Radiology dictation transformed the field. Voice-driven reporting replaced handwritten notes, enabling radiologists to document findings at the speed of thought rather than the speed of typing. PowerScribe, Rad AI, and RadPair deserve credit for bringing speech recognition to radiology and making the specialty viable at modern throughput levels.
But radiologists spend 85-90% of their day creating reports. When your primary tool lags behind modern software standards—when the UI feels dated, when AI capabilities are rudimentary, when integration takes months—every inefficiency compounds across thousands of studies.
Here's the reality: PowerScribe's interface hasn't fundamentally evolved in two decades. Rad AI has waitlists stretching over a year. RadPair's user experience is buggy. None of them offer free trials. All of them treat AI as a feature add-on rather than a fundamental workflow enhancement.
Radiologists deserve dictation software built to modern standards—real-time transcription, intelligent AI assistance, voice commands that actually work, and integration measured in hours instead of months.
When we couldn't find it, we built AutoScribe.
The Three Fundamental Problems with Legacy Dictation
Problem 1: Transcription Performance
Accurate speech recognition isn't innovative—it's baseline expectation. Yet significant performance gaps remain:
- PowerScribe requires voice training before radiologists can use it effectively
- Rad AI and RadPair have noticeable latency between speaking and text appearing
- Medical terminology errors force radiologists to manually correct reports, breaking workflow
AutoScribe uses a fine-tuned version of Deepgram's Nova-3 Medical model—the most accurate medical speech recognition model on the market. Transcription happens in real-time. No lag. No voice training required. Just start dictating.
Problem 2: Voice Commands Are Missing or Unusable
Modern dictation should let radiologists navigate, generate, and control reports entirely by voice—but most systems fail here. PowerScribe has limited voice commands that force rigid workflows. Rad AI and RadPair have minimal voice support that's laggy and error-prone.
AutoScribe: Comprehensive voice command system designed for fluid workflow. Navigate sections and paragraphs, generate AI content, classify severity, interact with the Omnibox, delete text—all by voice. But you're never forced to use commands. Voice and mouse work together seamlessly.
The goal: radiologists never touch the keyboard and minimize mouse clicks. Eyes stay on the viewer, not the report.
Problem 3: Reports Are Incomprehensible Outside Radiology
Traditional radiology reports are walls of undifferentiated text. Referring providers scroll through paragraphs searching for the critical finding. Patients read reports filled with jargon and no context on severity.
AutoScribe solves this with structured, aesthetic reports designed for clarity:
- Section Severities: Optional classification (no adverse, informational, mild, moderate, severe) that gives referring providers instant context
- Visual Structure: Section titles with icons, multi-paragraph support, customizable headers with color coding
- Embedded Images: Copy images directly from any diagnostic viewer into report sections
- Templates & Macros: Build powerful templates with pre-built macros for common findings
The AutoScribe Advantage: AI Agent-Powered Workflow
The Omnibox: Intent-Understanding AI Agent
This is where AutoScribe fundamentally diverges from competitors.
PowerScribe doesn't have an Omnibox. Rad AI and RadPair have basic text boxes that attempt to insert your dictation into the report. They're not chat interfaces. They're not AI agents.
AutoScribe's Omnibox is a sophisticated AI agent that understands intent and context:
- Speak naturally: "There's a 2.3 cm spiculated mass in the right upper lobe, no calcification. Recommend follow-up CT in 3 months."
- AI agent routes content intelligently: Findings go to findings section. Recommendations go to impression or follow-up. No manual navigation required.
- Full message audit history: Sidebar shows every Omnibox interaction, preserving context throughout the dictation session.
The Omnibox is completely optional. Radiologists who prefer old-school dictation can bypass the AI agent entirely. We have everyone covered.
Ask Mode: AI Assistant in Your Workflow
Query the AI agent for clinical guidance mid-dictation. "What's the differential for bilateral ground-glass opacities?" The AI agent responds immediately. Insert the answer directly into your report with one click. Neither Rad AI nor RadPair supports AI-powered clinical queries.
AI Generation Beyond Impressions
Rad AI and RadPair: AI-generated impressions only.
PowerScribe: No AI generation capabilities.
AutoScribe: AI-generated impressions + AI-generated follow-up recommendations + AI-generated comparison text (if prior studies provided).
What used to take 5 minutes now takes 15 seconds.
Integration Hell Solved (Again)
We solved integration complexity for the Viewer. We did the same for AutoScribe.
The Integration Nightmare with Competitors
- Rad AI: Waitlist of months to over a year just to start integration
- RadPair: Buggy software that radiologists found laggy. Complex integration.
- PowerScribe: Months of HL7 interfaces, DICOM worklist configuration, voice training sessions
None of them offer free trials. You commit to months of integration before seeing if the product actually works.
The AutoScribe Way
- API as clean as Stripe's. Modern, RESTful endpoints with clear documentation.
- Comprehensive documentation. Every endpoint explained. Code examples in multiple languages.
- Free trial. Test AutoScribe with your radiologists before committing. No waitlist.
- Customers fully set up in under a day. Not weeks. Not months. Hours.
Avara Express: Multi-Tenant Complexity, Solved
For PACS companies, EHR/RIS platforms, or teleradiology groups serving multiple customers, Avara Express handles the entire access control layer:
- Host multiple customers with one platform account (similar to Stripe Express)
- Automatic study restrictions based on organization membership
- Add new customers in seconds via API or dashboard
- Zero permission management headache
Why We Built AutoScribe
We didn't set out to build dictation software. We needed a modern AI-powered dictation platform for our radiology workflow—and nothing on the market met our standards.
- PowerScribe: Too old. Non-performant. Interface that frustrated radiologists. No AI capabilities.
- RadPair: Poor user experience. Buggy and laggy according to radiologists who tested it.
- Rad AI: We reached out. They told us it would take over a year to get off their waitlist.
We couldn't wait a year. Our customers needed AI-powered dictation that actually worked—modern UI/UX, intelligent AI agent assistance, seamless integration, real-time transcription.
Building it ourselves was the only option.
The Numbers That Matter
- Real-time transcription: Zero lag between speaking and text appearing
- Comprehensive voice commands: 30+ commands covering navigation, generation, classification, and control
- AI agent-powered Omnibox: Intent understanding, Ask Mode for clinical queries, full message history
- Integration time: Under a day vs. months with competitors
- Free trial: Test before committing (no competitor offers this)
- Setup waitlist: None (Rad AI's is over a year)
Radiologists switching from legacy systems to AutoScribe consistently report: "I didn't realize how much the old system was slowing me down until the friction disappeared."
Try It Yourself
- Start Your Free Trial – Full access to AutoScribe. Dictate real studies. No waitlist, no sales calls required.
- Read the Documentation – Modern API references with integration examples.
- Contact Sales – Enterprise deployments, Avara Express multi-tenant architecture, white-label options.
The Bottom Line
Dictation shouldn't be the bottleneck in radiology workflow. Every second spent navigating menus, correcting transcription errors, or manually formatting reports is time stolen from interpretation.
Modern AI can deliver real-time transcription, intelligent content routing powered by AI agents, voice-driven workflow, and seamless integration. The technology exists. The question is whether your dictation platform leverages it.
We built AutoScribe because radiologists deserve better than waiting for technology from 2005. The tools exist to eliminate dictation friction entirely. We just had to build them.
