RCT: AI-Assitance Effect on Reading X-Ray Accuracy

Explore the randomized controlled design, assistance mechanism, and causal plan. Switch arms to see intended behavior channels and the KPIs you’ll analyze in ITT models.

Arm 1 — Control (No AI)

Intent: Establish baseline reader performance without assistance.

Mechanism: Radiologist reads the CXR unaided; no suggestion/uncertainty framing is shown.

Diagnostic Accuracy (AUC)
—
Fill from ITT
Escalation Rate
—
CT / specialist referral
Reading Time (sec)
—
Calibration / Overconfidence
—
Experiment Proposal
  • Protocol: reader-level RCT (3 arms)
  • Post-decision reveal (control extension)
  • Adaptive uncertainty framing (Arms 2/3)
Agent Design
  • Explainer prompt + verifier guardrails
  • Latency SLOs + privacy
  • UI payload schema
Causal Analysis
  • ITT models + robustness
  • Endogeneity mitigation plan
  • Design spec (estimands, masking)
Causal DAG for CXR Reader Study

Click to view full size

Why this matters

The experiment measures not just model accuracy, but how human+AI decision loops change: escalation choices, time to decision, and responsibility. Arm 3 tests whether calibrated uncertainty framing improves safety and reduces over-trust.