Vision Radiology

Academic Intelligence Elevated Teleradiology

An academic teleradiology practice that runs in real time—built by radiologists, for patients and physicians.

Cases per year1.25M
Turnaround<30min
Discrepancy0.08%
Visionaries around the worldPatients around the clock

Teleradiology with heart

The principles that shape the practice.

01

Academic Intelligence

We are academics, but without the publication requirement. Life-long learning is so central to our culture that we run our own internal, accredited CME program.

Read about our CME program
02

Collaborative Approach

We practice medicine as a team sport. Our radiologists call to discuss cases, and readily consult each other for a second set of eyes.

How we collaborate
03

Sustainability

We believe physicians practice better medicine when their careers are sustainable. Flexibility at Vision isn't about working less; it's about creating an environment where physicians can do their best work for years, not just for the next shift.

Sustainable by design
Scheduling

A typical shift. There isn’t one.

Every Visionary builds a schedule around their life, not the other way around.
Real schedules from three different Visionaries. Every filled cell represents one scheduled hour.

Based in Europe · local time

The Consistent

MWFMWFMWFMWFMW12 AM6 AMNOON6 PM
12 AM6 AMNOON6 PMMWFMWFMWFMWFMW
23 days on · 138 hrs read

Europe: a consistent six-hour morning schedule, Monday through Friday. Cases are completed by midday, leaving afternoons, evenings, and weekends free.

Plans around travel · local time

The Hyper-Flexible

MWFMWFMWFMWFMW12 AM6 AMNOON6 PMA full week away —no permission slip
12 AM6 AMNOON6 PMMWFMWFMWFMWFMWA full week away —no permission slip
18 days on · 120 hrs read

Concentrates hours early in the month, followed by a full week off before returning at a lighter pace.

East Coast · local time

The Early Riser

MWFMWFMWFMWFMW12 AM6 AMNOON6 PM
12 AM6 AMNOON6 PMMWFMWFMWFMWFMW
20 days on · 121 hrs read

Early start. Focused morning. Afternoons free.

Real schedules, anonymized · shown in each radiologist’s local time
Build your month with us

The Visionaries

A practice full of
fascinating people.

The strength of Vision has always been its people. Nearly 100 radiologists who bring deep clinical expertise, an academic mindset, and a genuine commitment to one another. Outside of medicine, they’re marathoners, musicians, artists, travelers, parents, and lifelong learners. Together, those experiences shape the way we practice radiology.

Meet the Visionaries
Top row · off the clockBottom row · where we trained —
58 programs · 98% fellowship-trained
Visionaries in conversation around the table at the Palo Alto in-person orientation
In-person orientation · Palo Alto
Medicine as a team sport

No Visionary reads alone.

At Vision, asking a colleague isn’t viewed as uncertainty—it’s good medicine. Reading remotely doesn’t mean practicing in isolation. Every shift is filled with real-time conversations among Visionaries—sharing expertise, asking questions, offering second opinions, and working together to provide the best possible care.

“We work from home doing Teleradiology, but we remain extremely connected. You are constantly interacting with your colleagues, referring providers, and other radiologists located all over the country. You may be communicating with up to 20 or more colleagues back and forth in real-time as a team about an interesting or challenging case.”

