A computerized medical diagnostic system uses a training dataset that is updated based on reports generated by a radiologist. AI and/or CAD is used to make an initial determination of no finding, finding, or diagnosis based on the training dataset. Normal results with a high confidence of no finding are not reviewed by the radiologist. Low confidence results, findings, and diagnosis are reviewed by the radiologist. The radiologist generates a report that associates terminology and weighting with marked 3D image volumes. The report is used to update the training dataset.
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