Determining thermal material properties such as thermal diffusivity can provide valuable insights into a material’s thermal characteristics. A well-established method for this purpose is flash thermography using Parker’s half-rise equation. It assumes one-dimensional heat transfer for thermal diffusivity estimation through the thickness of the material. However, research evidence suggests that the technique has not developed as much as the reflection mode over the last decade. This systematic review explores the current state-of-the-art in through-transmission thermography. The methodology adopted for this review is the SALSA framework that seeks to Search, Appraise, Synthesise, and Analyse a selected list of papers. It covers the fundamental physics behind the technique, the advantages/limitations it has, and the current state-of-the-art. Additionally, based on the Population, Intervention, Comparison, Outcome, and Context (PICOC) framework, a specific set of inclusion and exclusion criteria was determined. This resulted in a final list of 81 journal/conference papers selected for this study. These papers were analysed both quantitatively and quantitatively to identify and address the current knowledge gap hindering the further development of through-transmission thermography. The findings from the review outline the current knowledge gap in through-transmission thermography and the challenges hindering the development of the technique, such as depth quantification in pulsed thermography and the lack of a standardised procedure for conducting measurements in the transmission mode. Overcoming some of these obstacles can pave the way for further development of this method to aid in material characterisation.