‘We are all care professionals, and that won’t go away’: meet the SoR’s AI professional officer

Newly appointed Jeanette Carter shares her thoughts on how AI will impact radiography – including why she believes patient care will always be an integral part of the job

By Will Phillips

By Will Phillips

The role of AI in radiography can hardly be overstated. From workflow optimisation to the ever-evolving world of diagnostic tools, it's fair to say artificial intelligence is reshaping every facet of healthcare. But with these developments come a whole new set of considerations, ranging from ethics and patient understanding to anxiety among healthcare professionals about the potential impact on their roles.

This makes the AI professional officer at the Society of Radiographers more important than ever. As progress continues on research, development and communicating the realities of AI, the Society has appointed Diagnostic Radiographer Jeanette Carter to oversee policy and help guide the membership through these changes. 

Synergy spoke to Jeanette about her journey from Diagnostic Radiographer to AI professional officer, what she sees as the major challenges and benefits of AI, and what the future holds for members of the SoR.

From radiographer to AI professional officer

It was as a 13 year old in 2002 that Jeanette was first attracted to radiography after breaking her clavicle. She took one look at the resultant X-ray and an interest in the field was sparked. Luckily, many of her family members already worked in healthcare and were able to offer her guidance, though none were radiographers. 

Jeanette went on to attend a bevy of careers events in healthcare, and she was always drawn to the radiographers, specifically in diagnostics. “There’s something cool about seeing the insides of people,” she admits.

In 2007, Jeanette was ready to kickstart her radiography career. She took up her studies in diagnostic radiography at the University of Cumbria in Lancaster and graduated in 2010, before moving to University Hospitals of North Midlands NHS Trust as a Band 5 radiographer. She worked there for 15 years, progressing up to consultant radiographer in 2019.

While there, Jeanette took on many roles – student liaison, equipment supervisor, paediatric radiographer – before moving to the reporting side of the profession. Her focus was in musculoskeletal, chest X-ray and abdomen reporting. 

While still working in clinical practice, she undertook a research and methodology MSc programme, and went on to complete her master’s degree in leadership, research and methodology and reporting at Birmingham City University, with support from the trust.

Jeanette Carter

Jeanette Carter

Last year, Jeanette decided she was ready for a change and a position at the SoR was calling. Her official title is SoR professional officer for clinical imaging, AI, assistive and digital technologies and research, a broad brief that touches every corner of the profession. In her role, she advises on new policies in clinical imaging, helping new members and ensuring questions are answered promptly, but it is AI systems and digital technologies that make up a larger proportion of her job. “AI is huge,” she says. “There’s no small way to talk about it. It’s having a massive impact in radiography, particularly diagnostic, but it’s also got its place in therapeutic. 

“My role is to ensure we have policies in place to help guide members into allowing the safe use of AI within clinical practice, and advising them on what is out there, and where it’s happening.”

Jeanette has long seen the tide of AI on the horizon; having worked as a reporting radiographer, she knows the technology could help tackle waiting lists, and has previously seen several AI tools utilised in hospitals. She has also witnessed some of the challenges of AI use during implementation – a lack of funding, the time it takes to look at what is out there and implement it, and patient backlogs taking priority. 

The role of an AI specialist radiographer within each trust could help overcome these, and maintain constant review of AI tools already implemented, she explains. “Why is implementation so difficult?” she says. “I wanted to work out what I could do. In the NHS, sometimes there can be barriers. When I saw the AI professional officer job advertised, I thought ‘I’d love to be able to take that next step’. I’m no expert in AI algorithms, but I think I bring a clear perspective. I’m on the side of radiographers and of clinical. 

“I am a passionate radiographer. I want to know how we can use AI to make life easier for radiographers. How can we do it safely and include radiographers in the decision-making process? That, I think, is the major priority.”

Developing practical uses

The SoR AI Advisory Group’s (AIAG) is currently working on education tools for all, regarding multiple topics around AI. Their next stop will be producing a document following the latest guidance on AI, asking what it means to radiographers, their work, and their patients, focusing on the clinical staff and the potential direct impact on their practice.

Jeanette also has experience in the research aspect of AI, thanks to her master’s degree in radiography. Part of her role will focus on guiding members through the different types of research they can get involved in. This could mean advising them on research topics or helping them secure different types of funding. In either case, she says, members should also seek out the SoR’s advisory groups, which provide significant support across the spectrum of radiography modalities. For example, the AIAG has just come to the end of publishing its next level of guidance. It has been working to update the guidance on AI that was produced in 2021. These documents alone, she says, are going to be massively important to SoR policy going forward. 

