AccScience Publishing / ARNM / Online First / DOI: 10.36922/ARNM025270033
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ORIGINAL RESEARCH ARTICLE

Utilization of teleradiology services for healthcare delivery in Saudi Arabia

Sonal Arjuna1 ,  Neetika Mathur2* ,  Muktha Rawath2 ,  Arjun Kalyanpur1
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1 Department of Clinical Radiology, Teleradiology Solutions, Ardmore, Pennsylvania, United States of America
2 Department of Clinical Research, Teleradiology Solutions, Bengaluru, Karnataka, India
ARNM, 025270033 https://doi.org/10.36922/ARNM025270033
Received: 1 July 2025 | Revised: 30 October 2025 | Accepted: 18 November 2025 | Published online: 4 December 2025
© 2025 by the Author(s). This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution 4.0 International License ( https://creativecommons.org/licenses/by/4.0/ )
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Abstract

Teleradiology, an innovative and disruptive technology, has demonstrated a track record in enhancing remote healthcare delivery in multiple clinical and healthcare settings. With the aim of understanding the impact of teleradiology on healthcare delivery in Saudi Arabia, a retrospective descriptive study was carried out between January 2014 and January 2024. Over the 10 years, 103,730 scans were transmitted for interpretation, thus providing consistent remote healthcare delivery in the Kingdom of Saudi Arabia (KSA). The highest category of scans was computed tomography (45.96%), followed by radiographs (40.27%), magnetic resonance imaging (9.06%), mammograms (4.17%), ultrasound (0.53%), and nuclear medicine (NM) (0.01%). For the study, global turnaround time (TAT) was calculated as the interval between submission of examination to the time report available online, and/or verbal confirmation of results, with a mean time of 19.48 h (95% confidence interval: 19.39–19.56), which is seminal under teleradiology in KSA. The outcomes reflect the use of teleradiology across different clinical locations and the criticality of care, whereas TAT was within accepted local and global standards. Previously published value-addition of teleradiology includes after-hours coverage and use during the COVID-19 pandemic. In the context of KSA, teleradiology using public–private partnership model supports equitable access to underserved areas while maintaining TAT, aligned with KSA Vision 2030 healthcare goals. The current study postulates that teleradiology connectivity may help complement on-site radiologists, optimize and enhance workflow, provide on-demand staffing solutions for ever-growing radiology examinations, while incremental use of round-the-clock subspecialists can help in second opinions, and address quality assurance, such as peer review, all aiding improved healthcare outcomes in KSA hospitals.

Keywords
Teleradiology
Radiology
Healthcare
Global turnaround time
Saudi Arabia
KSA Vision 2030
Funding
None.
Conflict of interest
The authors declare they have no competing interests.
References
  1. Chandramohan A, Krothapalli V, Augustin A, et al. Teleradiology and technology innovations in radiology: Status in India and its role in increasing access to primary health care. Lancet Reg Health Southeast Asia. 2024;23:100195. doi: 10.1016/j.lansea.2023.100195

 

  1. Rudisill KE, Mathur N, Kalyanpur A. A teleradiology network for the improvement of healthcare and patient management in the developing countries of the African continent. Clin Imaging. 2024;111:110188. doi: 10.1016/j.clinimag.2024.110188

 

  1. Kalyanpur A, Meka S, Joshi K, Somashekaran Nair HT, Mathur N. Teleradiology in Tripura: Effectiveness of a telehealth model for the rural health sector. IJHTI. 2022;1(02):7-12. doi: 10.60142/ijhti.v1i02.36

 

  1. Kalyanpur A, Sudhindra RR, Rao P. The role of mobile van mammography supported by teleradiology in the early diagnosis of breast cancer: An innovative approach to a growing public health problem. Int J Health Technol Innov. 2022;1(03):2-8. doi: 10.60142/ijhti.v1i03.30

 

  1. Bashshur RL, Krupinski EA, Thrall JH, Bashshur N. The empirical foundations of teleradiology and related applications: A review of the evidence. Telemed J E Health. 2016;22(11):868-898. doi: 10.1089/tmj.2016.0149

 

