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Workforce Shortage Worsens, MRI of Mental Illness and Brain Age
June 23, 2025
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“As fewer generalists enter the workforce, roles that were once covered by one provider now require two or more. In a market already constrained by limited residency slots, this shift reduces flexibility and intensifies staffing challenges.”

Kim Williams of Medicus Healthcare Solutions, on the ongoing radiologist shortage.

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Radiologists

Radiology Workforce Shortage Tightens

Radiologist Supply vs. Demand, 2024-2037

Radiologist attrition rates have jumped 50% since 2020, and new workforce projections suggest the shortage will only worsen as imaging demand continues to outpace supply. The report – from staffing firm Medicus Healthcare Solutions – projects a worsening supply of radiologists by 2037.

It’s no news to anyone that healthcare is being squeezed by rising volumes from an aging population and chronic staff shortages caused by a training system that simply isn’t turning out enough qualified medical professionals.

  • In radiology, both radiologists and radiologic technologists are in short supply, and there have been only 29 diagnostic radiology PGY-1 training positions added since 2021. 

The Medicus report mostly assembles data acquired from other sources such as a recent study in JACR on radiologist supply, but taken together the numbers paint a sobering picture …

  • Imaging utilization is projected to grow 17-27% by 2055.
  • Radiologist attrition rates have grown 50% since 2020. 
  • Radiologist distribution per 100k population is uneven across the U.S., ranging from 25 radiologists in Minnesota to 9 radiologists in some other states.
  • Reimbursement is falling, with the Medicare conversion factor for 2025 dropping -2.83% for diagnostic radiology and -4.83% for interventional radiology.

What’s to be done? On the positive side, at least one new radiologist residency program started up this year, and legislation was recently introduced that would add 14k residency training slots over seven years. 

  • The report also recommends teleradiology as a possible solution, with 92% of radiologists in a recent survey saying their institution offered remote work options and 73% of radiologists participating in remote work. 

Medicus also advised health systems to take several compensation-focused steps to attract and retain radiologists …

  • Offer flexible, hybrid work schedules.
  • Provide competitive compensation packages and signing bonuses.
  • Improve vacation policies and time-off benefits.

The Takeaway

It’s hard to see short-term Band-Aids like better salary and benefits solving healthcare’s workforce shortage. And some are even questioning whether AI will really help make radiologists more efficient. In the end, systemic changes like a sharp expansion in residency training slots are what’s needed to effect a long-term solution to the staffing dilemma. 

