Mia flags a 6 mm cancer missed by NHS Grampian radiologists

In NHS Grampian's GEMINI pilot, Mia flagged Barbara's 6 mm breast cancer missed by radiologists; surgery plus five days' radiotherapy.

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AI system

System

Mia

Model

Not assessed

Release

Not assessed

Application developer

Kheiron Medical Technologies

Role

Not assessed

Configuration

Not assessed

Inputs and outputs

Not assessed

Autonomy

Not assessed

Workflow

Deployment of Mia alongside routine human double reading in a screening program. A safety-net workflow in which AI-flagged, reader-negative cases are re-reviewed.

Human oversight

Not assessed

Relation to AI

Mia flagged a lesion that the hospital radiologists had not identified on the same scan. Clinicians then confirmed and treated the cancer. Both the BBC and the University of Aberdeen attribute the detection to Mia. The counterfactual is that the cancer would have been found later, at a larger size, rather than never.

AI contribution

Mia flagged a lesion that the hospital radiologists had not identified on the same scan. Clinicians then confirmed and treated the cancer. Both the BBC and the University of Aberdeen attribute the detection to Mia. The counterfactual is that the cancer would have been found later, at a larger size, rather than never.

Benefits

Outcome identifiers

Not assessed

Benefit

Mia helped find 12% more cancers than routine practice

Category

Improved Physical Health

Status

Not assessed

Beneficiary groups

People. Organizations.

Beneficiaries

Not assessed

Reach

Not assessed

Distribution and access

Not assessed

Duration

Not assessed

Expected?

Yes

Costs and harms

Not assessed

Measurement

Studies

Not assessed

Study design

Not assessed

Measurement

Not assessed

Setting and sample

Not assessed

Measures

Mia helped find 12% more cancers than routine practice

Comparison

routine practice (radiologists reading without Mia)

Results

Result: an additional 12 percent more cancers than in routine practice.

Additional value from AI

Not assessed

Limitations

Not assessed

Denominators

Not assessed

Materials for replication

Not assessed

Money

Kind of value

Not assessed

Amount

Not assessed

Currency and prices

Not assessed

Period and unit

Not assessed

Realization

Not assessed

Recipients and payers

Not assessed

Gross or net

Not assessed

Included costs

Not assessed

Comparison

Not assessed

Method

Not assessed

Return and payback

Not assessed

People and places

Participants

Developer: Kheiron Medical Technologies. Operator: NHS Grampian.

Jurisdictions

Benefit: Aberdeen, United Kingdom. Developer: United Kingdom. Operator: United Kingdom.

Ownership and control

Not assessed

Dependencies

Not assessed

Cross-border connections

Not assessed

Geopolitical implications

Not assessed

Follow-up

Conditions for replication

Clinicians act on AI-only flags rather than discarding them. The AI's recall threshold is set so that extra flags do not overwhelm the service.

Replication attempts

1 follow-up entries. Benefit recurred: 1.

Later findings

No development dated after 21 March 2024 found in the cited sources.

Availability

Not assessed

Institutional decision

Not assessed

Grounds

Not assessed

Action and result

Not assessed

Success criterion

Not assessed

Evidence

Source numbers

AIBD-0062-source-0001–0003

Citations

Numbered references below.

Language

Not assessed

Source relationships

Independent

Original evidence

Not assessed

Access and versions

Not assessed

Supported findings

Not assessed

Evidence strength

Not assessed

Missing evidence

Not assessed

Grades

Assessed benefits

People. Organizations.

Depth

People: 3. Organizations: 2.

Reasons

People: A 6 mm cancer was treated at an early stage with surgery and a short radiotherapy course. Dr Lip states that cancers picked up under 15 mm carry around 95% survival. The benefit is potentially life-saving but not demonstrated as such for this patient. Organizations: Across the 10,889-woman evaluation Mia helped find 12% more cancers. The University of Aberdeen statement says this would not put more women through additional tests.

Observed or intended

Not assessed

Rubric

Not assessed

Assessor and date

Not assessed

Alternative assessments

Not assessed

Fill

Independently reported

Entry details

Kind

Not assessed

Field

Healthcare - breast cancer screening. AI reader in population mammography screening.

Purpose

Mia was built to read screening mammograms and flag suspicious findings alongside human readers. Detecting a cancer missed by readers is exactly its intended function.

Dates

Date basis unassessed: 2024 (precision unassessed). Updated: 21 October 2026.

Stage

Not assessed

Version

SHA-256: c4fa27f84c85…

References

Other identifiers

oecd_aim: 2024-03-21-b742. AI Incident Database: 81.

Category mappings

Not assessed

Brief

Not assessed

Revisions

7 revisions. Latest: 21 October 2026.

Sources

  1. News report Independent author

    Kleinman Z (2024). NHS AI test spots tiny cancers missed by doctors. BBC News, 21 March 2024.

  2. Press release Independent author

    University of Aberdeen (2024). More breast cancers detected in first evaluation of breast screening AI. University news release, 21 March 2024 (quotation attributed to Dr Gerald Lip).