BURNOUT AND AUTOMATION IN HEALTHCARE: THE PSYCHOSOCIAL CONSEQUENCES OF ARTIFICIAL INTELLIGENCE IN RADIOLOGY
DOI:
https://doi.org/10.31435/ijitss.3(51).2026.5985Keywords:
Artificial Intelligence; Radiology; Burnout Syndrome; Occupational Stress; Technostress; Cognitive LoadAbstract
Background: Diagnostic imaging is characterized by increasing workloads, workforce shortages, and chronic time pressure, contributing to high occupational burnout among radiologists. Concurrently, artificial intelligence (AI) is rapidly entering clinical workflows, yet its psychosocial impact on clinician well-being remains insufficiently understood.
Aim: To critically analyze occupational burnout among radiologists during digital healthcare transformation, emphasizing how AI may shape psychosocial working conditions, cognitive demands, and professional autonomy.
Methods: A narrative review was conducted using PubMed, Scopus, and Google Scholar (2020 - May 2026). Peer-reviewed studies addressing organizational, behavioral, and psychological aspects of AI and digital transformation in radiology were included. Studies focusing solely on technical performance without human-factor relevance were excluded.
Results: Occupational burnout in radiology is described as a chronic, systemic phenomenon associated with workload pressure, workforce shortages, and organizational strain. AI applications may support workflow efficiency; however, they also alter cognitive demands, including increased system supervision and decision integration tasks. The long-term impact of AI on burnout remains uncertain.
Conclusions: AI should be considered a sociotechnical factor with both potential benefits and risks for clinician well-being. Burnout mitigation requires integrated, system-level interventions and Human-Centered AI approaches, though empirical validation of their impact on burnout outcomes remains limited.
References
Restauri, N., & Sheridan, A. D. (2020). Burnout and posttraumatic stress disorder in the coronavirus disease 2019 (COVID-19) pandemic: Intersection, impact, and interventions. Journal of the American College of Radiology, 17(7), 921–926. https://doi.org/10.1016/j.jacr.2020.05.021
McDonald, R. J., Schwartz, K. M., Eckel, L. J., Diehn, F. E., Hunt, C. H., Bartholmai, B. J., Erickson, B. J., & Kallmes, D. F. (2015). The effects of changes in utilization and technological advancements of cross-sectional imaging on radiologist workload. Academic Radiology, 22(9), 1191–1198. https://doi.org/10.1016/j.acra.2015.05.007
Parikh, J. R., Baird, G. L., & Mainiero, M. B. (2023). A pre-post study of stressors and burnout affecting breast radiologists before and during the COVID-19 pandemic. European Journal of Radiology Open, 11, 100507. https://doi.org/10.1016/j.ejro.2023.100507
Gabelloni, M., Faggioni, L., Fusco, R., De Muzio, F., Danti, G., Grassi, F., Grassi, R., Palumbo, P., Bruno, F., Borgheresi, A., Bruno, A., Catalano, O., Gandolfo, N., Giovagnoni, A., Miele, V., Barile, A., & Granata, V. (2023). Exploring radiologists’ burnout in the COVID-19 era: A narrative review. International Journal of Environmental Research and Public Health, 20(4), 3350. https://doi.org/10.3390/ijerph20043350
Chetlen, A. L., Chan, T. L., Ballard, D. H., Frigini, L. A., Hildebrand, A., Kim, S., Brian, J. M., Krupinski, E. A., & Ganeshan, D. (2019). Addressing burnout in radiologists. Academic Radiology, 26(4), 526–533. https://doi.org/10.1016/j.acra.2018.07.001
Harolds, J. A., Parikh, J. R., Bluth, E. I., Dutton, S. C., & Recht, M. P. (2016). Burnout of radiologists: Frequency, risk factors, and remedies: A report of the ACR Commission on Human Resources. Journal of the American College of Radiology, 13(4), 411–416. https://doi.org/10.1016/j.jacr.2015.11.003
Żak, J., Stępińska, M., Omiecińska, M., Maciejewska, A., Kaczor, M., Trynkiewicz, W., Rybka, Z., Lenkiewicz, E., Dąbrowska, K., & Winiarczyk, J. (2026). Artificial intelligence in healthcare: Diagnostic support and administrative automation. International Journal of Innovative Technologies in Social Science, 1(2(50)). https://doi.org/10.31435/ijitss.2(50).2026.5250
Liu, H., Ding, N., Li, X., Chen, Y., Sun, H., Huang, Y., Liu, C., Ye, P., Jin, Z., Bao, H., & Xue, H. (2024). Artificial intelligence and radiologist burnout. JAMA Network Open, 7(11), e2448714. https://doi.org/10.1001/jamanetworkopen.2024.48714
Mohammadi, F. G., & Sebro, R. (2024). Artificial intelligence impact on burnout in radiologists—Alleviation or exacerbation? JAMA Network Open, 7(11), e2448720. https://doi.org/10.1001/jamanetworkopen.2024.48720
Shneiderman, B. (2020). Human-centered artificial intelligence: Reliable, safe & trustworthy. International Journal of Human–Computer Interaction, 36(6), 495–504. https://doi.org/10.1080/10447318.2020.1741118