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The Wire

  • MRI Quantifies Mental Illness: A new study in JAMA Psychiatry lays the groundwork for quantifying mental illness by linking psychiatric dysfunction to brain mechanisms visible on MRI scans. Researchers analyzed data from two research studies where MRI data was acquired for 1k people (IMAGEN and STRATIFY/ESTRA) and correlated MRI measures like white matter fractional anisotropy, cortical thickness, and surface area to symptoms like impulsivity and depressive mood disorder. Their findings create a foundation to treat mental illness by targeting brain biomarkers with interventions.
  • Brain Age Linked to Mental Performance: MRI and machine learning can be used to calculate a person’s “brain age,” and people with a bigger gap between that and their chronological age had worse mental performance. In a new study in Neurology, researchers in Singapore scanned 1.4k people without dementia and used their in-house brain age algorithm to calculate brain age gaps, as well as markers of cerebrovascular disease. In people with many markers, the brain age gap affected their cognitive performance by 20% overall. 
  • Adding Text Boosts Breast Ultrasound AI: California researchers found that adding text content from unstructured breast ultrasound reports improved the performance of their AI algorithm in differentiating malignant from benign breast masses. Their AI model includes both two-view ultrasound images and corresponding radiology reports, and in testing on 58 masses it had accuracy and specificity of 0.86, higher than models that analyzed only images or text separately. The model could reduce biopsies and help breast radiologists make more accurate BI-RADS classifications.
  • GE Debuts New bk Ultrasound Series: GE HealthCare expanded its bkPortfolio of ultrasound scanners with the launch of bkActiv S series, a line of scanners for guiding interventional procedures. Based on the technology GE acquired with its purchase of BK Medical in 2021, the S series can provide intraoperative guidance during urology, colorectal, and pelvic floor procedures, and includes the company’s Prostate Volume Assist feature launched in 2024.
  • Ultrasound Screens for Liver Disease: Quantitative measurements derived from ultrasound scans can be used to screen people for metabolic dysfunction-associated steatotic liver disease. In a meta-analysis in European Radiology, researchers analyzed the use of Siemens Healthineers’ ultrasound derived fat fraction technique, finding UDFF performed well versus the MRI reference standard for detecting hepatic steatosis, with 90% sensitivity and 84% specificity. Siemens noted that 30% of the global population has MASLD, but only 5% are aware of their condition.
  • Exo Gets Lung Imaging Clearance: Ultrasound company Exo received FDA 510(k) clearance for additional lung imaging applications on its Exo Iris handheld ultrasound scanner. Exo can now market the scanner for detecting pleural effusion and consolidation/atelectasis, which can be markers for serious conditions like pneumonia and tuberculosis. Exo said Iris now has 14 FDA-cleared indications.
  • Medicare Access Boosts Lung Screening 41%: Are people eligible for CT lung cancer scans waiting until they have Medicare coverage to get screened? In a new study in Health Services Research, researchers found that first-time screening rates jumped 41% at age 65 compared to 64. Increases at 65 were higher in rural than nonrural areas (52% vs. 39%) and weren’t much different between men and women (41% vs. 42%). Out-of-pocket costs – both for screening and follow-up – could scare off many screening-eligible people. 
  • Appalachia Project Fuels Lung Screening: Meanwhile, a project in rural Appalachia boosted CT lung cancer screening rates 53% since November 2023. The Association of Cancer Care Centers’ Rural Appalachian Lung Cancer Screening Initiative was launched at two pilot sites and includes provider education, patient portal reminders, and other forms of outreach. The project is targeting an area of Virginia, West Virginia, and Kentucky where lung cancer incidence and mortality rates exceed the national average.
  • Germany Approves Lung Screening Payments: Across the Atlantic, Germany moved its national CT lung cancer screening program forward when the country’s Federal Joint Committee (G-BA) approved screening as a benefit for high-risk people in the country’s public insurance system, which covers about 90% of citizens. People between the ages of 50-75 who smoke heavily will be eligible for annual scans starting in April 2026. Germany is just one of a number of countries ramping up lung screening programs.
  • Medality Lands Radiology Alliance: Medality will be providing its case-based radiology learning platform to Radiology Alliance, an imaging services provider in Tennessee and Kentucky. Radiology Alliance will have access to Medality’s services for education and training as well as subspecialty support and development.
  • AI of X-Rays Detects Low BMD: In another example of opportunistic screening, researchers used Naitive Technologies’ OsteoSight AI algorithm to detect low bone density on routine X-rays. In a study in Osteoporosis International, Mayo Clinic researchers applied OsteoSight to 325 radiographs, with the model registering an AUROC of 0.834 for detecting patients at risk of low BMD, with sensitivity of 0.63 and specificity of 0.85, and a false-positive rate of just 5%. Tools like OsteoSight could be used instead of DEXA for early osteoporosis detection. 
  • Florbetaben for ATTR-CA: Life Molecular Imaging received orphan drug designation from the European Commission for its florbetaben (18F) PET radiotracer (Neuraceq) for diagnosing transthyretin amyloidosis amyloidosis. Neuraceq already received orphan drug designation for diagnosing amyloid light chain amyloidosis and works by binding to amyloid plaques, enabling PET to identify and localize plaque. Neuraceq’s ongoing phase 3 trial aims to further validate florbetaben (18F)’s efficacy for detecting cardiac amyloidosis.
  • New RADPAIR Partnerships: AI radiology reporting software developer RADPAIR continues to expand its stable of vendor partners. The latest agreement is with Lifetrack Medical Systems, which will integrate RADPAIR’s solution into its own cloud-native PACS. RADPAIR also signed healthcare IT consulting firm Accessium Group as a nonexclusive channel partner covering the U.S. and Canada. 
  • Data Security Prevents Portal Use: LexisNexis polled over 3k adults to find out what motivates them to log on to their patient portal, or avoid it altogether. Over 60% of respondents cited viewing test results as a top reason for using patient portals, while half pointed to scheduling capabilities. About 15% said they’d never accessed a patient portal, with half of the non-users reporting that they avoid portals because they don’t trust the security of their data (vs. just 11% of users).

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Enterprise Imaging in the Cloud

What are the benefits of cloud-based enterprise image management? Check out this Imaging Wire Show interview with Tracy Byers, CEO of enterprise imaging at Optum, on the importance of the cloud in radiology.

