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Article History

Received: 23 March 2026

Revised: 19 April 2026

Accepted: 23 May 2026

First Online: 16 June 2026

Declarations

:

: The Ethics Committee of the Medical Faculty of Goethe University Frankfurt confirmed that no formal ethics committee consultation was required and that the study could proceed with a waiver (reference number 2026-2823). This was because the study involved only de-identified, publicly available radiographs and anonymous participation without patient contact or new image acquisition. Electronic informed consent was obtained from all participating radiologists.

: Not applicable. This manuscript does not contain identifiable individual person data; the patient identifiers used within the study platform were fictitious pseudonyms and not linked to real patients.

: D.P.d.S. is a member of the scientific editorial board of Insights into Imaging and, as such, has not participated in the selection or review processes for this manuscript. The remaining authors declare that they have no competing interests.