BoneXpert – the most widely used radiology AI in the Netherlands in 2022

At ECR, Kicky van Leeuwen of Radboud University Medical Center gave the talk “The rise of artificial intelligence solutions in radiology departments in the Netherlands”.

Van Leeuwen and her co-workers have asked the 69 radiology departments in the Netherlands about their adoption of AI.

They found that the most widely used methods are the ones shown here:

The most popular method is BoneXpert from Danish Visiana, used in 9 departments.

The second use case is detection of lung nodules in CT scans, used by 8 departments – the product Veye Lung Nodules was developed by the Dutch company Aidence (recently acquired by RadNet).

The third-most used method is stroke – left-ventricle occlusion or intracranial haemorrhage detection on CT and CT angiography – probably StrokeViewer from the Dutch vendor Nicolab.


The investigators also inquired about the obstacles for adopting AI and found that the most important were “cost” and “IT”. So, one can infer that the most widely used methods have a favourable balance between cost and benefit, and carry a low IT burden.

Only 3 departments reported use of an “AI platform”.

This talk was also highlighted by AuntMinnie


Note that the survey did not obtain 100% response rate, and indeed Visiana’s records show that there are 14 customers of BoneXpert in the Netherlands, each performing between 100 and 1300 analyses per year.