Shared decision-making in radiology: leadership levers for patient-centred imaging.

Imaging decisions are best when they consider patient priorities as well as clinical evidence. This perspective argues that radiology leaders can advance diagnostic excellence by embedding shared decision-making throughout imaging pathways. The authors describe organizational strategies that encourage patient engagement, improve communication about diagnostic testing, use patient-reported measures, and support more person-centered imaging decisions. They highlight training, protected time, and strategic AI implementation among mechanisms enabling improvement.