What is AI imaging diagnostics? — Key points on whether it can be used for your pet’s exam

ImmunityQ&AMeongsiljang Veterinary Advisory Board

AI imaging diagnostics is a supportive technology that uses artificial intelligence to analyze X-rays, CT scans, and other imaging data to predict the likelihood of disease. We’ve outlined its useful applications and limitations for pet owners to keep in mind.

What is AI imaging diagnostics?

A veterinarian and pet owner reviewing an AI analysis of a dog’s X-ray together.

AI imaging diagnostics is a supportive diagnostic technology that uses artificial intelligence to analyze veterinary imaging data, such as X-rays, CT scans, and ultrasounds, to predict the likelihood of disease. The most important thing to remember is that AI is merely an assistive tool. Final diagnoses and treatment decisions must always be made by a veterinarian who comprehensively evaluates clinical symptoms and test results. A disease cannot be definitively diagnosed based on a single image alone.

Which imaging tests is it used for?

X-rays are currently the most widely used imaging modality in veterinary clinics. A representative solution involves using chest X-rays to assess heart size, lung condition, and suspected masses. CT scans excel at evaluating intrathoracic structures and are utilized to assist with quantitative analyses, such as measuring tumor volume. However, for examining the spine and nerves, such as in cases of disc herniation or spinal cord lesions, MRI provides far superior visualization compared to CT, making it the key diagnostic tool for these conditions. Due to the real-time nature of ultrasound imaging, the application of automated analysis remains limited.

Comparison of AI utilization by imaging test

Item	X-ray	CT	Ultrasound
AI utilization	High	Moderate	Low
Main applications	Automated analysis of chest and skeleton	Evaluation of intrathoracic structures and tumor volume	Some cardiac measurements
Reduced examination time	True	True	False
Veterinarian interpretation required	True	True	True

A summary of adoption cases at domestic animal hospitals as of 2025. For evaluating disc and spinal cord lesions, MRI is superior to CT.

How accurate is AI diagnostics?

The accuracy of AI-based imaging diagnostics hasn’t yet reached a stage where standardized textbook values are established. What is clear, however, is that image quality significantly influences the results. Poorly captured images—such as those with improper positioning or taken at the wrong point in the respiratory cycle—can reduce diagnostic reliability. Additionally, while imaging can reveal the location of abnormalities, it cannot definitively determine the exact condition of the tissue based on imaging alone. Therefore, you shouldn’t rely solely on AI-generated results to feel reassured or concerned; always review them together with a veterinarian’s interpretation, which considers clinical signs and other diagnostic findings.

A dog’s chest X-ray displayed on a veterinary clinic monitor, with the heart silhouette highlighted.

Why you shouldn’t rely solely on AI results

The AI-assisted diagnostic result falls into the "suspicious" category. Even with similar imaging findings, tumors, inflammation, and normal variations can appear quite alike. If your pet shows clinical symptoms, further testing is necessary even if the AI flags the result as "normal." Conversely, an "AI suspicion" alert does not necessarily indicate a serious condition. Please rely more on your veterinarian’s explanation than on the results screen alone.

Points for pet owners to keep in mind

If your pet is being examined at a clinic that uses AI diagnostics, it’s helpful to prepare a few things in advance. - Image quality: Keep your pet calm and still before the scan to minimize motion artifacts. - Previous imaging: If you have prior images from another clinic, bring them along for comparative analysis. - Symptom log: Note any changes in coughing, appetite, or activity level and share this information with the vet. - Follow-up schedule: If the AI flags any suspicious findings, be sure to confirm the recommended timing for follow-up exams.

While the owner gently calms the cat on the examination table, the veterinarian prepares for the imaging test.

How are costs and insurance coverage handled?

AI analysis is often included in the cost of imaging exams at no additional charge. However, some clinics may bill an extra $10 to $20 for "AI interpretation." Since fees vary by clinic, be sure to confirm the exact amount with the front desk before your pet’s exam. Coverage under pet insurance typically follows the limits for the imaging exam itself, so it’s a good idea to review your policy details in advance.

Can cats also receive AI imaging diagnostics?

Cats can also be candidates for AI-based imaging diagnostics. However, it is difficult to definitively state how accurate commercially available veterinary AI solutions are for cats based solely on textbook evidence. Therefore, rather than relying on a single AI-generated result, it is safer to consider the cat’s clinical symptoms and examination findings together. In particular, focused cardiac ultrasound is known to be useful for rapid assessment of the heart in cats. Thus, even if chest imaging indicates “suspected cardiomegaly,” it is advisable to confirm the findings through focused cardiac ultrasound and clinical evaluation.

Reviewed by a veterinarian

Dr. Tony — Punnawat Phongkittirak

Veterinarian

A veterinarian who majored in veterinary medicine at Khon Kaen University, Thailand, and completed the IVSA program at North Carolina State University in the United States. Drawing on clinical experience at animal hospitals, he works in the pet healthcare field and is dedicated to building a digital care environment that connects pet parents with veterinarians.

Frequently Asked Questions

Is AI diagnosis more accurate than a veterinarian?

No. While certain pattern-recognition tasks can yield fast and consistent results, AI cannot replace a veterinarian’s ability to synthesize clinical signs, medical history, and other diagnostic findings. It remains strictly a supportive tool.

The AI said it was “normal,” but my pet is showing symptoms. Do we need additional tests?

Yes, additional tests are often necessary. Many conditions aren't visible on imaging alone. If symptoms like coughing, vomiting, or decreased activity persist, it's safest to proceed with further diagnostics such as blood work and ultrasound.

Which veterinary clinics offer AI-powered video diagnostics?

It is mainly adopted by secondary animal hospitals, imaging specialty clinics, and some large primary care clinics. To be certain, ask the clinic directly whether they use an AI reading solution before making your appointment.

Can pet owners receive the AI analysis report?

Policies vary by clinic. Some provide a summary report for pet owners, while others only document findings in the veterinarian’s medical chart. If you need a copy, please request it at the front desk after your appointment.

Can I make a surgical decision right away based on the AI diagnosis results?

No, surgery requires a comprehensive assessment beyond just imaging findings, including blood tests, an electrocardiogram, and evaluation of any underlying conditions. If the AI raises any concerns, we should start with more detailed diagnostic tests first.