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@ARTICLE{Wichtmann:282951,
author = {Wichtmann, Barbara D and Paech, Daniel and Pianykh, Oleg S
and Huang, Susie Y and Seltzer, Steven E and Brink, James
and Fennessy, Fiona M},
title = {{L}eadership in radiology in the era of technological
advancements and artificial intelligence.},
journal = {European radiology},
volume = {36},
number = {1},
issn = {0938-7994},
address = {Heidelberg},
publisher = {Springer},
reportid = {DZNE-2025-01412},
pages = {548 - 552},
year = {2026},
abstract = {Radiology has evolved from the pioneering days of X-ray
imaging to a field rich in advanced technologies on the cusp
of a transformative future driven by artificial intelligence
(AI). As imaging workloads grow in volume and complexity,
and economic as well as environmental pressures intensify,
visionary leadership is needed to navigate the unprecedented
challenges and opportunities ahead. Leveraging its strengths
in automation, accuracy and objectivity, AI will profoundly
impact all aspects of radiology practice-from workflow
management, to imaging, diagnostics, reporting and
data-driven analytics-freeing radiologists to focus on
value-driven tasks that improve patient care. However,
successful AI integration requires strong leadership and
robust governance structures to oversee algorithm
evaluation, deployment, and ongoing maintenance, steering
the transition from static to continuous learning systems.
The vision of a 'diagnostic cockpit' that integrates
multidimensional data for quantitative precision diagnoses
depends on visionary leadership that fosters innovation and
interdisciplinary collaboration. Through administrative
automation, precision medicine, and predictive analytics, AI
can enhance operational efficiency, reduce administrative
burden, and optimize resource allocation, leading to
substantial cost reductions. Leaders need to understand not
only the technical aspects but also the complex human,
administrative, and organizational challenges of AI's
implementation. Establishing sound governance and
organizational frameworks will be essential to ensure
ethical compliance and appropriate oversight of AI
algorithms. As radiology advances toward this AI-driven
future, leaders must cultivate an environment where
technology enhances rather than replaces human skills,
upholding an unwavering commitment to human-centered care.
Their vision will define radiology's pioneering role in
AI-enabled healthcare transformation. KEY POINTS: Question
Artificial intelligence (AI) will transform radiology,
improving workflow efficiency, reducing administrative
burden, and optimizing resource allocation to meet imaging
workloads' increasing complexity and volume. Findings Strong
leadership and governance ensure ethical deployment of AI,
steering the transition from static to continuous learning
systems while fostering interdisciplinary innovation and
collaboration. Clinical relevance Visionary leaders must
harness AI to enhance, rather than replace, the role of
professionals in radiology, advancing human-centered care
while pioneering healthcare transformation.},
subtyp = {Review Article},
keywords = {Artificial Intelligence / Humans / Leadership / Radiology:
organization $\&$ administration / Radiology: trends /
Artificial Intelligence (Other) / Governance (Other) /
Leadership (Other) / Radiology (Other) / Workflow (Other)},
cin = {AG Radbruch},
ddc = {610},
cid = {I:(DE-2719)5000075},
pnm = {353 - Clinical and Health Care Research (POF4-353)},
pid = {G:(DE-HGF)POF4-353},
typ = {PUB:(DE-HGF)16},
pubmed = {pmid:40579558},
doi = {10.1007/s00330-025-11745-4},
url = {https://pub.dzne.de/record/282951},
}