Public healthcare

The sustainability of the healthcare system also depends on radiology

Medical imaging now plays a strategic role in the organisation of healthcare: it requires the ability to make the best use of resources, to make the most of expertise and to invest in innovation

3' min read

Translated by AI
Versione italiana

3' min read

Translated by AI
Versione italiana

Ensuring high-quality healthcare for an ageing population, with increasingly complex care needs and limited resources, is one of the main challenges facing our country. The solution cannot simply be to increase spending; it must also involve making better use of available resources, harnessing expertise and investing in innovations that deliver tangible benefits. In this context, medical radiology can make a decisive contribution.

This was one of the key messages to emerge from the 52nd National Congress of the Italian Society of Medical and Interventional Radiology (SIRM), which concluded on 8 November at the Allianz MiCo in Milan. Over 8,500 professionals took part in four days of scientific discussion, characterised by a programme of exceptional quality and an extraordinary turnout of young people.

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Quality and efficiency in radiology

Medical imaging now plays a strategic role in the organisation of healthcare. Clinical decisions increasingly depend on the availability of accurate and timely information. Detecting a condition at an early stage, selecting the most appropriate treatment and monitoring its effectiveness not only improves patient outcomes but also helps to avoid delays, hospital admissions and unnecessary procedures. The value of radiology cannot therefore be measured solely by the number of examinations carried out, but above all by the contribution it makes to the quality and efficiency of the entire healthcare pathway.

AI that needs to be governed

This role is set to grow in importance thanks to artificial intelligence, one of the key themes of the Congress. New applications are already making it possible to optimise image acquisition and analysis, reduce the time taken for certain examinations and, under specific conditions, limit exposure to radiation. The benefits extend to both the public and the organisation of healthcare services. However, technological innovation must be properly managed: it requires investment, training and a careful evaluation of the results. The aim is not to replace doctors, but to enable them to devote more time to clinical work, complex decision-making and their relationship with patients.

Interventional procedures

Interventional radiology also offers a practical solution to the need to combine quality and sustainability. In selected patients, minimally invasive, image-guided procedures make it possible to treat various conditions with less impact on the body, reducing hospital stays and recovery times in some cases. Oncological applications are a significant example of this development. Radiologists no longer play a role solely in the diagnostic phase, but are directly involved in defining and implementing treatment strategies.

Investing in people

Sustainability, however, also depends on organisation and collaboration between professionals. The Congress paid particular attention to the relationship between radiologists and medical radiology technicians, highlighting their distinct yet complementary skills. Shared procedures, training and operational integration can improve the efficiency of services without compromising quality. This principle also applies to mammography screening programmes: in 2025, national take-up reached 58.4 per cent, an increase of over four percentage points, but regional disparities persist and require further action.

Ultimately, investing in radiology means investing in people. The more than 1,000 scientific papers and 250 clinical case studies presented in Milan bear witness to the contribution of the younger generations. Almost half of the more than 13,000 SIRM members are under 45: a wealth of expertise upon which to build the future of the discipline.

The success of the Congress therefore places a clear responsibility upon us. Radiology must be recognised as a strategic asset in health policy, not merely as a cost centre. Technology, expertise and organisation must all contribute to a common goal: to ensure that the public receives increasingly appropriate, timely and accessible care. It is by this ability to generate value – rather than simply by cost containment – that the true sustainability of our National Health Service is measured.

* President of Sirm
** President-elect of Sirm
*** President of the National Congress

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