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From pagers, transcriptionists, and low-tech X-rays to teleradiology, advanced imaging and artificial intelligence (AI), this author considers the evolution of radiology over three decades.

Relief from looming reimbursement cuts, a PACS system that allows customized keyboard shortcuts and consistently relevant clinical histories are a few of the items on the wish list for this radiologist.

While artificial intelligence (AI) models have been acknowledged for aiding imaging analysis or facilitating workflow enhancements, this author envisions AI as a potential workstation conceierge capable of turning common venting and gripes into actionable items for significant improvements.