Vesta Teleradiology

Summer 2025 Imaging Roundup: AI, New Modalities & Trends

The summer of 2025 has been packed with advancements in diagnostic imaging, from cutting-edge AI systems improving detection rates to emerging modalities pushing the boundaries of precision and speed. Here’s a look back at the most important developments from June through August that are shaping the future of radiology.

AI Is Reshaping Radiology Workflows

Generative AI Productivity Boost

In June, Northwestern Medicine unveiled a generative AI system capable of reducing radiologist reading time by up to 40% while identifying life-threatening conditions in milliseconds. This tool not only improves workflow efficiency but also offers a potential solution to the ongoing radiologist shortage (Northwestern Medicine).

ProFound AI for Mammography

A peer-reviewed study confirmed that iCAD’s ProFound AI significantly increases cancer detection rates, boosts diagnostic accuracy, and improves workflow for mammography screenings (ITN Online).

Aidoc’s $150M Expansion

July saw AI platform Aidoc raise $150 million in funding, led by NVIDIA and other major investors, aimed at expanding its reach into more hospitals and imaging centers globally (Aidoc).

Emerging Imaging Modalities and Research

Photon-Counting CT and Whole-Body MRI

Photon-counting CT continues to gain attention for its ability to deliver higher resolution at lower doses, while whole-body MRI is increasingly used for cancer staging and early detection in high-risk populations (Radiology Business).

Multimodality Imaging at ACC.25

Cardiologists and radiologists at the ACC.25 conference explored how quantitative CT, functional cardiac MRI, and AI-enhanced echocardiography can bridge the gap between diagnostics and real-time therapy planning (American College of Cardiology).

August: A Month of Imaging Breakthroughs

AI-Native Imaging Viewers

Tech company New Lantern launched AI-native viewer modes for mammography and PET/CT, delivering sub-second load times and workflow automation (TMCNet).

Digital Radiography Gets Smarter

Advances in digital radiography are enhancing precision and speed, with newer systems providing better image quality at lower radiation doses (USA News).

ProCUSNet Ultrasound AI

Researchers at Stanford developed ProCUSNet, an AI tool that improved lesion detection by 44% and caught 82% of clinically significant prostate cancers on ultrasound—outperforming human interpretation (Becker’s Hospital Review).

DiffUS for Intraoperative Imaging

A new AI-based technique called DiffUS can create realistic ultrasound images from 3D MRI data, aiding in surgical planning and intraoperative navigation (arXiv).

Next-Gen PET Tracer

A novel PET tracer, Ga-68 Trivehexin, has shown promise in more accurately detecting breast cancer lesions and fibrotic lung tissue compared to traditional tracers (Journal of Nuclear Medicine).

Looking Ahead

The pace of innovation in diagnostic imaging this summer reinforces a clear trend: AI is no longer just an assistive tool—it’s becoming deeply embedded in clinical workflows. Coupled with emerging modalities like photon-counting CT and new PET tracers, radiology is entering an era of higher precision, speed, and accessibility.

Prostate Cancer Awareness Month: Be Prepared for the Influx of Patients

As Prostate Cancer Awareness Month approaches this September, healthcare providers across the country will see an uptick in patient visits, screenings, and diagnostic imaging requests. Prostate cancer is one of the most common cancers among men, with the American Cancer Society estimating over 299,000 new cases in the U.S. in 2024 alone. Early detection remains the most effective tool for improving patient outcomes, and advanced imaging—particularly prostate MRI—has become an essential part of that process.

For hospitals, imaging centers, and clinics, this influx of patients means one thing: the demand for timely, accurate imaging reads will rise significantly. Facilities that aren’t fully staffed with subspecialty-trained radiologists may struggle to keep up. That’s where teleradiology solutions play a vital role.

The Growing Role of Imaging in Prostate Cancer Care

In recent years, multiparametric MRI (mpMRI) has become a preferred method for detecting and staging prostate cancer. Compared to traditional biopsies alone, MRI provides greater accuracy in identifying clinically significant cancers while reducing unnecessary procedures.

For urologists and oncologists, having access to radiologists who are experienced in prostate MRI interpretation is critical. Accurate reads directly impact treatment planning, guiding whether patients undergo biopsy, surgery, radiation, or active surveillance. Without access to subspecialty-trained radiologists, facilities risk delays and diagnostic errors—two challenges that can have serious consequences for patient care.