  1. Jacobs JJWM, Ekkelboom R, Jacobs JPAM, Van Der Molen T, Sanderman R. Patient satisfaction with a teleradiology service in general practice. BMC Fam Pract. 2016;17(1):17. doi: 10.1186/s12875-016-0418-y

 

  1. Henes FO, Stappenbeck P, Tahir E, et al. Implementation of a 24-hour teleradiology service for cruise ships: A pilot study. Am J Roentgenol. 2020;214(4):754-760. doi: 10.2214/AJR.19.21794

 

  1. Peng YC, Lee WJ, Chang YC, Chan WP, Chen SJ. Radiologist burnout: Trends in medical imaging utilization under the national health insurance system with the universal code bundling strategy in an academic tertiary medical centre. Eur J Radiol. 2022;157:110596. doi: 10.1016/j.ejrad.2022.110596

 

  1. Bradley WG. Offshore teleradiology. J Am Coll Radiol. 2004;1(4):244-248. doi: 10.1016/j.jacr.2003.12.043

 

  1. Kalyanpur A, Neklesa VP, Pham DT, Forman HP, Stein ST, Brink JA. Implementation of an international teleradiology staffing model. Radiology. 2004;232(2):415-419. doi: 10.1148/radiol.2322021555

 

  1. Agrawal A. Emergency teleradiology-past, present, and, is there a future? Front Radiol. 2022;2:866643. doi: 10.3389/fradi.2022.866643

 

  1. Rao P, Mathur N, Kalyanpur A. Utilization of teleradiology by intensive care units: A cohort study. Indian J Crit Care Med. 2024;28(1):20-25. doi: 10.5005/jp-journals-10071- 24593

 

  1. Beating Burnout and Backlogs in Radiology - Ensuring a Sustainable Teleradiology Solution; 2025. Available from: https://www.hsj.co.uk/workforce/beating/burnout/and/ backlogs/in/radiology/ensuring/sustainable/teleradiology/solution/7038861.article [Last accessed on 2025 Nov 25].

 

  1. Kalyanpur A, Mathur N. Offshore reporting of radiologic examinations supplementing healthcare delivery worthy of Medicare reimbursement. Imaging Radiat Res. 2024;6(1):6404. doi: 10.24294/irr.v6i1.6404

 

  1. Mc Fadden S, Flood T, Shepherd P, Gilleece T. Impact of COVID-19 on service delivery in radiology and radiotherapy. Radiography (Lond). 2022;28:S16-S26. doi: 10.1016/j.radi.2022.03.009

 

  1. Elshami W, Akudjedu TN, Abuzaid M, et al. The radiology workforce’s response to the COVID-19 pandemic in the Middle East, North Africa and India. Radiography (Lond). 2021;27(2):360-368. doi: 10.1016/j.radi.2020.09.016

 

  1. Al-Samarraie H, Ghazal S, Alzahrani AI, Moody L. Telemedicine in Middle Eastern countries: Progress, barriers, and policy recommendations. Int J Med Inform. 2020;141:104232. doi: 10.1016/j.ijmedinf.2020.104232

 

  1. Arabi M, Mamoun I, Masrani A, Alsayid M, Haroun N. Practice of teleradiology in crisis zones: The unique case of Syria. Lancet Glob Health. 2017;5(4):e399-e400. doi: 10.1016/S2214-109X(17)30083-9

 

  1. Haddad MC, Loutfi SI, Tamraz JC, Al-Kutoubi AO. The status of radiology in the Arab world. First world report. J Med Liban. 2007;55(2):94-98.

 

  1. AlSafran ZA, Arabi M, Alsafran FS, Ashour MA, Justaniah AI. Current and future needs for interventional radiologists in Saudi Arabia: Position statement by the Saudi interventional radiology society. Arab J Intervent Radiol. 2023;07(01):044-048. doi: 10.1055/s-0043-57042

 

  1. Radiological Society of North America. Radiology Facing a Global Shortage. Available from: https://www.rsna.org/news/2022/may/global/radiologist-shortage [Last accessed on 2024 Sep 20].

