Commentary|Videos|June 12, 2026

Addressing Challenges in Radiology Reporting

Author(s)Jeff Hall

In a recent interview, Nina Kottler, MD, discussed the challenges with traditional radiology reporting, its impact on cognitive load and the recently launched AI-enabled platform Mosaic Reporting.

Completing radiology reports comprises approximately 50 percent or more of a radiologist’s day, according to Nina Kottler, MD, MS, FSIIM, FAIM.

While emphasizing the importance of the radiology report, Dr. Kottler said there is a fair amount of juggling — whether it’s going back and forth between images and the reporting screen, clicking through lists and ensuring accuracy with voice recognition — that impacts focus and cognitive load.

“When you think about what a radiologist is doing and all those things that I just described, there's a lot of friction in that workflow. When we as humans can't focus because we have to concentrate on different things and integrate different information, it brings a lot of friction into the system, and we're just less effective, and it's frankly exhausting,” noted Dr. Kottler, the chief medical AI officer for Mosaic Clinical Technologies.

To that end, Mosaic Clinical Technologies recently launched the AI-enabled reporting platform Mosaic Reporting, which reportedly offers real-time report creation that allows automated placement of key findings into appropriate sections of the report, voice-directed editing and automated features that allow the radiologist to focus on image interpretation.

“(It allows) the radiologist to spend more time concentrating on the patient, looking at the images, saying less words and being able to get across all those things that we're trying to get across in our brain onto the report, so we can produce a great product that helps our clinicians take care of their patient patients without as much sort of cognitive load in doing that,” explained Dr. Kottler.

Another benefit of the Mosaic Reporting platform is that it allows personalization for radiologist users.

“When you can personalize it to the radiologist that is doing that work, (they) don't have to use their frontal cortex as much, (they are) using their sort of more deep part of their brain, their basal ganglia, which enables you to take that frontal cortex and use it for patient care. That's what we want to do,” emphasized Dr. Kottler.


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