Why Facilities Struggle During Awareness Campaigns

Awareness campaigns like Prostate Cancer Awareness Month are crucial for encouraging men to get screened, but they often create short-term spikes in demand for imaging services. Facilities may find themselves in one of several common situations:

Limited staffing: Not every hospital has fellowship-trained genitourinary radiologists available around the clock.
Backlogged imaging reads: A sudden rise in prostate MRI requests can overwhelm even well-staffed radiology departments.
After-hours gaps: Many facilities struggle to cover night and weekend shifts, when urgent cases still require prompt reads.

These challenges can lead to slower turnaround times, delayed treatment decisions, and increased stress on healthcare teams.

How Teleradiology Bridges the Gap

Teleradiology offers a practical and scalable solution to these pressures. At Vesta Teleradiology, our network of subspecialty radiologists is available 24/7/365 to support facilities with prostate MRI interpretation and other critical imaging reads. By partnering with a trusted teleradiology provider, hospitals and clinics can:

Expand subspecialty access: Even if your in-house team lacks fellowship-trained radiologists, you can still deliver high-level care.
Maintain fast turnaround times: Handle spikes in imaging volume without increasing wait times for results.
Ensure accuracy: Reduce diagnostic errors by relying on subspecialists trained in genitourinary imaging.
Stay fully staffed after-hours: Provide continuous coverage during nights, weekends, and holidays.

Preparing Now for September

As September approaches, healthcare providers should take proactive steps to ensure they can handle the expected rise in prostate cancer screenings and imaging studies. Partnering with a teleradiology provider like Vesta ensures your team is ready—not only for the annual awareness campaign, but also for ongoing patient needs throughout the year.

Prostate cancer care depends on early, accurate, and timely diagnosis. With more men taking action during Prostate Cancer Awareness Month, your facility has an opportunity to make a significant difference in patient outcomes. Don’t let limited staffing or subspecialty gaps slow you down—be prepared with the support of experienced teleradiologists.

Why Multiparametric MRI (mpMRI) Is Changing Prostate Cancer Detection

Prostate cancer remains one of the most common cancers among men in the United States, with hundreds of thousands of new cases diagnosed each year. For decades, detection relied heavily on PSA blood tests and systematic biopsies, both of which have limitations. Biopsies can miss clinically significant cancers or, conversely, identify low-risk cancers that may never cause harm.

Today, a new standard has emerged in prostate cancer detection and management: the multiparametric MRI (mpMRI). This advanced imaging approach is transforming how providers detect, stage, and monitor prostate cancer — and it is driving a growing demand for specialized radiology expertise.

What Is Multiparametric MRI (mpMRI)?

Unlike traditional MRI, which produces detailed anatomical images, mpMRI combines several different imaging sequences to create a comprehensive picture of the prostate. These typically include:

T2‑weighted imaging — Shows detailed prostate anatomy and identifies suspicious lesions.
Diffusion‑weighted imaging (DWI) — Detects how water molecules move within tissue, which helps highlight cancerous areas.
Dynamic contrast‑enhanced imaging (DCE) — Tracks blood flow within the prostate, as cancerous tissue often has abnormal vascular patterns.

By integrating these parameters, mpMRI provides a clearer, more accurate view of the prostate and its surrounding structures.

Why mpMRI Is Becoming the Standard of Care

Major clinical guidelines, including those from the
American Urological Association (AUA)
and the
National Comprehensive Cancer Network (NCCN),
now recommend mpMRI for men with elevated PSA levels, prior negative biopsies, or suspected prostate cancer.

Advantages of mpMRI

Improved accuracy: mpMRI can better identify clinically significant cancers while reducing overdiagnosis of low‑risk cancers.
Fewer unnecessary biopsies: Patients can often avoid invasive procedures if mpMRI results do not show suspicious lesions.
Better treatment planning: mpMRI helps urologists and oncologists decide whether to recommend surgery, radiation, or active surveillance.
Ongoing monitoring: mpMRI is also valuable in tracking disease progression over time.

The Growing Demand for Subspecialty Reads

As mpMRI use expands, hospitals and imaging centers face a challenge: many general radiologists are not trained in prostate mpMRI interpretation. These studies require subspecialty‑level expertise in genitourinary imaging to ensure accuracy and consistency.

