The moment you upload a radiograph to a cloud tool, you've made a decision about your patient's data — whether or not you realised you were making it.

Most clinics adopt AI tools without asking where the data goes, who can see it, and whether it trains the next version of the model. Those are not paranoid questions; they are the baseline of consent.

These are the questions I put to every vendor before anything patient-related touches their system — and what a good answer sounds like.