How Vestre Viken Hospital Trust is empowering care with AI-powered radiology workflow

Like many healthcare systems, Vestre Viken faced mounting diagnostic workloads driven by rising imaging volumes, an aging population and increasing case complexity. Radiologists were under growing pressure to deliver timely, accurate reports while maintaining the high standards of care that patients expect. At the same time, the hospital recognized that sustaining this level of excellence would soon become impossible without innovation.

Vestre Viken sought to explore how AI could help achieve these goals, not by replacing radiologists, but by serving as a trusted companion that enhances accuracy, detects subtle findings and automates routine tasks, and thus enhancing the overall workflows revolving around imaging.

After a rigorous evaluation, Vestre Viken selected Philips AI Manager, a scalable orchestration platform designed to seamlessly connect AI applications with existing radiology systems. The solution enables hospitals to manage, deploy and monitor multiple AI algorithms centrally, ensuring consistent performance, data governance and compliance with European medical device standards [4].

Through deep integration with Philips Vue PACS and Philips Radiology Information System (RIS), AI Manager delivers AI-generated insights directly into the radiologist’s primary reading environment, reducing context switching, accelerating diagnosis and seamlessly embedding AI assistance into daily workflows.

The first solution deployed was Gleamer’s BoneView, Norway’s first AI tool in routine clinical use, trained to detect fractures, effusions, bone lesions and dislocations on X-rays of patients over two years old [5]. This implementation became the catalyst for a complete workflow redesign across all four hospitals.

Before AI, each hospital followed its own processes for trauma imaging, often resulting in delays, inconsistencies and unnecessary consultations. With AI Manager orchestrating BoneView across all sites and thanks to a tight integration within RIS-PACS workflow inside and outside the radiology department, Vestre Viken created a single, standardized workflow available 24/7, ensuring consistent quality and faster decision-making system-wide.

Since going live with the Gleamer BoneView Application in August 2023, 74,000 patients have been examined with AI support, resulting in:

Beyond radiology, the AI-enabled workflow also supports clinicians across the care pathway. Emergency and orthopedic teams can access AI findings directly through the RIS-PACS environment, allowing them to make faster, better-informed decisions without waiting for formal radiology reports. This seamless access to preliminary AI insights helps accelerate patient triage in acute settings, reduces unnecessary referrals and strengthens collaboration between imaging and frontline care teams.

Building on this foundation, Philips and Vestre Viken are now collaborating on the next phase of their AI strategy by developing structured automatic reporting within the same integrated environment. This advancement will allow AI-generated insights to be automatically embedded into standardized radiology reports, streamlining documentation, improving consistency and further reducing reporting times. It reflects a shared commitment to continuous innovation and to ensuring AI remains tightly aligned with clinical needs and workflows across the entire care continuum.

Clinical validation confirmed that AI and radiologists complement each other, improving sensitivity and reducing missed findings [6]. Radiographers report greater confidence through real-time AI feedback, while patients benefit from faster, safer care. Local validation at Vestre Viken showed AI accuracy ~91% (radiologists 95%); with AI assistance, radiologist sensitivity increased from 93% to 98%, supporting safe discharge of negatives and better capture of true positives [7]. “These numbers show that AI is not just about technology by it’s about making healthcare better for patients and safer for staff,” said Line Tveiten, Implementation Leader.

Beyond efficiency, the AI-supported workflow has fostered a cultural change. Radiographers report greater engagement and learning, with immediate feedback from AI enhancing their confidence and decision-making. Radiologists appreciate AI as a support tool and triage mechanism that helps them focus on the most complex or urgent cases first. 

As Norway’s first hospital to implement AI, Vestre Viken quickly became a regional leader in digital transformation. “We used this opportunity to build an AI network across the region,” Graff said. “We collaborate on procurements, share experiences and offer support whenever needed. It’s helped us move forward together, rather than each hospital working in isolation.”

This coordinated approach has turned AI from a promising pilot into a proven, repeatable model of operational excellence. What began as a local innovation at Vestre Viken has become a national movement. Together with Philips and the Trust’s regional partners, it is shaping how AI can be responsibly integrated into everyday clinical practice for the benefit of both patients and professionals.

Vestre Viken Hospital Trust shows how innovation, trust and teamwork can turn AI into real-world impact. With seamless integration of solutions like Philips AI Manager, Vue PACS, and Philips RIS, the Trust has boosted clinical confidence, streamlined workflows and set a new benchmark for scalable AI in healthcare.