Reply to the Letter to the Editor: Blind spots in radiology leadership regarding human resources and organization management in the era of artificial intelligence

We thank Hongnan Ye for his thoughtful and constructive commentary on our recent article, "Leadership in radiology in the era of technological advancements and artificial intelligence" 1, highlighting our discussion of the critical role of leadership and governance in ensuring the ethical, effective, and patient-centered integration of AI to optimize workflows, enhance diagnostic efficiency, and advance precision medicine.We appreciate the opportunity to further expand on the human resource and organizational implications of AI adoption in radiology, including its effects on professional autonomy, performance evaluation, and leadership responsibilities.The letter appropriately draws attention to cognitive offloading as a potential risk inherent to any assistive technology designed to augment human performance 2.As a similar example, one might caution against the deployment of robotic surgical systems because surgeons may lose their highly refined human surgical skills.While cognitive offloading is a genuine phenomenon that warrants attention, two factors in particular should not deter the responsible exploration and deployment of AI.First, although technological innovation inevitably entails trade-offs, leadership decisions should be guided by the overarching goal of improving patient care.