— Dr. Anthony Powell, Visionary
How we collaborate
VisionaryNeuroPt has had a fever since Monday. Seen by the pediatrician, urgent care, and the children's ER — no one can tell the family what's wrong.
Rad AssistantRAAnyone for Northside? ED doc very concerned about this patient.
VisionaryMSKI've got it — will do the stat suite too.
VisionaryChestHey team! Just starting my shift.
VisionaryBodyFracture of C1 with epidural hematoma — that plus pannus is causing pretty severe spinal canal stenosis. Glad the neurologist asked for a CT C-spine.
VisionaryNeuroPerfect example of why places that demand a C-spine read off a CTA neck should do the actual reformats with the right kernels, rather than cut corners.
Rad AssistantRAAnyone for STROKE CODE. Right sided weakness. Direct call back number in the notes.
VisionaryNeuroI can take that STAT CT head.
VisionaryChestLooks busy, I can jump on to help.
VisionaryNeuroCTA head-and-necks are packed with opportunities for misses. Nice catch.
Rad AssistantRAAll the priors have arrived and history updated. Case ready to read!
VisionaryNeuroTricky bowel perf — initially thought some colitis, then realized what I was tracing was a big abscess, not colon. Tough on noncon; the patient just presented with constipation.
VisionaryMSKSneaky pedunculated colon mass.
VisionaryBodySuper subtle celiac artery dissection, thanks for the second look team! They are getting a CTA now.
Rad AssistantRAI have the inpatient team on the line. Are you ready for the transfer?
VisionaryNeuroAny Neuro folks around for a second look on this MR brain? I'm not sure what to make of this right sided dural thickening.
VisionaryBodyThanks for the second look Neuro crew, you saved the day.
VisionaryChestGreat example of a RML pneumonia on this CXR with CT follow up, easy one to miss.
VisionaryBodyRA, can you get the hospitalist on the line, I have an urgent finding on this inpatient. Thanks.
Rad AssistantRAJust talked with the CT tech, they are sending thins now.
VisionaryBodyAny MSK folks around? Wondering if this is a fracture or normal variant? Thanks!
VisionaryChestRA, can we get the CT tech to resend the head CT? No one's answering for me — thanks.
VisionaryBodyInteresting peds case, only CT finding is lumbar subcutaneous edema. After discussion with the ED doc and some digging, I think this is Henoch-Schönlein purpura (HSP), prior to developing the skin rash. Great collaboration!
VisionaryChestCrazy case of likely intestinal/abdominal TB. Thanks for the probable diagnosis, Body team. ED doc confirms the patient is at high risk for TB and they are gonna work them up further.
VisionaryBodyI would have missed this transient knee dislocation diagnosis, if not for an MSK second look. Thanks all.
VisionaryNeuroGood companion case to the invasive fungal sinusitis that was shared last night, glad I just saw that one.
VisionaryBodyHey team, crowd sourcing this complex case! I can't find the source of free air. Any input is appreciated.
VisionaryChestFollow up on a CT AP noncon with flank pain and right basilar opacity; CTA chest confirms PE with infarct. Great call!
VisionaryBodyGreat call on that subtle cecal mass causing appendicitis. It was real. I just talked with the surgeon, who was appreciative.
VisionaryMSKChipping in on the queue.
VisionaryBodyChest team saved me on this sarcoid case masquerading as malignancy. Appreciate your help!
VisionaryChestThanks RA for getting all those priors sent over, super helpful!
VisionaryBodyIncarcerated uterus on MR, might have missed this finding if not for our recent CME sharing a similar case!
VisionaryNeuroGreat save. This is why we read as a team.
VisionaryBodyInteresting case. Favoring endometriosis implants on this CT AP. Patient will need follow up to confirm, but this fits the clinical picture better than malignancy, and the patient was told at another hospital she has cancer.
VisionaryNeuroPt has had a fever since Monday. Seen by the pediatrician, urgent care, and the children's ER — no one can tell the family what's wrong.
Rad AssistantRAAnyone for Northside? ED doc very concerned about this patient.
VisionaryMSKI've got it — will do the stat suite too.
VisionaryChestHey team! Just starting my shift.
VisionaryBodyFracture of C1 with epidural hematoma — that plus pannus is causing pretty severe spinal canal stenosis. Glad the neurologist asked for a CT C-spine.
VisionaryNeuroPerfect example of why places that demand a C-spine read off a CTA neck should do the actual reformats with the right kernels, rather than cut corners.
Rad AssistantRAAnyone for STROKE CODE. Right sided weakness. Direct call back number in the notes.
VisionaryNeuroI can take that STAT CT head.
VisionaryChestLooks busy, I can jump on to help.
VisionaryNeuroCTA head-and-necks are packed with opportunities for misses. Nice catch.
Rad AssistantRAAll the priors have arrived and history updated. Case ready to read!
VisionaryNeuroTricky bowel perf — initially thought some colitis, then realized what I was tracing was a big abscess, not colon. Tough on noncon; the patient just presented with constipation.
VisionaryMSKSneaky pedunculated colon mass.
VisionaryBodySuper subtle celiac artery dissection, thanks for the second look team! They are getting a CTA now.
Rad AssistantRAI have the inpatient team on the line. Are you ready for the transfer?
VisionaryNeuroAny Neuro folks around for a second look on this MR brain? I'm not sure what to make of this right sided dural thickening.
VisionaryBodyThanks for the second look Neuro crew, you saved the day.
VisionaryChestGreat example of a RML pneumonia on this CXR with CT follow up, easy one to miss.
VisionaryBodyRA, can you get the hospitalist on the line, I have an urgent finding on this inpatient. Thanks.
Rad AssistantRAJust talked with the CT tech, they are sending thins now.
VisionaryBodyAny MSK folks around? Wondering if this is a fracture or normal variant? Thanks!
VisionaryChestRA, can we get the CT tech to resend the head CT? No one's answering for me — thanks.
VisionaryBodyInteresting peds case, only CT finding is lumbar subcutaneous edema. After discussion with the ED doc and some digging, I think this is Henoch-Schönlein purpura (HSP), prior to developing the skin rash. Great collaboration!
VisionaryChestCrazy case of likely intestinal/abdominal TB. Thanks for the probable diagnosis, Body team. ED doc confirms the patient is at high risk for TB and they are gonna work them up further.
VisionaryBodyI would have missed this transient knee dislocation diagnosis, if not for an MSK second look. Thanks all.
VisionaryNeuroGood companion case to the invasive fungal sinusitis that was shared last night, glad I just saw that one.
VisionaryBodyHey team, crowd sourcing this complex case! I can't find the source of free air. Any input is appreciated.
VisionaryChestFollow up on a CT AP noncon with flank pain and right basilar opacity; CTA chest confirms PE with infarct. Great call!
VisionaryBodyGreat call on that subtle cecal mass causing appendicitis. It was real. I just talked with the surgeon, who was appreciative.
VisionaryMSKChipping in on the queue.
VisionaryBodyChest team saved me on this sarcoid case masquerading as malignancy. Appreciate your help!
VisionaryChestThanks RA for getting all those priors sent over, super helpful!
VisionaryBodyIncarcerated uterus on MR, might have missed this finding if not for our recent CME sharing a similar case!
VisionaryNeuroGreat save. This is why we read as a team.
VisionaryBodyInteresting case. Favoring endometriosis implants on this CT AP. Patient will need follow up to confirm, but this fits the clinical picture better than malignancy, and the patient was told at another hospital she has cancer.

