Radiology and the Innovator's Dilemma: Is Disruption on the Horizon?

Journal: AJR. American journal of roentgenology
Published Date: Jul 16, 2025

Abstract

Radiology is experiencing a growing workforce shortage, presenting opportunity for disruption by nonphysician practitioners (NPPs) and artificial intelligence (AI). According to Christensen's innovator's dilemma, disruptors typically serve low-demand markets before advancing further. AI enhances NPPs' capabilities, potentially commoditizing radiology. To counter this disruption, radiologists must incorporate AI as a sustaining innovation and redefine their roles beyond simple image interpretation. Proactive adaptation will determine whether radiologists can maintain their value or yield ground to emerging competitors.

Authors

  • David Ruohoniemi
    Department of Radiology and Medical Imaging, University of Virginia Health System, 1215 Lee St, 1st Fl, Charlottesville, VA 22903.
  • Arun Krishnaraj
    Department of Radiology and Medical Imaging, University of Virginia, Charlottesville, Virginia. Electronic address: arunk@virginia.edu.

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