VisionCAD: An Integration-Free Radiology Copilot Framework

Widespread clinical deployment of computer-aided diagnosis (CAD) systems is hindered by the challenge of integrating with existing hospital IT infrastructure. Here, we introduce VisionCAD, a vision-based radiological assistance framework that circumvents this barrier by capturing medical images directly from displays using a camera system. The framework operates through an automated pipeline that detects, restores, and analyzes on-screen medical images, transforming camera-captured visual data into diagnostic-quality images suitable for automated analysis and report generation. We validated VisionCAD across diverse medical imaging datasets, demonstrating that our modular architecture can flexibly utilize state-of-the-art diagnostic models for specific tasks. The system achieves diagnostic performance comparable to conventional CAD systems operating on original digital images, with an F1-score degradation typically less than 2% across classification tasks, while natural language generation metrics for automated reports remain within 1% of those derived from original images. By requiring only a camera device and standard computing resources, VisionCAD offers an accessible approach for AI-assisted diagnosis, enabling the deployment of diagnostic capabilities in diverse clinical settings without modifications to existing infrastructure.