Top Trends from SIIM 2026

Last week’s SIIM 2026 conference demonstrated once again radiology’s ongoing evolution, from a discipline once known for big iron to one dominated by software. From radiology reporting to the evolving AI platform segment, below are the top seven trends from Pittsburgh. 

  • Reporting Stays Red Hot: Radiology reporting was the top theme from SIIM 2025, and the segment got even hotter with Microsoft’s decision to sunset its PowerScribe 360 radiology reporting software, which has drawn a host of new competitors into the segment. At SIIM 2026, a common theme was enterprise imaging companies adding reporting modules to their solutions.  
  • AI Adoption Moving Slowly But Surely: Adoption of radiology AI has been frustratingly slow, but it’s moving inexorably toward broader clinical use. At SIIM 2026, some 68% of the radiology-oriented papers focused on AI in some way, especially the new generation of foundation and vision language models that are enabling targeted AI algorithms to be developed more quickly than ever.
  • AI Governance Gets Real: Growing adoption of AI algorithms is creating a new issue: How to manage all this new technology. AI governance therefore was a major issue at SIIM 2026 as healthcare providers debated the legal and ethical necessity to better manage AI adoption, deployment, and utilization.
  • Other ‘Ologies Get into the Act: Radiology likes to think of SIIM as its own conference, but it also encompasses other ‘ologies that are moving into digital image management, like pathology and ophthalmology. At SIIM 2026, several imaging IT vendors showed integration with data from these disciplines, giving healthcare institutions a single source for their healthcare data management.
  • The Rise of All-in-One Vendors: A growing number of imaging IT vendors are rolling out solutions that combine image viewer, worklist, and reporting into a single platform, simplifying purchasing, deployment, and maintenance for radiology customers. Many of these firms seem to be getting traction with potential buyers, indicating the all-in-one concept could be one whose time has come.
  • Agentic AI Takes Shape: Agentic AI is a growing trend in radiology as algorithm developers build solutions to take on mundane tasks and free up radiologists to focus on their primary task: interpreting images. But the question is, will agentic AI work in the real world, or simply pile more technology on clinicians?
  • What Next for AI Platforms? Bayer’s withdrawal from the AI platform market by pulling its support for Blackford in 2025 raised many questions about the platform model that persisted at SIIM 2026. AI platforms seem to be evolving to add additional services like AI monitoring and governance.

The Takeaway

SIIM may not be radiology’s largest show, but for those in the imaging IT space it may be the most valuable one outside of RSNA. SIIM 2026 proved that point, with the top trends from Pittsburgh illustrating the discipline’s direction at the midpoint of the radiology year. For our overview of the top trends at SIIM 2026, check out our YouTube channel or the Shows tab on our webpage.

GE to Buy Intelerad in Massive $2.3B Acquisition

In what could be the biggest radiology IT acquisition in years, GE HealthCare will acquire medical image management software company Intelerad in a purchase valued at $2.3B. The acquisition will bolster GE’s position in the outpatient image management segment, which is rapidly shifting from on-premises PACS models to cloud-based environments.

Intelerad was founded in Montreal in 1999 as a PACS developer and has grown through acquisitions of its own in recent years.

  • U.K. private equity firm Hg took a controlling interest in Intelerad in 2020, and the company soon embarked on a series of acquisitions that rolled up smaller imaging IT companies like Digisonics (2020), Ambra Health (2021), Insignia (2021), Lumedx (2021), Life Image (2022), and PenRad Technologies (2022). 

After taking a few years to digest the new companies, Intelerad began focusing on moving its technology and customers to cloud-based architecture, such as by releasing a cloud-native version of its InteleHeart software and by moving its PACS, VNA, and image-sharing applications to AWS cloud hosting.

GE needs no introduction, of course, but the company clearly sees the attraction of Intelerad’s core market in outpatient imaging, which complements GE’s focus on larger hospitals and health systems. 

In a conversation with The Imaging Wire, Scott Miller, president and CEO, Solutions for Enterprise Imaging at GE HealthCare, explained several of the acquisition’s advantages …

  • Imaging exams are moving from hospitals to outpatient centers due to lower costs.
  • Outpatient facilities are following hospitals in moving their data to the cloud, putting Intelerad at the intersection of two major trends.
  • Intelerad’s geographic focus has been on English-speaking countries, giving GE the opportunity to plug Intelerad products into its international distribution network. 