Chen, J. Y., Vedantham, S., & Lexa, F. J. (2026). Third comprehensive survey of the neuroradiology work environment in the United States with reported trends in clinical work, nonclinical work, errors, burnout, and retirement. American Journal of Neuroradiology, 47(1), 17–21. https://doi.org/10.3174/ajnr.A8913
Fournier, A., Laurent, A., Lheureux, F., Ribeiro-Marthoud, M. A., Ecarnot, F., Binquet, C., & Quenot, J.-P. (2022). Impact of the COVID-19 pandemic on the mental health of professionals in 77 hospitals in France. PLOS ONE, 17(2), e0263666. https://doi.org/10.1371/journal.pone.0263666
Hassankhani, A., Amoukhteh, M., Valizadeh, P., Jannatdoust, P., Ghadimi, D. J., Sabeghi, P., & Gholamrezanezhad, A. (2024). A meta-analysis of burnout in radiology trainees and radiologists: Insights from the Maslach Burnout Inventory. Academic Radiology, 31(3), 1198–1216. https://doi.org/10.1016/j.acra.2023.10.046
Bastian, M. B., Fröhlich, L., Wessendorf, J., Scheschenja, M., König, A. M., Jedelska, J., & Mahnken, A. H. (2024). Prevalence of burnout among German radiologists: A call to action. European Radiology, 34(9), 5588–5594. https://doi.org/10.1007/s00330-024-10627-5
Ashraf, N., Tahir, M. J., Saeed, A., Ghosheh, M. J., Alsheikh, T., Ahmed, A., Lee, K. Y., & Yousaf, Z. (2023). Incidence and factors associated with burnout in radiologists: A systematic review. European Journal of Radiology Open, 11, 100530. https://doi.org/10.1016/j.ejro.2023.100530
Ji, J., He, B., Gong, S., Sheng, M., & Ruan, X. (2024). Network analysis of occupational stress and job satisfaction among radiologists. Frontiers in Public Health, 12, 1411688. https://doi.org/10.3389/fpubh.2024.1411688
Dave, P., Brook, O. R., Brook, A., Sarwar, A., & Siewert, B. (2023). Moral distress in radiology: Frequency, root causes, and countermeasures—Results of a national survey. American Journal of Roentgenology. https://doi.org/10.2214/AJR.22.28968
Schalekamp, S., van Leeuwen, K., Calli, E., Murphy, K., Rutten, M., Geurts, B., Peters-Bax, L., van Ginneken, B., & Prokop, M. (2024). Performance of AI to exclude normal chest radiographs to reduce radiologists’ workload. European Radiology, 34(11), 7255–7263. https://doi.org/10.1007/s00330-024-10794-5
Yoon, S. H., Park, S., Jang, S., Kim, J., Lee, K. W., Lee, W., Lee, S., Yun, G., & Lee, K. H. (2024). Use of artificial intelligence in triaging of chest radiographs to reduce radiologists’ workload. European Radiology, 34(2), 1094–1103. https://doi.org/10.1007/s00330-023-10124-1
Nair, A., Ong, W., Lee, A., Leow, N. W., Makmur, A., Ting, Y. H., Lee, Y. J., Ong, S. J., Tan, J. J. H., Kumar, N., & Hallinan, J. T. P. D. (2025). Enhancing radiologist productivity with artificial intelligence in magnetic resonance imaging (MRI): A narrative review. Diagnostics, 15(9), 1146. https://doi.org/10.3390/diagnostics15091146
Jeong, J., Kim, S., Pan, L., Hwang, D., Kim, D., Choi, J., Kwon, Y., Yi, P., Jeong, J., & Yoo, S.-J. (2025). Reducing the workload of medical diagnosis through artificial intelligence: A narrative review. Medicine, 104(6), e41470. https://doi.org/10.1097/MD.0000000000041470
Zhang, H., Torkpour, A., Zeidaabadi, B., Ashraf, N., Yazdabadi, A., Iqbal, S. I., Asadi, H., Cazzato, R. L., Morgan, R., & Shaygi, B. (2026). A review on artificial intelligence as a solution to burnout in interventional radiology. Cardiovascular and Interventional Radiology. https://doi.org/10.1007/s00270-026-04440-4
Kwee, T. C., & Kwee, R. M. (2021). Workload of diagnostic radiologists in the foreseeable future based on recent scientific advances: Growth expectations and role of artificial intelligence. Insights into Imaging, 12(1), 88. https://doi.org/10.1186/s13244-021-01031-4
Parikh, J. R., & Lexa, F. J. (2026). Radiologist burnout: AI’s true black box. European Radiology. https://doi.org/10.1007/s00330-025-12278-6
Kocak, B., & Cuocolo, R. (2026). Human-AI interaction and collaboration in radiology: From conceptual frameworks to responsible implementation. Diagnostic and Interventional Radiology. https://doi.org/10.4274/dir.2026.263780
Gransjøen, A. M. (2024). Prevalence, impact and prevention of stress and burnout, and promoting resilience among radiological personnel: A systematized review. Discover Psychology, 4(1), 11. https://doi.org/10.1007/s44202-024-00124-7
World Health Organization. (2019). ICD-11 for mortality and morbidity statistics: QD85 burn-out. https://icd.who.int/browse/2025-01/mms/en#129180281
Downloads
Published
Issue
Section
License
Copyright (c) 2026 Aleksandra Tołkacz, Aleksandra Kosikowska, Maciej Tołkacz, Aleksandra Kwiatkowska

This work is licensed under a Creative Commons Attribution 4.0 International License.
All articles are published in open-access and licensed under a Creative Commons Attribution 4.0 International License (CC BY 4.0). Hence, authors retain copyright to the content of the articles.
CC BY 4.0 License allows content to be copied, adapted, displayed, distributed, re-published or otherwise re-used for any purpose including for adaptation and commercial use provided the content is attributed.

