Remote Diagnostic Breast Imaging: An Implementation Guide

A growing shortage of breast radiologists has hindered timely access to diagnostic breast imaging services, particularly in rural and underserved areas. Radiologist burnout is exacerbating these workforce challenges. This Clinical Perspective, drawing on the experiences of radiologists from diverse practice backgrounds, explores the implementation of a remote diagnostic breast imaging service as a sustainable strategy to address these gaps. Although remote diagnostic breast imaging was historically considered challenging due to the need for direct patient interaction, advances in teleradiology technology, development of communication infrastructures, and acceptance of telehealth, have enabled effective delivery of diagnostic breast imaging in remote settings with preserved quality and patient experience. We outline key components for successful implementation, including practice leadership that promotes a culture of change, optimization of patient selection criteria, integrated information technology (IT) systems, and systems for real-time communication with technologists and patients. A multidisciplinary team-spanning radiologists, technologists, IT professionals, and support staff-is critical to ensuring clinical quality, regulatory compliance, and operational efficiency. For practices seeking to expand service capacity, reach geographically distant populations, or mitigate burnout of its radiologist members, remote diagnostic breast imaging offers a practical and forward-looking solution.