~5–15 min per visual with AI vs. ~hours with a designer (for early concept mockups)
Enhanced review required. Compliance and brand review needed for anything external-facing.Concept brief → Prompt → Generate → Select and refine → Review for accuracy and compliance
What this is
Generative image tools — Nano Banana 2 (Google), Midjourney, and similar — can produce finished-looking imagery from text prompts in seconds. For medical writers, that opens up four practical uses:- Conceptual figures that illustrate an idea (mechanism framing, patient journey moments, abstract metaphors) where a literal scientific figure is not required
- Visual abstracts for social and internal sharing where the graphic supports messaging rather than carries the primary data
- Slide visuals — background imagery, section dividers, opening-slide hero images, unbranded placeholder visuals
- Social graphics for internal comms, congress teaser posts, or brand-led awareness content
Best for
- Early-stage concept mockups before a designer or illustrator is engaged
- Internal presentations, town halls, and training material where imagery sets tone rather than conveys data
- Visual abstracts on social platforms that foreground messaging, not mechanism detail
- Brainstorming visual directions for a campaign or launch
- Pitch decks and new business proposals
- Stock-image replacement where licensed imagery is too generic or too expensive
Inputs
- A clear concept brief: what should the image communicate, to whom, in what setting
- Tone and style references (realistic, illustrative, abstract, photographic, editorial)
- Brand parameters where they apply: palette, mood, any visual do-not-use list
- Format and aspect ratio (social square, 16:9 slide, 4:5 portrait for LinkedIn, etc.)
- A working list of what the image must not show (specific drug names, patient likenesses, logos, any element that would imply a regulated claim)
Tools
| Tool | Strengths | When to reach for it |
|---|---|---|
| Nano Banana 2 (Google) | Strong prompt adherence, in-image text rendering, native editing, tight integration with Gemini workflows | When you need text inside the image (labels, teaser copy), iterative refinement, or a free tier for quick concepting |
| Midjourney | Distinctive aesthetic quality, strong on illustration and editorial imagery, deep control over style | When the image needs to look like finished creative work, or when you are exploring a visual direction rather than a literal scene |
| ChatGPT image generation | Conversational iteration, decent text rendering, integrates directly into a writing workflow | When you want to stay in one tool across text and image |
| Adobe Firefly | Trained on licensed content, commercial-use friendly in many pharma environments | When your organisation’s legal or procurement team restricts AI image tools to commercially-safe sources |
Prompting patterns
AI image prompts do not work like text prompts. Short descriptive phrases, stacked modifiers, and explicit style cues outperform long paragraphs.Pattern 1 — Conceptual figure
Pattern 2 — Visual abstract hero
Pattern 3 — Slide divider or section opener
Pattern 4 — Social graphic with in-image text
(Nano Banana 2, ChatGPT, and Firefly handle in-image text better than Midjourney.)Refinement tips
- Name what you want to exclude (
no text,no people,no medical devices) — it helps more than listing only what you want to include - Iterate in pairs: generate two variants, pick the closer one, refine from there
- Use reference images where the tool supports them — a mood board beats a paragraph of adjectives
- Keep a “prompt log” alongside the image so you can reproduce, audit, or hand it off
Reality check
AI-generated images look polished, which is exactly what makes them risky in medical content. A plausible-looking image is not a verified one.Review checklist
Human review checklist
Human review checklist
- The image communicates a concept, not a scientific claim
- No invented anatomy, biology, or molecular detail is visible
- Any in-image text is spelled correctly and says what was intended
- No real people, patients, HCPs, or identifiable locations appear
- No competitor or unauthorised logos, packaging, or trade dress
- Brand palette, tone, and style guidelines are met
- For anything external: MLR, compliance, and brand have reviewed the final image
- For patient-facing: health literacy review has seen the final image in context
- Rights, licensing, and AI-disclosure requirements for the destination channel are met
- The prompt, tool, and date of generation are logged alongside the asset
Why this works
Image generation collapses the cost of the first visual draft to near zero. That changes what a medical writer can bring to a kickoff, a brief, or a concepting meeting — a rough but coherent visual alongside the messaging, rather than a text-only brief that a designer must decode. The designer still owns production; the writer gets to propose. What it does not change is accountability. The writer, the designer, and the review chain remain responsible for every image that leaves the desk. AI shortens the path to the concept; it does not shorten the path through review.Common mistakes
Using an AI image as a scientific figure
Using an AI image as a scientific figure
The most common failure. An editorial-looking “cell signalling” image gets dropped into a slide because it looks good and time is short. A reviewer catches it — or worse, does not. If the image depicts biology, it needs a medical illustrator or BioRender, not a generative model.
Treating chart-shaped output as a data visualisation
Treating chart-shaped output as a data visualisation
The AI generates something that looks like a bar chart or Kaplan-Meier curve, and the numbers are invented. The moment an image implies data, it needs to be rebuilt from a real source. Decorative graphs are worse than no graph at all.
Skipping MLR because the image is 'just a visual'
Skipping MLR because the image is 'just a visual'
Visuals in regulated material are in scope for MLR the same way copy is. An image that implies efficacy, safety, or a patient benefit is a claim, even without text. Route it through review.
Not logging the prompt and tool
Not logging the prompt and tool
A stakeholder asks “where did this come from?” six months later and there is no answer. Log the tool, prompt, date, and any reference images. The review trail applies to visuals too.
Prompting with named people, patients, or competitor products
Prompting with named people, patients, or competitor products
A quick “make this look like [named HCP] presenting at ASCO” prompt is a rights problem before it is a compliance one. Prompt abstractly; keep identifiable people, places, and products out.
Ignoring in-image text quality
Ignoring in-image text quality
AI-generated text inside images has improved but still misspells, duplicates letters, or mangles punctuation. Always zoom in and proofread every character before sharing.
Tool stack
| Tool | Role |
|---|---|
| Nano Banana 2 | Concept images and visuals with in-image text |
| Midjourney | Editorial and illustrative concept imagery |
| BioRender | Publication-quality biological and mechanism figures (not AI image generation — the right tool when accuracy matters) |
| Claude Design | Assembling generated imagery into leavepieces, slides, and pitch deck layouts |
Next steps: For external-facing concepts, route the final image through Check Promotional Compliance. For assembling generated imagery into layouts, see Claude Design. For repurposing across channels, see Repurpose Content Across Channels.
Last reviewed: 20 April 2026