U.S. Air Force Capt. Justin Kong, 312th Airlift Squadron pilot, operates a Hypoxia Familiarization Trainer (HFT) while wearing a quick don mask during aerospace physiology training at Travis Air Force Base, California, Sept. 9, 2025. An HFT is a sophisticated training device used to teach aircrew how to recognize and respond to the symptoms of oxygen deprivation in daylight and lowlight conditions. (U.S. Air Force photo by Senior Airman Robert Nichols)
Pilot operates a Hypoxia Familiarization Trainer while wearing a quick don mask. Photo: Senior Airman Robert Nichols/US Air Force

The US Army’s Madigan Army Medical Center is rolling out an artificial intelligence (AI)-powered tech designed to catch potential lung cancer cases quicker and keep patients from slipping through the cracks.

The new Pulmonary Nodule Registry uses the Defense Health Agency-approved Ask Sage large language model to identify and prioritize patients with suspicious lung nodules.

Lung nodules are tiny growths frequently discovered by accident during chest X-rays after car crashes, falls, or other unrelated medical visits.

Most are harmless, but some can serve as an early warning sign of lung cancer.

In busy healthcare facilities handling thousands of scans, tracking those cases and ensuring patients receive follow-up care can quickly become overwhelming.

Boosting ‘Patient Experience and Care’

Madigan’s new registry functions as a digital safety net.

Its integrated AI system reviews imaging results alongside medical history, demographics, and smoking records to prioritize patients who may require urgent follow-up care.

“This development is really going to increase efficiency in the care our providers deliver, increase access to care,” said Rick Barnhill, the hospital’s chief health information officer.

The army stressed that the AI does not replace doctors. Instead, it cuts down hours of manual case reviews so specialists can focus on treatment decisions and patient care.

The platform runs inside a Personal Health Information-compliant environment built for secure military healthcare, a key consideration as the Pentagon expands AI adoption across Defense Health Agency operations.

Madigan officials said the tool could eventually become a blueprint for military hospitals across the US military health system.

“Our team’s goal is not just for patients here at Madigan, but to utilize this tool in hopes this innovation paves the way for wider usage and increases patient experience and care we provide,” Barnhill explained.

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