Intelligent orchestration can prevent AI integration from stalling

Rosenfield Health has brought its experience of working with 27 trusts across the UK to examine the issue of AI use in the NHS. “Talk to any PACS manager in the NHS, and you’ll hear a familiar story: significant investment in AI tools that are rarely used in practice. Despite the promise, few patients are currently benefiting. Not because the technology lacks capability, but because deploying radiology AI solutions in clinical environments remains expensive, time consuming and complex,” the company says.

Rosenfield reports that it sees a pattern in which organisations invest in promising AI tools, then hit a wall of integration complexity. The AI that promised to transform diagnostics often ends up underused, or worse, creating more work than reducing it.

“What is missing isn’t better AI, it’s intelligent orchestration,” the company explains. PAIP (Patient and Image Portal) is a single interface from Rosenfield that manages multiple AI algorithms, automates anonymisation and routes studies intelligently based on clinical criteria. It removes vendor lock in, avoids workflow disruption and eliminates the need for long IT projects.

“But AI is just one part of the picture. The real opportunity lies in connecting workflows across and beyond individual PACS environments, such as education that happens regionally, governance that closes the loop on critical results and peer review, and collaboration that enables multi-disciplinary team meetings across organisational boundaries,” Rosenfield concludes. “The digital solutions that succeed tend to be vendor-neutral by design, workflow-embedded and pain-point driven.”

Picture: PAIP is a single interface from Rosenfield that removes vendor lock in.

Published on page 18 of the March 2026 issue of RAD Magazine.