Teleradiology in the pandemic era

A systematic review of global implementation, diagnostic impact and practitioner wellbeing across settings

Published on December 1, 2025

In March 2020, the COVID-19 pandemic forced healthcare systems globally into an unprecedented state of disruption. The demand for safe, efficient, and remote service delivery became critical, especially in radiology. Teleradiology, the digital transmission of medical images from one location to another for diagnostic interpretation1, rapidly evolved from a supportive tool to a clinical necessity. Defined by the World Health Organization2 as a subfield of telemedicine, teleradiology facilitates remote diagnosis, consultations and reporting, enabling radiologists to work across geographical boundaries without compromising patient care1. Though teleradiology existed prior to the pandemic, the crisis significantly accelerated its uptake, revealing both potential and longstanding health system limitations.

The global expansion of teleradiology during the pandemic was striking. It surged by 35% between 2020 and 2021, with some high-income countries (HICs) demonstrating the fastest adoption rates3. In the United States, over...

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