streamline decision-making. If you still have doubts about a case, you can escalate it for review by a board-certified veterinary radiologist.

This approach creates a three-tiered approach to patient care, integrating:
• AI insights
• With your professional judgement,
• and expert validation from a radiologist when needed.

Collaborating with the Vetology team can help ensure that your patients receive a timely diagnosis and treatment plan, allowing them to receive the care they deserve quickly.

radiograph showing a well positioned and collimated Canine Thorax

How you can support accurate AI screening and faster board certified radiologist reports

One of the most important factors that lead to an accurate AI screening is good radiographic technique. Clear, well-positioned, well-developed radiographs are necessary for accurate human and AI interpretation, and the AI does not have the ability to adjust its interpretation based on altered positioning or an unclear image.

For example, if a patient is slightly twisted, anatomical structures may appear distorted on the image. This can lead the AI to misread the size or shape of an organ, or even misidentify a condition. Human radiologists can identify when a patient isn’t perfectly positioned and adjust their interpretation, but AI doesn’t yet have that context—it reads exactly what’s in front of it.

You can take the following measures to increase the likelihood of accurate AI screening:

  • Ensure proper positioning of each patient
  • Choose the correct radiographic settings to ensure a clear image
  • Take at least two views (ventrodorsal and lateral views) of the area to be assessed every time.
  • Collimate down to the region of interest to reduce scatter.

Vetology offers personalized, on-demand support tailored to answer your needs and questions. Our team of radiologists and veterinary technicians is always available to provide free, one-on-one guidance with positioning skills and technical assistance (in some cases), whether you’re a seasoned practitioner, a new team member, or a recent graduate.

References
[1] According to the American Pet Products Association (APPA) 2025 State of the Industry Report published stats in Today’s Veterinary Business, April, 2025.
[2] AVMA published statistics – veterinary specialists in the United States as of December 31, 2024.AVMA published statistics – veterinary specialists in the United States as of December 31, 2024.

AI and Teleradiology Questions: Answered

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