Handheld devices are tools. Their performance depends on the equipment, the operator, the setting, and the quality assurance process around them.

Film processing has largely disappeared. Digital sensors have become the standard in most practices. Three-dimensional imaging is now common in many specialties. Artificial intelligence is beginning to assist clinicians in identifying radiographic findings. Even long-standing practices such as routinely placing lead aprons on every patient have been reevaluated as technology and scientific evidence continue to evolve.