 

  1. Goh CXY, Ho FCH. The growing problem of radiologist shortages: Perspectives from Singapore. Korean J Radiol. 2023;24(12):1176-1178. doi: 10.3348/kjr.2023.0966

 

  1. Kalidindi S, Gandhi S. Workforce crisis in radiology in the UK and the strategies to deal with it: Is artificial intelligence the saviour? Cureus. 2023;15(8):e43866. doi: 10.7759/cureus.43866

 

  1. Available from: https://www.ncp.gov.sa/en/pages/default.aspx [Last accessed on 2025 Nov 25].

 

  1. Al-Nozha OM. Key aspects of the Saudi healthcare system reform and the potential impact on the main stakeholders: A qualitative study. J Taibah Univ Med Sci. 2024;19(3):598-610. doi: 10.1016/j.jtumed.2024.04.007

 

  1. Available from: https://www.trade.gov/country-commercial-guides/saudi-arabia-healthcare [Last accessed on 2025 Nov 25].

 

  1. Alahmad H, Almanaa M, Abanomy A, et al. Navigating challenges in teleradiology implementation: A case study from Saudi Arabia’s healthcare system. J Multidiscip Healthc. 2024;17:2083-2092. doi: 10.2147/JMDH.S460547

 

  1. Saleh S. Number of Radiologists in Saudi Arabia in 2022, by Sector; 2024. Available from: https://www.statista.com/ statistics/608546/number-of-radiologists-in-saudi-arabia-bysector [Last accessed on 2025 Nov 25].

 

  1. Khalifa M. Barriers to health information systems and electronic medical records implementation. A field study of Saudi Arabian hospitals. Proced Comput Sci. 2013;21:335-342. doi: 10.1016/j.procs.2013.09.044

 

  1. Abouzid MR, Elshafei SM, Elkhawas I, Elbana MK. Applications of telemedicine in the middle east and North Africa region: Benefits gained and challenges faced. Cureus. 2022;14:e26611 doi: 10.7759/cureus.26611

 

  1. Ryu S. Telemedicine: Opportunities and developments in member States: Report on the second global survey on eHealth 2009 (global observatory for eHealth series, Volume 2). Healthc Inform Res. 2012;18(2):153. doi: 10.4258/hir.2012.18.2.153

 

  1. Crawford I, McBeth PB, Mitchelson M, Ferguson J, Tiruta C, Kirkpatrick AW. How to set up a low cost tele-ultrasound capable videoconferencing system with wide applicability. Crit Ultrasound J. 2012;4(1):13. doi: 10.1186/2036-7902-4-13

 

  1. Fuentes A. Remote interpretation of ultrasound images. Clin Obstet Gynecol. 2003;46(4):878-881. doi: 10.1097/00003081-200312000-00019

 

  1. Zarei J, Sharifat Z. A survey on teleradiology infrastructure in selected hospitals in Ahvaz, 2014. J Healthc Manag J Health Syst Winter. 2016;6(4):7-18.

 

  1. Essop H, Kekana M. The need for improved telecommunication and collaborative practice among teleradiology end users in a rural district of South Africa. J Radiol Nurs. 2019;38(4):281-285. doi: 10.1016/j.jradnu.2019.07.006

 

  1. Mozhgan K, Panahi Soh GS, Malekeh M, Mehdi K. Thesurvey of residents and radiologists’ attitudes about access to patient information in teleradiology in Iran. J Eng Appl Sci. 2012;7(2):155-158. doi: 10.3923/jeasci.2012.155.158

 

  1. Alruwaili AR, Alshammari AA, Alsalhi FM, Aldamen SA, Alamri HS. Teleradiology in Saudi Arabia: A national survey and retrospective review of associated MRI reports. BMC Health Serv Res. 2024;24(1):1327. doi: 10.1186/s12913-024-11706-5

 

  1. Sadoughi F, Erfannia L, Sancholi M, Salmani F, Sarsarshahi A. Teleradiology in Southeast Iran: Evaluating the views of senior executives and radiologists. Health Care Manag (Frederick). 2017;36(3):301-307. doi: 10.1097/HCM.0000000000000162

 

  1. Al-Dahery ST, Alsharif WM, Alamri FH, et al. The role of teleradiology during COVID-19 outbreak: Saudi radiologists’ perspectives. Saudi Med J. 2023;44(2):202-210. doi: 10.15537/smj.2023.44.2.20220793