Common Pressure Points for Facilities

Longer turnaround times for mpMRI results
Increased risk of missed or mischaracterized cancers
Strain on radiology teams during peak demand (e.g., Prostate Cancer Awareness Month)

How Teleradiology Helps Providers Offer mpMRI

This is where teleradiology solutions come in. At Vesta Teleradiology, our network of subspecialty‑trained radiologists includes experts in genitourinary imaging, ensuring that your patients receive accurate, high‑quality prostate mpMRI interpretations.

What Facilities Gain with Vesta

Expanded access to subspecialty reads without needing in‑house GU radiologists
Capacity to handle volume surges during awareness campaigns and screening pushes
Faster turnaround times for both routine and urgent cases
Improved patient safety and outcomes through accurate and consistent reporting

Staying Ahead of the Curve

As prostate cancer screening practices evolve, mpMRI is no longer “nice to have” — it’s quickly becoming an essential diagnostic tool. Facilities that adapt now by ensuring access to subspecialty radiology support will be best positioned to deliver timely, accurate, and patient‑centered care.

If your team is preparing for Prostate Cancer Awareness Month or simply looking to expand imaging capabilities, partnering with Vesta ensures you have the expertise to interpret even the most advanced imaging studies.

Prostate Cancer Awareness Month – teleradiology support for prostate MRI reads

AI-Enabled Ultrasound: Transforming Imaging at the Point of Care

In today’s fast-paced healthcare environment, ultrasound is increasingly recognized not just for prenatal or cardiac assessment, but as a versatile diagnostic tool across specialties. Now, artificial intelligence (AI) is accelerating ultrasound’s impact — reducing operator dependency, improving diagnostic confidence, and enabling faster bedside care. For imaging leaders, especially in rural or underserved settings, AI-powered ultrasound technology paired with teleradiology support offers a compelling path for enhanced access and precision.

Innovations in AI-Ultrasound You Should Know

FDA Clearance for AI Thyroid Ultrasound
In 2024, See-Mode Technologies received FDA clearance for an AI-powered thyroid ultrasound system that can detect and classify nodules using the ACR TI-RADS scale. It has shown promising results in standardizing reporting and reducing unnecessary biopsies and follow-ups.
Source: https://www.auntminnie.com
Projected Market Growth
The global AI ultrasound market is projected to grow at a compound annual growth rate (CAGR) of 22% through 2029. This rapid growth is fueled by the rising burden of chronic disease, limited radiologist availability, and the push for faster, more accessible diagnostics.

Source: https://www.pharmiweb.com/
Rural Potential with Point-of-Care AI
A JAMA Cardiology viewpoint outlines how AI-assisted point-of-care ultrasound (POCUS) can enable more accurate cardiovascular assessments even when performed by generalists—especially valuable in remote areas without imaging specialists.
Source: https://jamanetwork.com
Clinician Enthusiasm and Challenges
The COMPASS-AI global survey found that 81% of clinicians support AI-assisted ultrasound, citing improved diagnostic utility and speed. However, top concerns include training, clinical validation, and workflow integration.

Source: https://theultrasoundjournal.springeropen.com/

Why It Matters for Facilities and Radiology Teams

Reduces staffing burden: AI ultrasound reduces variability among operators, ideal for high-turnover or remote settings.
Speeds up decision-making: Frontline providers can quickly gather meaningful imaging data, while teleradiologists handle the interpretation.
Expands imaging reach: Portable, AI-powered ultrasound extends diagnostic capabilities to underserved regions.
Supports standardization: AI helps standardize image acquisition and reporting, improving overall workflow efficiency.

How Vesta Teleradiology Enhances AI-Ultrasound Value

While AI augments imaging workflows, expert interpretation is still essential. Vesta provides:

Subspecialty reads across thyroid, vascular, MSK, and more
24/7 coverage with fast turnaround times
Seamless PACS/RIS integration for AI-acquired ultrasound data

Our radiologists help bridge the gap between frontline imaging and specialist analysis—ensuring that every AI-enabled ultrasound scan contributes to timely, confident patient care.

