Dorsopalmar left hand radiograph in a 7.6-year-old girl following bone age assessment by BoneXpert. The output of the artificial intelligence (AI) system is an annotated Digital Imaging and Communications in Medicine (DICOM) file placed in the same study in the hospital’s picture archiving and communications system (PACS) as the original image. The algorithm has located the borders of the bones and assigned a Greulich and Pyle (GP) bone age to each of them. The average bone age (BA) for the 21 tubular bones is reported as “BA (GP): 7.38 y (F),” where the F indicates female gender, as taken from the DICOM header. The next line reports a bone age standard deviation score (SDS) of –0.07, which means that the bone age is 0.07 standard deviations below what is expected at that chronological age. Chronological age is indicated below the bone age SDS as 7.60 years (computed from the birth and study dates in the DICOM header). The remaining reported numbers are: carpal BA = the average bone age in the seven carpals, BA (TW3) = Tanner and Whitehouse version 3 bone age, BHI = bone health index, and its SDS relative to girls with the same bone age