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Radiographers' readiness for artificial intelligence (AI) leadership: confidence, challenges and role expectations in
Gemma Walsh1, Janice St John-Matthews2, Yiannis Kyratsis3
1CRRAG Research Group, Division of Radiography, Department of Allied Health, School of Health and Medical Sciences, City St George's University, London, UK gemma.walsh.2@citystgeorges.ac.uk.
BMJ Leader
|June 30, 2026
Summary
Radiographers see AI leadership as operational, but lack education and support. Enhanced training and organizational backing are crucial for their effective engagement in AI-driven healthcare transformation.
Area of Science:
- Medical Imaging Technology
- Artificial Intelligence in Healthcare
- Radiography Practice
Background:
- Artificial intelligence (AI) is rapidly integrating into radiographer workflows, necessitating dedicated leadership roles for safe and effective implementation.
- Radiographers, with their blend of patient care and technical expertise, are well-positioned to lead AI integration in medical imaging and radiotherapy.
Purpose of the Study:
- To assess UK radiographers' perceived readiness and confidence in AI leadership roles.
- To identify barriers and enablers influencing radiographers' engagement in the AI ecosystem.
Main Methods:
- A UK-wide online survey distributed to radiographers and students (n=273).
- Data collection included demographics, AI knowledge/experience, Likert-scale assessments, and free-text responses.
- Quantitative data were analyzed using descriptive statistics and Mann-Whitney U tests; qualitative data underwent thematic content analysis.
Main Results:
- Most radiographers reported low AI literacy and limited hands-on experience, with insufficient education, time, and support identified as key barriers.
- Confidence in AI leadership was lower among women and those with less AI exposure.
- Respondents preferred leading AI integration after systems were implemented rather than initiating the process.
Conclusions:
- Radiographers acknowledge AI leadership's importance but perceive it as operationally focused due to limited exposure and support.
- Role ambiguity and lack of experience hinder the adoption of strategic AI leadership roles.
- Profession-specific education, experiential learning, and organizational support are vital for radiographers to effectively contribute to AI-enabled healthcare transformation.
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