As a resident, you should know that if you think it's appropriate for treatment, you basically have free rein to do what you want to with the MR data.

If someone has made a free ML/AI tool, you can use it.

What you're worried about is valid - is there a business model?

And there doesn't need to be, for it to make sense.

Research hospitals could be funding people to spend time developing new ML/AI algorithms, and then releasing them for free for people like you to use.

More's the point, every country with socialized healthcare could be doing this, too.

The FDA may indeed be making it impossible to make a profit from a business developing ML/AI, but that doesn't mean we shouldn't find a way to do it, not if it actually improves patient outcomes.