Bringing AI and Teleradiology Together

Whether you’re running a rural health center, a large outpatient clinic, or an emergency department, AI ultrasound paired with expert teleradiology interpretation helps:

Increase imaging access without compromising accuracy
Alleviate staffing constraints
Deliver faster diagnoses
Improve patient outcomes

AI in ultrasound is not replacing radiologists — it’s helping them focus on what matters most. With Vesta’s support, healthcare organizations can embrace innovation while maintaining high-quality, consistent imaging interpretation.

Photon-Counting CT: What Healthcare Facilities Need to Know Now

Photon-counting computed tomography (PCCT) is one of the most exciting breakthroughs in diagnostic imaging technology in recent years. Offering greater spatial resolution, reduced radiation dose, and improved tissue characterization, PCCT is quickly gaining attention from radiologists, imaging directors, and healthcare systems looking to stay ahead.

As the healthcare landscape evolves, staying informed about how new imaging technologies integrate with workflows and diagnostic goals is critical. Here’s what facilities need to know now about photon-counting CT—and how teleradiology can help maximize its impact.

What Is Photon-Counting CT?

Unlike conventional CT, which measures the total X-ray energy reaching the detector, photon-counting CT counts individual photons and measures their energy levels. This allows for:

Sharper images with better spatial resolution
Lower noise, especially in soft tissue
Multi-energy imaging from a single scan
Reduced radiation exposure

Siemens Healthineers introduced the first FDA-approved photon-counting CT system (NAEOTOM Alpha) in 2021, and adoption has slowly grown among academic and high-volume centers.

Clinical Benefits of PCCT

Photon-counting CT provides enhanced detail for a range of applications, including:

Cardiac imaging: Better visualization of stents and plaques
Pulmonary imaging: Improved nodule detection and perfusion data
Neuroimaging: Greater contrast at lower doses for brain scans
MSK imaging: Superior resolution for joint, bone, and soft tissue analysis

The ability to perform multi-energy imaging without dual-source CT equipment allows radiologists to generate virtual non-contrast images, improve lesion characterization, and reduce contrast agent use—benefiting both patients and providers.

Growing Market and Adoption

While still early in widespread adoption, the global photon-counting CT market is projected to grow rapidly. According to a recent report from Research and Markets, the global PCCT market is expected to reach over $800 million by 2030, driven by increasing demand for advanced diagnostic tools and a growing focus on radiation dose reduction.

As more vendors develop photon-counting detectors and more clinical use cases are validated, experts anticipate broader adoption beyond academic centers and into regional hospitals and imaging centers.

Source: Research and Markets, “Photon Counting CT Market – Forecast 2030”

How Teleradiology Supports Advanced CT Adoption

Deploying a photon-counting CT system requires more than just the hardware. Facilities must ensure they have access to radiologists who are:

Trained in multi-energy CT interpretation
Familiar with new artifact patterns and reconstructions
Able to optimize clinical workflows using new scan data types

That’s where teleradiology plays a critical role.

At Vesta Teleradiology, our radiologists stay at the forefront of imaging advances. With experience in multi-energy and advanced CT post-processing, we help facilities take full advantage of what photon-counting CT offers—delivering fast, accurate interpretations backed by subspecialty insight.

Integration and Workflow Considerations

Facilities considering photon-counting CT should think about:

PACS/RIS compatibility with new data formats
Training staff to understand and use spectral data
Building protocols for when and how to use PCCT scans
Collaborating with teleradiology teams for consistent interpretations

While the learning curve is real, the payoff is significant. Early adopters report better diagnostic confidence, fewer repeat scans, and more comprehensive patient evaluations.

Conclusion: Prepare for the Future of CT Imaging

Photon-counting CT represents the next leap in diagnostic precision. As this technology becomes more accessible, imaging leaders must evaluate how it fits into their long-term strategy. For facilities looking to stay competitive, offer premium diagnostics, and improve patient care, PCCT should be on the radar now—not later.

Partnering with a forward-thinking teleradiology provider like Vesta ensures you’re equipped with the expertise to unlock its full potential.

Celebrating National Health Center Week: The Frontline of Community Care

Every August, National Health Center Week (August 3-9 2025) recognizes the critical role community health centers play in delivering affordable, high-quality healthcare across the United States. These centers serve more than 30 million patients annually, many of whom live in medically underserved or rural regions. But as demand for comprehensive care grows, so does the need for accessible diagnostic imaging—an area where teleradiology is helping bridge the gap.

