Change Management in Radiology: A Contemporary Primer for Effective and Sustainable Practice

Radiology is experiencing rapid and interconnected change, including rising imaging volumes, expanding access demands, and the introduction of artificial intelligence into daily practice. However, many radiologists have limited exposure to structured approaches for leading change in complex clinical environments. Change management research provides a practical vocabulary and set of concepts that can help radiology leaders design and sequence change more effectively. Organizational readiness encompassing cognitive, operational, trust, and resource dimensions is consistently associated with successful transitions. Classic frameworks such as Lewin's change stages, Kotter's 8-step model for mobilizing teams, the ADKAR model for individual adoption, and Armenakis' evidence-based change-messaging principles offer radiology-specific value when planning workflow adjustments, introducing new processes, or shaping departmental culture. Attention to workflow reality, early engagement of key groups, understanding human responses to change, appropriate pacing, particularly during leadership transitions, and clarity of communication further support sustainable change. Applying contemporary change management concepts can help radiology departments and leaders navigate evolving demands while maintaining coherence, stability, and high-quality patient care.