GE estimates that Intelerad will generate $270M in revenue in its first full year under GE ownership. 

  • Intelerad’s sales have been growing at a rate in the low double digits, and GE expects that pace to accelerate. 

Is the new acquisition a sign of growing consolidation in the radiology AI and image management sectors? 

  • Other recent purchases in 2025 include Radiology Partners’ purchase of Cognita Imaging, Lunit’s acquisition of Prognosia, and GE’s own purchase of icometrix, completed earlier this month. RadNet also acquired iCAD earlier in the year.

The Takeaway

GE’s acquisition of Intelerad offers multiple benefits to the multimodality OEM, from Intelerad’s presence in the outpatient imaging sector to its experience in cloud-based image management and broad product portfolio. The question is whether the purchase spurs other big iron vendors to answer with acquisitions of their own. 

Reporting Rules at SIIM 2025

The annual meeting of the Society for Imaging Informatics in Medicine offered a great opportunity to take stock of the imaging IT segment. At SIIM 2025, radiology reporting solutions – many powered by AI – were among the most exciting technologies under discussion at Portland’s Oregon Convention Center. 

As we mentioned in our video highlights roundup, attendance seemed a bit lighter at SIIM 2025, perhaps due to the Portland location and timing before a holiday weekend. 

  • But the number of vendors exhibiting at SIIM 2025 cracked 100 for the first time in years, underscoring the meeting’s importance as well as the overall growth of the imaging IT segment as the rise of AI spurs startup creation.

Every SIIM conference provides a fascinating early look at the trends and technologies that will shape radiology’s future, and this year’s meeting was no exception … 

  • Radiology Reporting Rules. The report is the radiologist’s final product, and SIIM 2025 presentations highlighted how important it is to improve this process, especially with AI. An entire track on May 21 was devoted to AI-enhanced reporting solutions, and on the exhibit floor companies showed AI-enhanced solutions that interpret radiologist findings and create structured reports from them. 
  • Questions about AI Adoption. As with past SIIM conferences, questions persist about the pace of AI adoption as well as the FDA’s regulatory direction since the Trump Administration took over. In SIIM 2025’s keynote address, health policy expert Rohini Kosoglu urged SIIM and the radiology community to take a more active role in self-regulation of AI in the absence of stronger direction from the federal government. 
  • Cloud Adoption Gains Steam. There are no such doubts about cloud-based image management, as providers are getting over past concerns about the technology. One enterprise image management vendor told The Imaging Wire that 100% of their new system orders included some form of cloud component. On the other hand, imaging IT expert Herman Oosterwijk sees some imaging sites having “second thoughts” about cloud hosting. 

The Takeaway

The growing prominence of radiology reporting software at SIIM 2025 illustrates the heightened interest in imaging IT solutions that enhance radiologist productivity rather than assist them with interpreting images – a job many feel they can do well enough on their own. 

6 Imaging IT Tools Radiologists Want Now

It’s no secret that radiology faces a variety of challenges, from rising imaging volumes to workforce shortages. But can imaging IT vendors help? A new paper in Academic Radiology suggests they can, and provides a list of the half-dozen imaging IT tools that radiologists say they need most. 

Radiology is already one of the most software-oriented specialties in medicine. 

  • It was an early adopter of digital healthcare through tools like PACS, and is reprising its leadership in the coming AI era with the lion’s share of FDA-approved medical AI applications

But that doesn’t mean radiologists have all the IT tools at their disposal that they feel they need. 

  • The new paper is a sort of radiologist wish list, developed after a 2024 meeting between vendors and members of the Association of Academic Radiologists.

Some three dozen key opinion leaders met for breakout discussions on radiology’s unmet IT needs. The discussion was then boiled down into six major areas …

  1. Increased workstation efficiency, with better tools for looking through medical records to find clinical information. 
  2. Better AI tools for radiology reporting, such as auto-generated measurements and findings from prior studies for comparison. 
  3. Better methods for controlling imaging overutilization, such as clinical decision support systems to be used by referring physicians to order exams.
  4. Help from vendors to improve access to high-level radiology services in underserved areas like rural communities, such as through industry-sponsored training positions or improved telemedicine access to patients with follow-up appointments.
  5. Patient engagement tools that promote direct communication between radiologists and patients, including industry-sponsored training modules for radiologists to discuss findings with patients. 
  6. Simpler scheduling systems that allow patients to pick appointment times from their smartphones.