The Imaging Gap in Rural and Underserved Areas

Access to diagnostic imaging remains a persistent challenge for many community health centers. Facilities in rural or low-resource areas often face:

Limited access to on-site radiologists
Delays in turnaround times for imaging reads
Difficulty recruiting or retaining subspecialty radiologists
Rising imaging volumes due to expanded preventive care

These barriers can compromise patient outcomes, especially in time-sensitive cases involving stroke, cancer screening, or trauma. Imaging is a critical step in diagnosis—and delays in radiology reports can delay treatment.

Teleradiology: A Scalable Solution for Imaging Access

Teleradiology enables healthcare facilities to send medical images (like X-rays, CT scans, MRIs, and mammograms) electronically to off-site, board-certified radiologists for interpretation. For community health centers, this technology is transformative.

Here’s how teleradiology supports health centers during National Health Center Week and year-round:

24/7 Coverage, Including Nights and Holidays
Teleradiology ensures that community health centers can offer imaging services around the clock—even if there’s no radiologist physically on-site. This is especially important for urgent care and emergency settings in rural hospitals.
Access to Subspecialty Reads
Facilities may not always have access to neuroradiologists, MSK radiologists, or breast imaging specialists. Vesta Teleradiology offers access to subspecialty reads, ensuring every case is interpreted by the right expert.
Faster Turnaround Times
With cloud-based image transfer and structured reporting, teleradiology reduces delays and improves turnaround times. That means faster results, quicker clinical decisions, and better patient care.
Support for Preventive Imaging Initiatives
Community health centers are expanding their use of imaging for preventive care—particularly for breast cancer screening, lung health, and cardiovascular risk. Teleradiology provides scalable support during screening campaigns or high-volume periods.
Cost-Effective Radiology Staffing
Teleradiology helps optimize budgets by supplementing in-house radiologists or replacing expensive on-call coverage. Flexible pricing models ensure services align with facility needs and patient volume.

Why Imaging Access Matters More Than Ever

The need for diagnostic imaging continues to rise in 2025. According to recent projections from the Harvey L. Neiman Health Policy Institute, demand for imaging will grow at a faster rate than the radiologist workforce through 2055. In rural and medically underserved areas, the shortage is even more pronounced.

Community health centers are on the front lines of closing this gap. But without reliable imaging access, they face limitations in diagnosis, monitoring, and treatment planning.

How Vesta Teleradiology Helps Health Centers Thrive

At Vesta, we understand the pressures community health centers face. That’s why we offer:

Fully customizable radiology services tailored to your patient population
Rapid onboarding and seamless PACS integration
Weekend, holiday, and night coverage
A team of U.S.-based, board-certified radiologists
Subspecialty interpretations across all major imaging fields

Whether you’re a rural clinic needing full radiology coverage or a mid-sized health center looking for overflow support, our teleradiology solutions are built to help you scale—without compromising care quality.

Join the Movement: National Health Center Week

National Health Center Week is more than a celebration. It’s a reminder that access, equity, and quality care start with supporting the providers who serve our most vulnerable populations. Teleradiology is a powerful tool to help meet that mission.

If your health center is planning to expand imaging services or looking for reliable radiology coverage, Vesta is here to help.

Let’s build healthier communities—one accurate read at a time.

CMS Extends Virtual Supervision for Contrast Imaging: What It Means for Teleradiology

Virtual Supervision Extended Through 2025

As part of the 2024 Medicare Physician Fee Schedule final rule, the Centers for Medicare & Medicaid Services (CMS) has extended its allowance for virtual direct supervision of diagnostic procedures — including contrast-enhanced imaging — through December 31, 2025. This ruling allows supervising physicians to continue overseeing imaging procedures remotely, via real-time audio/video technology, rather than being physically present during the exam.

The change, originally introduced during the COVID-19 public health emergency, was designed to provide greater flexibility to healthcare providers. With this extension, CMS aims to continue improving access in rural or understaffed locations while maintaining safety protocols. According to CMS, this flexibility can be used “without compromising the quality or safety of care when proper protocols are in place” (source).

What Does Virtual Supervision Mean for Imaging?

For diagnostic imaging studies involving contrast — such as CT with iodinated contrast or MRI with gadolinium — CMS requires direct supervision. Under this temporary policy extension, “direct” means the supervising physician must be immediately available via real-time audio/video, not necessarily physically present.

