Balancing Innovation and Responsibility
Radiologists, trainees, and other stakeholders must work together to address new questions of responsibility, fairness, and oversight in this fast-evolving landscape.
Read more


‘Sustainable AI’ is AI that limits the usage of resources or uses ‘green’ resources for AI training and inference. Unfortunately, there is nothing sustainable about today’s AI landscape. Public demand is booming; in 2025, monthly tokens just from Google more than doubled and hit 1.3 quadrillion tokens in October2.
And the AI vendors are not slowing down. It’s estimated that ChatGPT5 uses more than 8x the energy than ChatGPT43. Microsoft expects water usage at its data centers (used for cooling) to double, if not more, from 2020 to 20304. In the US, data centers are expected to triple their share of total energy consumption and it’s already ‘wreaking havoc on US power systems’5.
Why is this so important now? Across the US, communities will face energy shortages, water scarcity and increased pollutants to support these massive data centers and AI demand.
The US Department of Energy (DOE) warns that blackouts could become ‘100x more frequent by 2030’ due to AI demand6. Carbon dioxide emissions from data centers are expected to more than double from 2020 to 20307. And renewable energy projects, like offshore wind, are being deprioritized and defunded8.
Some communities are already experiencing the negative side effects from a data center moving in next door. Amazon’s data centers in northern Spain plans to use more electricity than the entire region currently consumes9. In December 2024, Amazon submitted a request to the local government in Spain to increase the data centers’ water consumption because ‘climate change will lead to an increase in global temperatures and the frequency of extreme weather events, including heat waves’9.
The good news; AI vendors know that scarcity is a problem. They are investing in making their models use less energy and work on smaller chips. But we can’t wait around for them to fix the problems they create. In the next blog post, we’ll help you understand and prepare for this unsustainable world of AI.
Balancing Innovation and Responsibility
Radiologists, trainees, and other stakeholders must work together to address new questions of responsibility, fairness, and oversight in this fast-evolving landscape.
Read more
What Radiology Can Learn
Discover how radiology AI can learn from ophthalmology, dermatology, and pathology to improve trust, reduce bias, streamline workflows, and enable learning.
Read more
How Theranostics Is Redefining Radiology
Theranostics is transforming radiology from scan interpretation to precision treatment, enabling radiologists to diagnose, target and treat disease.
Read more