One possible question to ask about the recommendations is whether the needs of academic radiologists truly reflect those of radiologists in general, especially those in private practice.

  • But the items on the wish list appear broad enough that they hit the requirements of a wide range of imaging practitioners. 

The Takeaway

Sure, radiologists face many challenges in today’s healthcare environment. But the fact that radiology is such an IT-centered specialty offers hope that new software tools can help them – and that radiology vendors can lend a hand. 

Reduce the Mess, Reduce the Stress: Automating and Accelerating Efficiency in Complex Medical Imaging Environments

Repetitive, arduous tasks are a major contributor to burnout – an increasingly prevalent issue in healthcare. While digital innovation is transformative, introducing more technology to workflows often creates additional layers of complexity, hindering efficiency, performance monitoring, and ultimately the quality of care.

As a result, once-simple traditional workflows have grown cumbersome over time, filled with many interconnected tasks that are difficult to manage. 

  • As these processes become more complex, it’s clear that healthcare needs to reduce, subtract, and simplify to maintain high standards of care.

Every traditional (or macro) workflow consists of multiple smaller tasks or steps (micro-workflows), many of which are still performed manually. 

  • Consider a wound care scenario where a practitioner takes images, searches for the patient’s record in the EHR, uploads the images, and manually enters encounter details. 

While each individual task may seem small, when multiplied by dozens of similar interactions each day, these repetitive steps …

  • Decrease the time providers have for meaningful patient interactions.
  • Lower overall productivity.
  • Increase the potential for human error.
  • Contribute to burnout and fatigue.

Micro-workflows address this by breaking down processes into discrete, manageable steps. For example, by …

  • Identifying the patient within the EHR.
  • Capturing the image.
  • Automatically inputting relevant metadata.
  • Seamlessly sharing the image with the care team.

This granular approach enables automation, allowing individual components to be optimized or modified without disrupting the entire process. 

  • Micro-workflows offer adaptability, efficiency, and responsiveness, meeting evolving clinical requirements while reducing complexity.

Moreover, micro-workflows make it possible to monitor individual tasks with precision. 

  • This approach allows healthcare organizations to pinpoint workflow gaps, troubleshoot issues, and resolve performance bottlenecks. 
  • In multi-vendor environments, where integrating various systems and applications can be a challenge, the ability to streamline processes and automate tasks becomes especially valuable.

Strings by Paragon is a platform specifically designed to help healthcare organizations harness the power of micro-workflows. 

  • By breaking traditional workflows into smaller, more manageable steps, Strings enables automation, real-time performance tracking, and monitoring across a wide range of applications and infrastructure. 

The platform’s single-pane-of-glass interface provides visibility into complex, multi-vendor environments.

  • Strings offers actionable insights and automated optimizations tailored to specific clinical workflows.

With Strings, organizations can proactively identify workflow bottlenecks, implement targeted optimizations, and measure performance and ROI with precision – leading to improved efficiency, enhanced imaging quality, better patient outcomes, and a value-driven approach to care.

Learn more about Strings by visiting Paragon Health IT’s website, or visit them at RSNA 2024 at booth #1849.

U.K.’s Massive Diagnostic IT Project

The U.K. is planning a massive project – worth close to $1B – to procure new IT tools for medical diagnostic use. While details of the plan are still sketchy, it involves the acquisition of both radiology and cardiology PACS, as well as AI.

The U.K.’s NHS has become one of the world’s hottest test beds for medical IT adoption as the service struggles to reconcile a static workforce with rising demand for healthcare services.

  • For example, the NHS last year issued the AI Diagnostic Fund, which provided £21 million ($28M) for a variety of AI implementation projects across 64 NHS trusts.

But the new tender offer dwarfs that investment. NHS has proposed a Digital Diagnostic Solutions project to serve as “a route to market for departmental wide diagnostic IT solutions.”

  • The value of the project is pegged at £700M ($923M), a massive investment in medical IT by any metric. 

The offer is being led by NHS Supply Chain, the governmental agency responsible for procuring medical equipment within the NHS. 

