A RRA Perspective on Advanced Imaging in Radiology: Emerging Technologies for Precision and Personalized Care

Recent advancements in imaging technologies are poised to redefine the diagnostic and therapeutic role of radiology. In part 2 of this review series, we outline emerging innovations with transformative clinical potential, including photon-counting detector CT for ultra-high-resolution, spectral imaging; ultra-high-field MRI systems (≥7 T); and the expanding field of theranostics. We also examine nanotechnology-enhanced imaging agents, the integration of AI-driven opportunistic screening, and radiogenomics to enable precision diagnostics and early disease detection. Together, these developments represent a paradigm shift toward more personalized, data-rich, and preventative imaging approaches. Challenges in implementation, such as safety, cost, and workflow integration, are discussed with an emphasis on collaboration and infrastructure to support sustained clinical translation.