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. 2025 Jul;225(1):e2532820.
doi: 10.2214/AJR.25.32820. Epub 2025 Jul 16.

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

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

David Ruohoniemi et al. AJR Am J Roentgenol. 2025 Jul.

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.

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