 

  1. Alshamrani K, Alkenawi A. Teleradiology public-private partnerships in Saudi Arabia: A review. Int J Med Dev Countr. 2021;5:1096-1099. doi: 10.24911/IJMDC.51-1614155864

 

  1. Kalyanpur A, Mathur N. The role of teleradiology in interpretation of ultrasounds performed in the emergency setting. Digit Diagn. 2024;5:231-242. doi: 10.17816/DD624586

 

  1. Crumley I, Halton J, Greig J, et al. The impact of computed radiography and teleradiology on patients’ diagnosis and treatment in Mweso, the democratic republic of Congo. PLoS One. 2020;15(1):e0227773. doi: 10.1371/journal.pone.0227773

 

  1. Hermena S, Young M. CT-Scan Image Production Procedures. In: StatPearls. Treasure Island, FL: StatPearls Publishing; 2024. Available from: https://www.ncbi.nlm.nih.gov/books/ nbk574548 [Last accessed on 2025 Nov 25].

 

  1. Patel PR, De Jesus O. CT Scan. In: StatPearls. Treasure Island, FL: StatPearls Publishing; 2025. Available from: https://www.ncbi.nlm.nih.gov/books/nbk567796 [Last accessed on 2025 Nov 25].

 

  1. Jukema RA, Dahdal J, Kooijman EM, et al. Diagnostic accuracy of non-invasive cardiac imaging modalities in patients with a history of coronary artery disease: A meta-analysis. Heart. 2024;111(1):4-10. doi: 10.1136/heartjnl-2024-324248

 

  1. Storjohann S, Kirsch M, Rosenberg B, et al. The accuracy of on-call CT reporting in teleradiology networks in comparison to in-house reporting. Healthcare (Basel). 2021;9(4):405. doi: 10.3390/healthcare9040405

 

  1. Kalyanpur A, Mathur N. A teleradiology system for early ischemic and hemorrhagic stroke evaluation and management. J Clin Interv Radiol ISVIR. 2023;7(3):183-189. doi: 10.1055/s-0043-1771379

 

  1. Char A, Kalyanpur A, Puttanna Gowda VN, Bharathi A, Singh J. Teleradiology in an inaccessible area of Northern India. J Telemed Telecare. 2010;16(3):110-113. doi: 10.1258/jtt.2009.009007

 

  1. Hasan J, Shekhqader T, Al-Kabban FM, Najm G, Rathore SS. Bridging the gap: Opportunities, challenges, and future directions for teleradiology in rural healthcare. Int J Community Med Public Health. 2024;11(12):5017-5024. doi: 10.18203/2394- 6040.ijcmph20243423

 

  1. Nigatu AM, Yilma TM, Gezie LD, et al. Effect of teleradiology on patient waiting time and service satisfaction in public hospitals, Northwest Ethiopia: A quasi-experimental study. BMC Health Serv Res. 2025;25(1):603. doi: 10.1186/s12913-025-12545-8

 

  1. Staffing Pressures Persist in Radiology: Can Teleradiology Bridge the Ever-Widening Gap? Open MedScience; 2025. Available from: https://openmedscience.com/staffing/pressures-persist-in/radiology-can-teleradiology/bridge-the-ever-widening-gap [Last accessed on 2025 Nov 25].

 

  1. Ranschaert ER, Binkhuysen FHB. European teleradiology now and in the future: Results of an online survey. Insights Imaging. 2013;4(1):93-102. doi: 10.1007/s13244-012-0210-z

 

  1. Jones DN, O’Donnell C, Stuckey J. 1998 Australian radiology workforce report. Australas Radiol. 2000;44(1):41-52. doi: 10.1046/j.1440-1673.2000.00780.x

 

  1. 2020 Clinical Radiology Workforce Census Report: New Zealand. Available from: https://www.ranzcr.com/college/document-library/clinical-radiology-workforce-census-report-nz?searchword=ranzcr%20grievance%20policy [Last accessed on 2025 Nov 25].
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Advances in Radiotherapy & Nuclear Medicine, Electronic ISSN: 2972-4392 Print ISSN: 3060-8554, Published by AccScience Publishing
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