Radiology Dictation That Stays
on Your Device
PowerScribe 360 and Dragon Medical One route your dictation through cloud servers. VoicePrivate doesn't. CT, MRI, ultrasound, and X-ray reports are transcribed locally - 20 to 100+ reports per shift, no network dependency.
The cloud dictation problem
for radiologists
PowerScribe 360 / Dragon Medical One
- Radiologist dictates findings at workstation
- Voice sent to Nuance or Microsoft cloud
- Transcription returned over network
- Remote reads fail without stable internet
- Report audio exists on vendor servers
On-device radiology dictation
- Radiologist dictates findings via hotkey
- On-device AI transcribes with radiology vocabulary
- Text typed into PACS report field instantly
- Works fully offline - remote reads included
- Audio never leaves your device. Ever.
How radiologists use it daily
Radiologists switching from cloud platforms
- Body radiologists reading CT and MRI volumes
- Teleradiology groups doing remote overnight reads
- Subspecialty radiologists: neuroradiology, MSK, breast
- Interventional radiologists documenting procedures
- Nuclear medicine physicians dictating PET reports
- Independent radiologists without enterprise IT contracts
Fitting into the reading room session
- Open PACS viewer, pull up study, place cursor in report field
- Press hotkey to start dictating findings and impression
- VoicePrivate transcribes directly into the report field
- Medical terms, laterality, measurements all recognized
- Voice macros for normal study templates save additional time
- No reconnect delays between studies - fully local
Report types covered out of the box
The radiology vocabulary set includes modality-specific terms across all major subspecialties.
CT abdomen and pelvis, chest, and head
Dictate findings for contrast and non-contrast studies. Hounsfield unit values, organ dimensions, lymph node size criteria, and vascular enhancement patterns are all recognized without phonetic workarounds.
Brain, spine, and musculoskeletal MRI
T1, T2, FLAIR, DWI, ADC - signal characteristics dictate cleanly. Anatomical terms for neural structures, spinal levels, ligament and tendon nomenclature are included in the base dictionary.
Abdominal, OB, vascular, and thyroid US
Echogenicity descriptors, Doppler flow terminology, TIRADS and BIRADS category language, biometric measurements for obstetric studies - all covered without needing custom dictionary additions.
Chest, bone, and fluoroscopy
Plain film findings dictate at speed - cardiomediastinal silhouette, costophrenic angles, cortical integrity, fracture pattern descriptions. Works smoothly when you are reading through a large batch of trauma X-rays.
PET/CT, bone scan, and thyroid scans
SUV values, radiopharmaceutical names, tracer uptake distribution language, DOTATATE and FDG-PET reporting vocabulary included. Nuclear medicine terms that tripped up older speech engines are handled correctly.
IR procedure notes and reports
Biopsy, drainage, embolization, TIPS, ablation procedure documentation. Catheter and guidewire nomenclature, fluoroscopy time, radiation dose documentation - dictate the complete IR note without switching tools.
VoicePrivate vs. PowerScribe and Dragon Medical
For radiologists evaluating dictation alternatives, the key differences come down to data flow and cost.
| Feature | VoicePrivate | PowerScribe 360 | Dragon Medical One |
|---|---|---|---|
| Audio stays on device | ✓ Always | ✗ Cloud (Nuance) | ✗ Cloud (Microsoft) |
| Works offline / remote reads | ✓ Fully offline | ✗ Requires network | ✗ Requires network |
| PACS compatibility | ✓ Any text field | Native integrations | ✓ Broad |
| Radiology vocabulary | 74,000+ medical terms | Radiology-optimized NLP | Medical vocabulary |
| Works on Mac | ✓ | ✗ Windows only | ✗ Windows only |
| No IT contract required | ✓ | ✗ Enterprise licensing | ✗ Enterprise licensing |
| Monthly cost per radiologist | $34.99/mo | $150-300+/mo (est.) | $99+/mo |
Competitor pricing based on publicly available estimates. Features subject to change.
Runs on the hardware
you already have
Mac - Apple Silicon
M1 through M4. Neural Engine acceleration. Sub-2-second transcription for 30-second dictations. macOS 13+.
Mac - Intel
Intel Core i5 and above. CPU-based inference. macOS 13+. Fully supported for standard radiology dictation volumes.
Windows
Windows 10 and 11, 64-bit. Works on reading room workstations alongside existing PACS software. No admin install required.
Any PACS or RIS
Types into any text field - web-based PACS, desktop reporting stations, RIS worklists. No plugin or integration needed.
Pricing for radiology practices
No credit card required. Full radiology vocabulary included in all plans.