OBJECTIVE. As patients and information flow through the imaging process, value is added step-by-step when information is acquired, interpreted, and communicated back to the referring clinician. However, radiology information systems are often plagued with communication errors and delays. This article presents theories and recommends strategies to continuously improve communication in the complex environment of modern radiology. CONCLUSION. Communication theories, methods, and systems that have proven their effectiveness in other environments can serve as models for radiology.