Academic publishing is a crucial factor in career advancement and scientific contribution in diagnostic radiology. Despite a growing number of women in medical education, gender disparities persist in radiology research authorship, particularly in senior positions. This chapter synthesizes findings from multiple studies analyzing female representation in radiology publications, highlighting key trends, barriers, and potential solutions. While female first authorship has increased in various subspecialties, the transition to senior authorship remains slow, particularly in high-impact journals and male-dominated fields like musculoskeletal radiology. Structural challenges, including mentorship gaps, editorial board composition, and publication biases, contribute to these disparities. Studies also suggest that women are more likely to author research on gender-specific topics, which tend to receive more citations but may not provide the same career benefits as general radiology research. External factors such as the COVID-19 pandemic have exacerbated these challenges, particularly in senior authorship roles. To promote gender equity in academic radiology, institutions and journals must address systemic barriers by fostering mentorship opportunities, supporting female leadership, and implementing policies to ensure fair recognition and career advancement. A more balanced academic environment will benefit not only researchers but also the field of radiology as a whole.