By Sheela Agarwal, MD, MBA, a practicing radiologist and chief medical information officer at Microsoft
For most of my career, the radiology reporting platform was a workflow tool. Today, it is an AI strategy, and the way we evaluate it must change with it.
I see that from two sides. As a practicing radiologist, I live in the reporting workflow. As CMIO at Microsoft, I help shape how technology serves it.
- The platform underlying radiology reporting now determines something bigger than features. It determines how effectively AI is integrated into the workflow and where it is making the biggest impact, for both radiologists and the care patients receive.
The pressure is real, and it is human. Imaging volumes keep climbing while the workforce to read images struggles to keep pace, and the cognitive load on every radiologist grows with it.
- The question is no longer whether to adopt AI. It is which foundation can carry AI reliably, study after study.
Most reporting solutions were not built to be that foundation. PowerScribe One is. The proof is in the scale:
- 280+ organizations, proven across IDNs, academic centers, community hospitals, and independent practices.
- 10,000+ radiologists have made PowerScribe One part of how they work.
- 10M+ reports every month, a volume that reflects real, sustained use.
That scale is not the point on its own. It is evidence that the technology delivers where it counts. What matters to a radiologist is more specific: does it lighten a heavy worklist, or just add another click?
- Smart Impression, part of PowerScribe One, drafts impressions personalized to each radiologist. At St. Luke’s University Health Network, the move to PowerScribe One and use of Smart Impression freed capacity equivalent to 1.3 full-time employees.
As an AI companion to PowerScribe One, Dragon Copilot builds on that foundation, bringing prior reports, patient context, and information from credible sources to the same screen as they read, so radiologists work with a more complete picture without leaving their workflow.
- The deeper value is what it frees radiologists to do: practice at the top of their license, spending less time on the mechanics of report creation and more on the complex reads and the diagnostic judgment that shape a patient’s care.
A reporting platform must be ready for what comes next, evolving alongside radiology and AI.
- For organizations still on PowerScribe 360, now is the time to evaluate the path forward. Migration to PowerScribe One preserves existing workflows and configurations, allowing organizations to modernize at their own pace without disrupting care.
The Takeaway
This is not simply a radiology reporting system upgrade. It is choosing a partner committed to practical innovation, built on decades of workflow expertise and deep collaboration with customers and partners. Connect with Microsoft’s team or click here to learn more about PowerScribe One and Dragon Copilot.
