The last two decades have brought a series of changes in medicine, technology and healthcare legislation that have impacted the field of diagnostic imaging and the role of the radiologist. Coupled with these changes, imaging volume is declining1 due to costs as well as concerns over patient radiation exposure.2 This environment often makes it challenging for radiology groups to protect their financial performance and ensure they deliver high-quality studies and readings. Fortunately, advances in imaging and information technology have emerged, helping radiologists increase the utilization of diagnostic imaging and moving the radiologist into a more central role in integrated patient care.3