Artificial intelligence-derived software to analyse chest X-rays for suspected lung cancer in primary care referrals: early value assessment

the availability of research funds for data collection, analysis and reporting

the availability of NHS funding to cover the costs of implementing the technology in clinical practice

lack of expertise and staff to collect data

burden on clinical staff; the need to have a training ahead of its implementation, data collection and follow‑up

differences in practice between large tertiary referral centres and smaller hospitals

differences in skill and experience among staff members when interpreting a report and defining severity of risk

possible governance issues because the software needs to send images and personal data to a cloud-based server before emitting a report

the software may not be compatible with other computer packages and different scanners used in the NHS (for example, NHS PACS [Picture Archiving and Communication System] systems)

the availability and ability of NHS information technology departments to install the software.