This is a major shift from pre-pandemic policies, which required on-site supervision. In practical terms, this allows radiologists or other supervising physicians to remain at a central or remote location while technologists administer contrast, as long as they can respond instantly if needed.

Teleradiology and Rural Hospitals Stand to Benefit

One of the most impacted beneficiaries of this rule is the teleradiology sector, along with rural hospitals and outpatient imaging centers.

Hospitals without full-time radiologists on-site can now safely administer contrast-enhanced studies without needing to delay or cancel appointments due to a lack of available in-person supervision. According to a report from the Radiology Business Management Association (RBMA), this flexibility is not only helping providers maintain operations, but it’s also helping prevent service interruptions in areas with chronic staffing shortages (source).

By enabling radiologists to supervise multiple sites virtually, healthcare systems gain efficiency without compromising safety or quality. This is especially important as radiology continues to face a projected workforce shortfall of over 20,000 radiologists by 2034, according to the AAMC.

Compliance Still Matters

Though the rule allows remote supervision, the responsibility remains high. Providers must ensure that:

A two-way real-time communication system is in place (e.g., secure video or telehealth platforms)
Supervising physicians are credentialed, available, and familiar with the facility’s protocols
Documentation clearly identifies who provided supervision and how

The American College of Radiology (ACR) cautions that facilities using virtual supervision must maintain complete compliance records and be ready to demonstrate their supervision protocols during audits (source).

Long-Term Outlook: Will It Become Permanent?

While this extension is only valid through the end of 2025, many in the radiology community hope it will lead to a permanent rule change. The pandemic accelerated the adoption of remote workflows and proved that many diagnostic services can be safely and efficiently supervised remotely.

Organizations like RBMA and ACR are actively advocating for CMS to consider making virtual supervision a lasting policy, especially given the geographic gaps in radiology coverage and the increasing demand for contrast-enhanced imaging services.

Conclusion

CMS’s decision to extend virtual supervision through 2025 reflects a shifting healthcare landscape that values flexibility, access, and efficiency. For imaging departments, this offers an opportunity to streamline workflows, improve scheduling, and extend radiologist coverage across multiple sites — all without compromising patient safety.

As the radiology community continues to push for broader policy modernization, facilities that adapt now will be better positioned to thrive in the hybrid care models of the future.

Radiology Workforce Shortage Deepens in 2025: How Teleradiology Can Help

The U.S. healthcare system is in the midst of a critical radiologist shortage — and the numbers in 2025 make this shortage impossible to ignore. Demand for imaging services has surged post-pandemic, driven by an aging population, expanded access to preventive care, and rising chronic disease rates. However, the number of practicing radiologists is not keeping pace.

The effects are already being felt: longer wait times for results, increased radiologist burnout, and unequal access to diagnostic care — particularly in rural and underserved communities.

According to a detailed forecast by the Harvey L. Neiman Health Policy Institute, even under optimistic scenarios, demand for imaging will outpace radiologist supply through 2055. The study projects that while the radiologist workforce could grow by 25.7% by 2055, utilization of imaging will rise by 26.9% depending on modality. In short, we’re adding radiologists — but not fast enough to meet need.

What’s Driving the Shortage?

Multiple systemic pressures are converging to create a sustained staffing gap in radiology. These include:

Aging Workforce: A large portion of today’s practicing radiologists are nearing retirement, with few new specialists entering the field quickly enough to replace them.
Education Pipeline Lag: Radiology requires years of post-medical school training, and while interest in the field remains strong, residency and fellowship slots are limited.
Demand Surge: Advanced imaging like CT, MRI, and PET scans are being used more frequently — not only for diagnostics, but also to monitor treatment plans and disease progression.
Rural Access Disparities: Smaller hospitals and imaging centers in less populated regions often can’t attract or retain radiology talent. That geographic imbalance further widens the care gap.
Burnout and Exit Rates: Many radiologists are reporting unmanageable workloads. Increased case volumes and after-hours reading requirements have pushed some to reduce hours or exit clinical practice altogether.

Why It Matters: The Risks of Delayed Imaging

Radiology is a cornerstone of modern medicine. From early cancer detection to stroke response to monitoring for cardiac disease, delays in diagnostic imaging can significantly impact outcomes.

