Design a real-time radiology copilot that flags regions and drafts a report in under 2 seconds at 10 studies/sec, recall first.

Ten X-ray studies a second, a 2-second budget, and a missed cancer is unacceptable. The hard parts are recall-first thresholding, a monitor that watches the radiologist, and surviving a new scanner.

Updated Aug 2026 · Grounded in real Forward Deployed Engineer interview loops and written to a senior-engineer editorial bar.

Ten X-ray studies a second, a 2-second budget, and a missed cancer is unacceptable. The hard parts are recall-first thresholding, a monitor that watches the radiologist, and surviving a new scanner.

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Design a real-time radiology copilot that flags regions and drafts a report in under 2 seconds at 10 studies/sec, recall first.

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