*Representative Slack conversations illustrating how Visionaries collaborate throughout the day.

Conversations · with a co-founder

Conversations with a Co‑Founder.

These questions weren't written by our marketing team. They're the questions Dr. Gautam Agrawal, co-founder, is asked by residents, fellows, and practicing radiologists at conferences and lectures across the country.

Read our FAQ
For partner institutions

Read with Vision.

Visionaries care for patients across the full spectrum of diagnostic radiology. From community hospitals and regional medical centers to academic institutions and outpatient imaging centers, the setting may change—but our commitment to thoughtful, patient-centered care does not.

One night’s reads · each cell ≈ 1%
Community Hospitals

Real-time emergency imaging, from everyday studies to time-critical emergencies.

Our academic approach doesn’t mean it’s all rare or complex cases. We bring the same rigor and expertise to every case we review — from routine studies to extraordinary findings.

Learn more about our services:

Emergency Teleradiology Services

STAT-first reads across CT, MRI, radiography, ultrasound, and CTA/MRA, 24/7, with direct physician-to-physician communication for critical findings.

Outpatient Teleradiology Services

Subspecialty-matched final reads for imaging centers and outpatient departments, with structured reporting and consistent turnaround across every site.

By the numbers
1.25M
Cases read a year
0.08%
Discrepancy rate, below the industry average
98%
Subspecialty-trained radiologists
22 yrs
Reading for institutions since 2003

Become a Visionary

A practice built for
sustainable careers.

Every decision we make begins with the patient and the physicians who depend on us. In an increasingly business-driven healthcare environment, we believe medicine should be guided by clinical judgment, compassion, and integrity—not volume targets or financial pressures.

Become a VisionaryBecome a partner
Visionaries together at a Vision Radiology retreat