  • The program’s tender offer states that the Digital Diagnostic Solutions project “is to be the new Framework for the Medical IT Departmental Software and Hardware Solutions framework within NHS Supply Chain.”

It includes the following provisions: 

  • Acquisition of radiology PACS, cardiology PACS, RIS, cardiovascular information systems (CVIS), laboratory information management systems (LIMS), and vendor-neutral archives (VNAs).
  • Software acquired through the program “will sit alongside” other capital equipment like X-ray, MRI, and CT systems.
  • It will also include 3D software, diagnostic AI software, and endoscopy image management applications.

Publication of an invitation to tender will happen in December 2024, and the contract award will be in July 2025, with the framework itself starting in August 2025. 

The tender offer was published just a few days before a government-commissioned report that said the NHS was in “serious trouble” and that was harshly critical of the system’s transformation to digital operation.

  • And that report came after a July election that saw the Labour party win power for the first time in 14 years – raising hopes that it would approach NHS funding differently than the previous Conservative governments. 

The Takeaway

Does the Digital Diagnostic Solutions project represent a new commitment to funding IT innovation from the Labour government? Or is it simply a rebranding of the NHS’ existing procurement activities? Stay tuned. 

Top 4 Trends from SIIM 2024

SIIM 2024 concluded this weekend, and what a meeting it was. The radiology industry’s premier imaging IT show returned to National Harbor, MD, for the first time since 2018, where the Biosphere-like environment of the Gaylord National Resort and Convention Center offered a respite from the muggy weather outside. 

SIIM is always a great place to check in on new imaging IT technologies like PACS, AI, and enterprise imaging, and hot topics at SIIM 2024 included…  

  • AI Needs to Get Real (World): Research studies showing AI’s value are fine, but developers need to show that AI works in real-world settings before wider adoption will occur. Fortunately that’s started with landmark studies published recently for use cases like breast and osteoporosis screening. Meanwhile, scuttlebutt on the SIIM 2024 exhibit floor reinforced that start-ups are navigating an ugly funding environment, and many industry observers are predicting a wave of AI consolidation. 
  • Outlook Clears for the Cloud: Cloud-based imaging has struggled to catch on for years, but that’s starting to change as healthcare providers warm to the concept of letting third parties oversee their patient data. And there are signs that imaging IT vendors that were quick to develop cloud-based versions of their PACS software are reaping the rewards.
  • Enterprise Imaging Grows Up: This year’s meeting marked the 10-year anniversary of enterprise imaging, as dated from the start of the SIIM-HIMSS collaboration in 2014. The anniversary is a milestone worth observing, but it also raises questions about what the next 10 years will look like, and how AI and data from other -ologies will be integrated into enterprise networks. 
  • Cybersecurity Takes Priority: Several high-profile cybersecurity breaches at healthcare vendors and providers in the last year highlight that not enough is being done to keep patient data secure. Will migrating to the cloud help? Only time will tell.

The Takeaway

SIIM’s collegiality and coziness has always been a selling point for the meeting, even back in the days when it was known as SCAR. This year didn’t disappoint, as deals got done and relationships were built at the Gaylord National.  

Be sure to visit our YouTube channel and LinkedIn page to view our video interviews from the floor of the meeting – it was great seeing you all at the show!

Indies Surge in Imaging IT

The market for medical imaging IT technology continues to shift, with a pair of surging independent players growing rapidly in a sector that’s long been dominated by multinational OEMs. That’s according to the latest report on the imaging IT market by UK market intelligence firm Signify Research. 

The new report is projecting that the global market for imaging information technology will grow 18% over the next few years, from $5.6B in 2023 to $6.6B in 2028. 

  • Radiology will continue to dominate with a majority of sales, with cardiology IT a distant – but growing – second. Advanced visualization and operational workflow tools will make up the rest.

In terms of vendors, the top three market leaders of 2023 were GE HealthCare, Philips, and Fujifilm, but more recently, Visage Imaging and Sectra have been gaining market share. 

  • The report echoes recent news that has seen some of the largest multi-site enterprise imaging installations going to Visage and Sectra; a recent KLAS Research report also showed both companies’ growing momentum. 

