For the November edition of the b-rayZ newsletter, we had the privilege of interviewing Prof. Dr. Dr. Andreas Boss, co-founder of b-rayZ and Chief Radiologist at GZO Spital Wetzikon. Andreas shared his expert insights on DANAI technology, a cutting-edge AI framework redefining breast imaging diagnostics and workflows. Discover how this adaptive technology is revolutionizing breast cancer care and shaping the future of radiology.

1. Can you explain what exactly the DANAI technology is and how it works?

DANAI technology offers a semi-automatic optimization of AI models tailored to specific clinical requirements. Unlike static AI systems, DANAI evolves over time, continually learning from real-world applications. This adaptability ensures high accuracy in classification, making it a breakthrough in personalized diagnostic tools.

2. Why is DANAI technology needed in modern medicine?

Medical decision-making, particularly in breast radiology, involves navigating complex guidelines and room for interpretation. For example, while BI-RADS (Breast Imaging Reporting and Data System) provides a framework for breast imaging, the calibration required varies significantly between screening programs and opportunistic settings. DANAI addresses these differences by learning from radiologists’ expert knowledge and adapting to various clinical scenarios.

3. How does DANAI technology enhance the workflow and efficiency in a breast unit like the one at GZO Spital Wetzikon?

DANAI provides immediate benefits, especially during the adoption of new imaging modalities. For instance, when a breast unit switches to a new mammography device with different imaging characteristics, static AI systems may struggle with accuracy. DANAI adapts dynamically, learning the specifics of the new device through radiologist feedback, ensuring consistent and reliable diagnostics.

4. What impact have you seen or do you foresee DANAI making on clinical decisions, especially in the work of radiologists?

DANAI captures and integrates expert knowledge from radiologists and clinical environments. Unlike static AI models that require manufacturers to provide updates, DANAI self-optimizes, addressing issues like systematic errors caused by new imaging devices or protocols. This adaptability increases trust and usability, making AI tools more reliable for clinical decision-making.

5. Breast imaging can sometimes be a stressful process for patients. How does DANAI help improve the patient experience?

One of the most stressful aspects for patients is mammography compression. DANAI is integrated into b-rayZ’s mammography quality tools to ensure optimal imaging quality, reducing the need for repeat procedures. By enhancing the quality and efficiency of imaging processes, DANAI helps create a smoother, less stressful experience for patients.

6. How does DANAI ensure trust and reliability in an industry where skepticism about AI often exists?

Historically, many AI solutions have been technology-driven rather than clinically focused, leading to mistrust. From its inception, b-rayZ has prioritized clinical value and workflow integration. DANAI continues this philosophy by being adaptive and user-centered, delivering immediate, meaningful benefits to radiologists, technicians, and patients alike.

7. What role do collaborations between healthcare professionals and AI developers play in shaping tools like DANAI?

Collaboration is essential to create tools that genuinely benefit clinical practice. AI solutions must align with clinical needs to avoid cumbersome workflows and misinterpretation. For example, DANAI adapts its calibration to match BI-RADS scoring, eliminating the need for radiologists to reinterpret AI outputs and ensuring a seamless integration into clinical workflows.

8. Can you share any specific success stories where DANAI made a significant difference in diagnostics or patient care?

Breast density calibration varies across institutions due to different interpretations of BI-RADS. DANAI adapts to the specific calibration needs of individual clinics, ensuring consistent and reliable breast density assessments. This flexibility allows institutions to maintain their standards while improving diagnostic accuracy.

9. Where do you see DANAI technology evolving in the next five years, and how might it shape the future of radiology?

The future of radiology lies in adaptive AI systems like DANAI. Unlike static models, DANAI evolves with clinical knowledge, preserving expert insights and improving accuracy. I foresee adaptive systems becoming the standard across various AI applications, revolutionizing radiology workflows.

10. What motivates you personally to keep pushing the boundaries of innovation in breast imaging?

It’s the creativity required to solve pain points in breast imaging that drives me. Shaping the future of breast cancer diagnosis and treatment through innovative solutions is both a privilege and a deeply rewarding experience.

11. What advice would you give to young radiologists or researchers regarding clinical work with AI?

AI will play a pivotal role in future radiology workflows. I encourage young radiologists to gain a foundational understanding of AI principles and potential errors. For those passionate about innovation, contributing to research in AI is an excellent way to shape the future of radiology.

12. In your opinion, what is the next big breakthrough in AI for medicine?

It’s already here: DANAI technology. Its adaptive nature represents the next evolutionary step in medical AI, addressing the limitations of static systems and unlocking new possibilities for patient care.

 

About Prof. Dr. Dr. Andreas Boss

Prof. Dr. Dr. Andreas Boss is a renowned expert in radiology and a visionary in the field of AI-driven medical technology. As the co-founder of b-rayZ, he combines his deep clinical expertise with a passion for innovation to revolutionize breast imaging and diagnostics.

In addition to his role at b-rayZ, Boss serves as the Chief Radiologist at GZO Spital Wetzikon, where he oversees diagnostic imaging processes and ensures the delivery of high-quality patient care. His dedication to advancing radiology is reflected in his extensive academic background and leadership in pioneering technologies like the adaptive AI framework DANAI.