Female first authorship in neuroradiology journals rose from 21.5% to 31.6% over 10 years, but senior roles lag.

In 7,477 neuroradiology publications (2016–2025), female first authorship rose from 21.5% to 31.6% and last authorship from 15.2% to 21.8% (P<0.001). Overall, women held 24.8% of first and 17.3% of last author spots. Senior female authorship remains low despite progress.

• Cross-sectional bibliometric analysis of 7,477 articles across four neuroradiology journals (AJNR, Neuroradiology, Journal of Neuroradiology, Journal of Neuroimaging) indexed in MEDLINE.
• Female last author associated with a 2.12-fold higher odds of a female first author (95% CI 1.97–2.28); wide geographic variation noted (first authorship: 12.2% Japan to 34.2% Switzerland).
• Limitation: Gender assigned by a natural language processing algorithm, with potential for misclassification; only MEDLINE-indexed articles analyzed, limiting generalizability.

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