If a hospital or imaging center is understaffed, reports are delayed — and so are diagnoses and treatments. This delay is not just a logistical issue; it becomes a patient safety concern. Triage becomes more difficult. Non-urgent scans are de-prioritized. Referring providers may make decisions without complete imaging data, increasing risk.

The American College of Radiology has pointed to these challenges as serious enough to jeopardize care quality if not addressed through scalable solutions.

Teleradiology: A Modern, Scalable Response

Teleradiology — the practice of transmitting radiological images from one location to another for interpretation — has grown from a niche solution into a mainstream answer for today’s staffing shortages. Here’s why it works:

Access to Subspecialists: Even small hospitals can now consult with neuroradiologists, musculoskeletal experts, or breast imaging specialists via remote platforms.
24/7 Coverage: Teleradiology groups provide overnight and weekend reads, reducing the burden on in-house teams and helping facilities maintain faster turnaround times.
Rural Facility Support: Community hospitals that struggle to recruit full-time radiologists can partner with teleradiology providers for continuous coverage.
Burnout Prevention: Teleradiology offers a flexible work model, which helps retain experienced radiologists who may not want a traditional on-site schedule.

Challenges and Considerations

While teleradiology offers clear benefits, it’s not without limitations. Facilities must ensure that:

Images are transmitted securely and in compliance with HIPAA standards.
Radiologists are appropriately credentialed at the site of care.
Communication protocols are in place so that referring physicians can easily consult with off-site readers.
Quality assurance is consistent, regardless of reader location.

When implemented correctly, however, these challenges are manageable — and the benefits are significant.

Looking Ahead: What Healthcare Systems Can Do

Healthcare systems can begin addressing this shortage in two ways: by growing the radiologist pipeline and by leveraging teleradiology and AI to scale services today.

Expanding residency positions, streamlining licensing across states, and adopting hybrid radiology staffing models are all part of the solution. But even with those improvements, the reality is that outsourcing some portion of reads to teleradiology providers will remain essential for years to come.

Conclusion

The radiologist shortage isn’t a temporary workforce hiccup — it’s a structural issue that will take decades to resolve. In the meantime, hospitals and imaging centers must adapt. Teleradiology is not a replacement for local staff — but it is a necessary extension of the radiology workforce. By tapping into its flexibility and reach, healthcare organizations can maintain diagnostic speed, quality, and equity — no matter where their patients are.

What CMS1074v2 Means for CT Radiation Dose Monitoring and Radiology Workflows

June 2025: CMS Rolls Out New CT Dose Quality Measure

In June 2025, the Centers for Medicare & Medicaid Services (CMS) officially implemented a new CT quality measure: CMS1074v2, which focuses on radiation dose and image quality metrics. The rule affects all healthcare providers performing computed tomography (CT) exams and is designed to enhance patient safety while addressing inconsistencies in dose reporting across facilities.

This marks a notable evolution in how CT imaging quality is tracked and reported under CMS’s Quality Payment Program, reinforcing the agency’s continued emphasis on value-based care and precision in diagnostic imaging.

What Is CMS1074v2?

CMS1074v2 centers around the calculation and monitoring of Size-Adjusted Dose (SAD) during CT scans. The measure requires providers to calculate a size-adjusted dose for each CT exam using effective diameter, then evaluate those values against accepted benchmarks for different anatomical regions (thorax, abdomen, pelvis, etc.).

This measure doesn’t just focus on radiation exposure — it links dose appropriateness with image quality, requiring radiology teams to balance diagnostic clarity and patient safety.

According to CMS, the goal is to encourage facilities to reduce unnecessary radiation while ensuring CT scans still meet clinical utility standards .

Why Is This a Big Deal for Radiology?

The challenge in radiology has long been striking a balance between diagnostic quality and dose minimization. Prior to CMS1074v2, there was no universal requirement for how facilities calculated size-adjusted dose, leading to large variability in methods and outcomes.

A March 2025 study published on arXiv found that five widely used methods for estimating effective diameter yielded significant differences in SAD calculations, which could directly influence whether a CT scan was categorized as compliant or not (source).

CMS1074v2 aims to reduce that variability by enforcing a consistent approach across providers. While the measure is currently limited to CT scans performed in outpatient settings, it’s expected that similar benchmarks may be expanded into hospital settings in the future.

How Imaging Centers Can Prepare

Implementing CMS1074v2 isn’t just about adding a new line item to reporting tools — it may require substantial changes to imaging workflows, technology, and staff training.