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The Resource Wire

  • AI and Neuroradiology Workflow: How can AI add value to workflows in neuroradiology? Watch this on-demand video to learn from Blackford partners how AI can help, from assisting providers in managing acute stroke patients to the impact of CPT III codes in driving adoption of brain volumetric AI solutions.
  • Discover AI Apps Curated by Body Regions: Discover how Calantic Digital Solutions by Bayer supports you in tackling radiology challenges through multiple stages of the patient’s journey by offering AI solutions curated for specific body regions. Learn more about Calantic today. 
  • Maximize New CCTA Reimbursement with Philips CT 5300: Coronary CTA is the preferred noninvasive exam for detecting and ruling out CAD. Updated guidelines and improved reimbursement reinforce its value for stable or atypical chest pain. The CT 5300 from Philips delivers fast, high-quality, low-dose cardiac imaging using AI and zero-click motion correction.
  • Helping Providers Deliver Critical Answers to Patients: Intelerad’s new InteleGence solution helps providers deliver critical answers to patients when they need them most by deploying AI tools to simplify workflows and assist in precision diagnostics. Learn more about how InteleGence works today.
  • AI for Hip Morphology Assessment: A new study validates the accuracy of Gleamer’s BoneMetrics AI solution for hip and pelvic assessment. BoneMetrics turned in high levels of accuracy and reproducibility – find out how it can simplify your daily and routine measurements. 
  • 2 Questions about AI for Radiology Leaders: Are today’s radiology AI solutions solving the right problems? And are there other solutions available for AI of brain MRI? Read this article from SpinTech MRI to learn how their STAGE solution can optimize MRI utilization. 
  • A Pivotal Moment for Clinical AI Policy: In this episode of The Radiology Report podcast, Medality’s Daniel Arnold interviews Peter Shen of Siemens Healthineers about major developments in AI regulation and reimbursement, including the introduction of the Health Tech Investment Act (S.1399).
  • Unlock Next-Generation AI with Foundation Models: Learn about Microsoft’s new family of cutting-edge multimodal medical imaging foundation models designed for healthcare organizations to test, fine-tune, and build tailored AI solutions specific to their needs, while minimizing extensive compute and data requirements.
  • Next-Generation Enterprise Imaging: U.S. healthcare organizations are making a definitive pivot to cloud technology. In this white paper from AGFA HealthCare and HIMSS, learn about the benefits of cloud-based enterprise imaging. Download the white paper today. 
  • Synoptic Reporting of Liver Masses: Contrast-enhanced ultrasound exams for focal liver lesions can be challenging to report in at-risk patients. Learn how Kailo Medical’s synoptic reporting solutions can make reporting easier while improving LI-RADS categorization.
  • Building an Enterprise Imaging Ecosystem: What’s the best way to bring smaller clinics and rural hospitals into your enterprise imaging ecosystem? Find out how MultiCare Health System did it in this white paper from Merge.
  • Unprecedented Insights Made Possible with AI: With the largest normative dataset of whole-body imaging in the world, Prenuvo’s AI researchers partner with the best academic minds to understand – like never before – what “normal” aging means. Learn about their work today.
  • AI-Enabled DICOM Data Migration: What are the key elements of DICOM data migration? Visit this page for part 2 of Enlitic’s comprehensive guide, focusing on the critical steps of data extraction, normalization, and cleaning.
  • Streamlined Workflows Saves 1000+ hours: Jefferson County Health Center transformed their image exchange, saving over 1,000 staff hours annually. This shift improved radiology patient satisfaction scores by 7.6%. Learn how JCHC enhanced patient care and operational efficiency with PocketHealth.
  • The Advantages of Cloud-Based PACS: CloudPACS offers significant advantages to healthcare providers for enterprise imaging, including no on-premise requirements and enhanced reliability. Learn more about the advantages of CloudPACS in this talk from HIMSS 2025 by Visage Imaging’s Steve Deaton.
  • Ahead in the Cloud: What do healthcare providers need to consider as they adopt cloud-based solutions for medical imaging? Read this article written for Mach7 Technologies by Eliot Siegel, MD, to learn the important role cloud-based technologies are having in shaping the future of healthcare.
  • AI Innovations in Lung Disease: In this June 26 webcast, join executives from Riverain Technologies and GE HealthCare as they discuss AI applications developed to detect lung nodules, in particular how AI applications can be integrated into PACS.
  • Visit United Imaging at SNMMI 2025:  Discover how United Imaging’s molecular imaging innovations are driving the cure for all patient types at SNMMI 2025. Hear from country music star Joshua Ray Walker, who will tell the story of his colon cancer diagnosis with United’s PET/CT technology.

The Industry Wire

  1. AI and mobile devices dominate spring healthcare shows.
  2. Insurer coalition will fight Trump’s big budget bill. 
  3. Health systems launch new physician residency programs.
  4. What are the top specialty pharma companies by revenue?
  5. Over 41k older Americans died of falls in 2023.
  6. Federal judge okays removing GLP-1s from drug shortage list.
  7. FDA approves next best thing to an HIV vaccine.
  8. FDA’s top cell and gene therapy regulator forced out. 
  9. Sweetened drinks are linked to dementia risk. 
  10. What healthcare workers use generative AI the most?

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