Next, Jeanette wants to get involved with developing guidance that focuses on practical policies for the use of AI; much of the existing guidance can seem abstracted from the reality on the ground, but that doesn’t mean it won’t affect clinical practice, she explains. Once that level of guidance is secured, Jeanette hopes she can turn her focus further afield, to future developments that are currently being researched.

Consent in the age of AI 

As research into AI grows ever more spread out and focused – for example, on topics such as autonomous AI – Jeanette expects far greater efforts will be needed to make it safe, and develop it in partnership with the public. 

That involvement, in fact, will be key to the future of AI. The SoR’s Patient Advisory Group is one way that organisations are ensuring engagement with patients. Beyond simply public happiness with the process, Jeanette adds, is the issue of legality: “If machines make a decision, and the machine gets it wrong, whose fault is it? Obviously, we’re not the makers of these decisions, but we need to make sure that the radiographers have the support they need during these processes. That’s why consent is important – consent of the patients and consent of the radiographers.

“Potentially, the ground floor radiographers, the newly qualified, will be integrating their roles with AI. We need to embed it into education.”

The AIAG is currently producing teaching material that will soon be available on the SoR website, which will be a great resource for members to learn more about AI and their role. Unfortunately, Jeanette explains, the ever-evolving nature of the technology makes developing these resources far more difficult. By the time one webinar has been created – and timelines suggest the team will focus on doing so towards the end of 2026 – new developments might have rendered its content obsolete. “It’s difficult, with AI,” she continues. “There’s so much information we can get hold of. It’s all about making sure we’ve got the time and the resources we need to ensure everything is in place.”

‘We are all care professionals’

One of the main fears among radiographers is that AI will replace human contact, or that it will in some way render radiographers redundant. While Jeanette understands that fear and doesn’t want to invalidate it, she does point out that there are so many things AI can’t do. “Genuinely, AI is amazing,” she says. “But it is not empathic. It can write a script that’s got empathy in it but, to a patient, that’s not going to matter. For a caring professional, which radiographers across the nation are, AI is never going to take that patient-level care and support away. 

“The feedback I’ve had from patients is that they don’t want AI to take the place of radiographers. They’re happy for AI to be used with somebody else taking a look at it – but it’s going to take a whole national review of patients’ thoughts before AI can take over, which is a long way in the future.”

Of course, she says, technology has changed so much in radiography, even across the course of her career. While there are parts of the job that get “squashed down” when technology advances, the other parts increase. If radiography as a profession can embrace AI and research into it, then, yes, radiography jobs will change. But, she points out, when have radiography jobs ever stayed the same?

With the ongoing shortages affecting the profession, the most immediate impact of the technology will be in taking the workload off of the folks working on the shopfloor. Given the levels of stress and burnout in the profession, anything that can be done to support them is important, she adds.

The patient care aspect will always remain an integral part of the job, and it is in the balance of these aspects that AI will contribute – where it can do something better, it will. Where humans can do it better, however, they will continue to do so.

Indeed, for AI to function at a very basic level, it requires enormous volumes of scans and data before it can be implemented. Progression over the last five years has not begun to approach the level of development it needs before it can be properly implemented, explains Jeanette.

While these fears are common, expected and, in some cases, reasonable, ultimately the SoR is keen to look toward a future in which the profession is entwined with AI. If it can do so, the opportunities to expand the scope of these roles are endless. “Radiographers need to embrace AI,” says Jeanette. “Change is always hard – but try to remember that your job will still be there, it’s just changing with the technology. It might be that your interest ends up being in research. For example, we need to learn more about where AI tools go wrong, because they aren’t perfect!

“There are so many tools out there to learn from. There are free courses, there are webinars, there’s guidance – a lot of which can be found on the SoR’s website. We’re developing more as we speak. 

“We need AI ambassadors in every trust at the radiographer level, so roles will adapt. But we are all care professionals – that won’t change.”

Find out more about getting involved with AI at the SoR

The SoR provides a hub for members to gather and discuss specific interests and activities related to the profession through advisory groups and special interest groups. These independent groups of members and non-members are supported by the Society of Radiographers, and provide a place to connect with colleagues from across the UK.

Members can join the Diagnostic Radiography AI Special Interest Group online here.

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