Some of the other major points from the report include … 

  • Major growth in cloud deployment will occur – by 2028, 37% of the global imaging IT market will be in either hybrid or fully hosted environments
  • Cloud will represent 44% of the total radiology IT market by 2028
  • On a regional basis, the Middle East will see “significant growth” in imaging IT from 2024 to 2026, particularly in the Gulf States
  • Recovery is expected in China and the ASEAN nations, while India’s growing economy is driving healthcare digitization
  • Latin America is showing rising interest in AI and cloud technologies, but national elections could complicate matters

The Takeaway
The new Signify Research report underscores the evolving nature of the imaging IT market, as independent vendors rise to challenge multinational OEMs that dominated the sector for years. Be sure to check out Signify’s helpful infographic on LinkedIn that succinctly wraps up the changes.

Predicting the Future of Radiology AI

Making predictions is a messy business (just ask Geoffrey Hinton). So we’re always appreciative whenever key opinion leaders stick their necks out to offer thoughts on where radiology is headed and the major trends that will shape the specialty’s future. 

Two of radiology’s top thought leaders on AI and imaging informatics – Curtis Langlotz, MD, PhD, and Paul Chang, MD – gaze into the crystal ball in two articles published this week in Radiology as part of the journal’s centennial celebration. 

Langlotz offers 10 predictions on radiology AI’s future, briefly summarized below:

  • Radiology will continue its leadership position when it comes to AI adoption in medicine, as evidenced by its dominance of FDA marketing authorizations
  • Virtual assistants will help radiologists draft reports – and reduce burnout
  • Radiology workstations will become cloud-based cockpits that seamlessly unify image display, reporting, and AI
  • Large language models like ChatGPT will help patients better understand their radiology reports
  • The FDA will reform its regulation of AI to be more flexible and speed AI authorizations (see our article in The Wire below)
  • Large databases like the Medical Imaging and Data Resource Center (MIDRC) will spur data sharing and, in turn, more rapid AI development

Langlotz’s predictions are echoed by Chang’s accompanying article in Radiology in which he predicts the future of imaging informatics in the coming age. Like Langlotz, Chang sees the new array of AI-enabled tools as beneficial agents that will help radiologists manage growing workloads through dashboards, enhanced radiology reports, and workflow automation. 

The Takeaway

This week’s articles are required reading for anyone following the meteoric growth of AI in radiology. Far from Hinton’s dystopian view of a world without radiologists, Langlotz and Chang predict a future in which AI and IT technologies assist radiologists to do their jobs better and with less stress. We know which vision we prefer.

Imaging IT’s Infrastructure Problem

A heated Twitter conversation revealed widespread discontent with imaging’s outdated and fragmented IT infrastructure, suggesting that it’s draining radiologist productivity and standing in the way of AI adoption.

This tweet by Memorial Sloan Kettering’s Anton Becker, MD, PhD got things started: “95% of radiology departments would do well to direct 100% of their AI efforts and budget towards upgrade and maintenance of PACS, RIS and dictation software for the next 5 years… Our field is plagued by legacy software.” 

And here’s what the ensuing replies and retweets revealed:

  • PACS Productivity – Nearly everyone agreed that their overall imaging IT setup was insufficient, with one rad estimating that a “supercharged PACS” would improve his productivity by 30%, and another noting that workflow customization would “at least double” her speed and accuracy.
  • Imaging IT Revolution – Some called upon the “legacy” PACS, RIS, and voice recognition vendors to make more “revolutionary changes,” rather than settling for tweaks to current setups. Others proposed government intervention.
  • IT Isn’t Flashy – One thing that might be holding some imaging IT overhauls back is “it’s not as flashy to boast” about high-quality infrastructure, and “the people who have authority to allocate resources are more motivated by flash than function.”
  • Holistic IT – Eventually the conversation led to several well received proposals that we “eliminate the idea of PACS as a category and start thinking more holistically about radiology IT.” In other words, this might be more of a “fragmentation problem” than a PACS/RIS/voice functionality problem (or an AI budget problem). 

The Takeaway

Even if RadTwitter tends to skew towards academic radiologists and often focuses on what’s going wrong, this conversation indicates widespread dissatisfaction with current imaging IT setups, and suggests that radiologist productivity (and perhaps accuracy and burnout) would improve significantly if imaging IT worked as they’d like it to work. 

It’s debatable whether this imaging IT problem is actually due to an unnecessary focus on AI (very little of the conversation actually focused on AI), but it does seem reasonable that rad teams with solid infrastructure would be more likely to embrace AI.

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