Here are key steps radiology departments should take:

Standardize Effective Diameter Calculations: Ensure your PACS or scanner software uses consistent measurement protocols.
Review CT Protocols for Dose Optimization: CT protocols may need to be adjusted to meet benchmark thresholds without compromising image quality.
Invest in Staff Training: Radiology technologists and supervising physicians must understand how SAD is derived and what values are considered acceptable for each body region.
Audit Current Practices: Review your historical CT exams to identify whether your dose metrics currently fall within expected parameters.

Potential Impact on Reimbursement and Compliance

CMS1074v2 is part of the Merit-Based Incentive Payment System (MIPS), which affects how radiology providers are scored for quality performance. Noncompliance or poor performance on this measure could reduce reimbursement — especially for those participating in the Quality Payment Program.

However, facilities that demonstrate high compliance may benefit from positive scoring adjustments and recognition for imaging excellence. In other words, meeting this benchmark isn’t just about avoiding penalties — it could position your imaging center as a high-quality provider under CMS metrics.

Bottom Line: A Push Toward Precision and Safety

CMS1074v2 represents a bigger shift in imaging: toward measurable safety, transparency, and data-driven quality assurance. For radiology providers, especially those involved in high-volume CT scanning, this rule presents an opportunity to fine-tune protocols, improve patient outcomes, and strengthen compliance in a competitive healthcare environment.

While implementation requires coordination across teams, IT systems, and scanners, the end result may be safer, more efficient imaging that aligns with the future of value-based care.

The Future of AI + Human Collaboration in Radiology

Artificial intelligence (AI) is playing an increasingly important role in radiology and diagnostic imaging. From workflow optimization to automated image analysis, AI tools are now assisting radiologists in more imaging departments than ever before. Right now, AI tools are assisting with tasks like automatically prioritizing critical cases, generating draft reports, and flagging potential abnormalities in studies such as chest X-rays, mammograms, and CT scans.”

At the same time, it’s clear that AI’s role is best seen as complementary to human expertise, not a replacement. In fact, a 2023 study published in JAMA Network Open found that radiologists using AI frequently sometimes experienced higher burnout rates—especially when workflows were not well integrated or added new demands.

This highlights an important lesson: for AI to truly benefit radiology, it must be thoughtfully implemented, supporting radiologists rather than complicating their work.

Why Human Expertise Remains Essential

While AI offers exciting capabilities—such as triaging cases, flagging abnormalities, or standardizing reports—there is no substitute for the experience and clinical judgment of a radiologist.

Subspecialty areas like:

Neuroradiology
Musculoskeletal imaging
Cardiac imaging
Pediatric radiology

…require nuanced interpretation that today’s AI tools simply cannot match.

Vesta Teleradiology supports healthcare facilities by ensuring that every read is performed by a board-certified U.S.-based radiologist—with subspecialty expertise available across all major modalities.

Balancing AI + Workflow: A Smarter Approach

Many imaging departments today are navigating how to integrate AI without adding unnecessary complexity.

At Vesta, we work with partner facilities to provide flexible teleradiology services that complement their existing workflows—whether or not they are using AI tools internally.

Our approach emphasizes:

✅ Efficient, reliable human reads

✅ Subspecialty expertise when needed

✅ Consistent communication with referring providers

✅ Flexibility to support 24/7 coverage and manage fluctuations in volume

By helping facilities maintain high-quality interpretations with efficient turnaround, Vesta supports radiology teams as they adopt new technologies and respond to growing imaging demand.

Looking Ahead: The Collaborative Future of Radiology

AI’s role in radiology will continue to evolve. The most effective imaging departments will combine:

Advanced AI tools where they add value
Skilled radiologists providing expert interpretation
Clear, integrated workflows that reduce friction
Strategic partnerships to ensure coverage and subspecialty access

At Vesta Teleradiology, we believe that human expertise will remain the foundation of diagnostic imaging—and that thoughtful integration of AI can enhance, not replace, that expertise.

We’re committed to working with healthcare facilities to build balanced solutions that support radiologists, improve patient care, and keep pace with the demands of modern imaging.

If your team is looking for flexible, expert support—whether for subspecialty reads, after-hours coverage, or help managing increased imaging demand—Vesta Teleradiology is here to help.