It’s not “shackled” they are completely different technologies.

Imaging diagnosis assistance it something like computer vision -> feature extraction -> some sort of classifier

Don’t be tricked by the magical marketing term AI. That’s like assuming that a tick tac toe algorithm is the same thing as a spam filter because they’re both “AI”.

Also medical imaging stuff makes heaps of errors or extracts insane features like the style of machine used to image. They’re getting better but image analysis is a relatively tractable problem.