Cortex · Limited beta

The agentic AI layer for radiology.

The agentic layer on RadOS: one hub where frontier models automate clinical reads, operations, and IT. In production today in a limited beta release, and growing fast.

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How Sirona is Different

An agentic orchestration layer, not a chatbot

Cortex is not a chat window bolted onto a PACS. It is an orchestration layer that gives large language models access to the radiology workflow — images, reports, clinical history, worklist state, and viewer context. Agents act asynchronously when a case is assigned, when a study is opened, or on a schedule, and in real time while a radiologist dictates. A single Cortex agent can coordinate narrow clinical AI algorithms underneath it, funneling their outputs into one coherent interface.

What Cortex can do

A single agentic layer that spans clinical decision support, operational automation, and IT management — reaching multiple frontier models, and built on Sirona's unified data layer.

Clinical AI Agents

Draft impressions, summarize priors, and coordinate narrow AI algorithms — in real time during the read, or asynchronously before the radiologist opens the case.

Explore AI

Operational AI Agents

Answer natural-language questions about turnaround times and workload, and surface bottlenecks, from your practice's own workflow data.

Admin dashboard

Voice-Activated Agents

Cortex agents can be triggered by voice during dictation — ask a question, request a comparison, kick off a workflow. Today, Speech-to-Action already drives the diagnostic viewer and the reporter by voice.

Speech-to-Action

Multi-Model Access

Reach multiple foundational models through a single interface and choose the right model per task, with no vendor lock-in on the AI layer.

Platform AI

Secure & HIPAA Compliant

Agents run within Sirona's HIPAA-compliant architecture, backed by an active SOC 2 Type II program.

Security

Practice-Configurable Automations

Build your own AI workflows — triggered on case assignment, on study open, or on a schedule. Your practice defines what gets automated and how.

RadOS SDK

Agentic AI that acts, not just answers

Clinical

Many narrow algorithms, one coherent interface

The radiology AI market has hundreds of narrow algorithms — lung nodule detection, bone age assessment, stroke triage. Cortex coordinates them. Instead of managing dozens of vendor integrations and separate result viewers, a Cortex agent sends the right algorithm to the right study, collects the outputs, and presents one summary in the report for the radiologist to review.

Algorithm selection based on study type and clinical context

One results presentation in the reporter — no separate viewer

The radiologist reviews and accepts everything that enters the report

Operations

Ask your practice a question. Get an answer.

What's our average turnaround time for chest CTs this week? Are we trending toward an SLA breach on the emergency worklist? With Cortex, you ask in plain English and get an answer drawn from workflow data across the platform.

Natural-language questions against your practice's workflow data

Daily and weekly operational summaries

Answers drawn from natively captured workflow events

Architecture

Why the unified platform makes agentic AI possible

An AI agent is only as useful as the data it can access and the actions it can take. On a fragmented stack, an agent would need to authenticate with four systems, reconcile four data models, and coordinate actions across four APIs. On Sirona, the agent has native access to images, reports, clinical data, worklist state, and viewer context through a single unified layer.

Single data layer spanning images, reports, worklist, and clinical context

Native access — no integration layer, no API coordination

A versioned event stream for triggering agents on workflow events

Cloud-native compute for running models at scale

Domains

Three radiology domains unified by one agent layer

Cortex spans clinical, operational, and IT work in a single agent fabric. Today every one of those domains uses a different tool, a different vendor, a different data format. With Cortex, the practice asks a question or sets an automation, and the agent works out which domain it belongs to — pulling data and taking action wherever it needs to.

Clinical: impressions and priors

Operations: turnaround, SLA, and workload questions

IT: system health and anomalies

One admin framework to govern every agent

The agentic AI advantage

domains unified — clinical, operations, IT

unified data layer for agents to work from

vendor APIs for an agent to reconcile

The foundation for agentic AI

Why Agentic AI Requires RadOS

Watch as Dr. Mark Longo demonstrates the power of a new paradigm in radiology AI. Welcome to the age of agentic, embedded, multimodal, real-time, clinically aware AI assistants.

Dr. Mark Longo

Chief Technology Innovation Officer, Sirona

Read the partnership announcement

“Through Sirona's platform, Everlight will be able to build and deploy AI-powered automations across clinical, administrative, and operational workflows. This partnership will fundamentally transform how our radiologists practice, and position Everlight at the forefront of AI-enabled diagnostic medicine globally.”

Jeff Oakman

Global Chief Operating Officer, Everlight Radiology

FAQs

What is an agentic AI orchestration layer?

An orchestration layer is the software that lets AI agents — programs powered by large language models — access data, take actions, and coordinate workflows. Instead of generating text in isolation, an agent can query reports, check the worklist, call narrow AI algorithms, and write results back into the system. Cortex is the orchestration layer for radiology.

What is Cortex?

Cortex is the agentic AI orchestration layer on Sirona's unified radiology platform. It lets practices build automations spanning clinical reads, operational workflows, and IT management. It is in production today in a limited beta release, and its capabilities are expanding quickly.

Which LLMs does Cortex use?

Cortex runs against multiple frontier models, chosen per task, so practices are not locked into a single vendor.

Is this HIPAA compliant?

Sirona's platform is HIPAA-compliant by architecture and backed by an active SOC 2 Type II program. For specifics on how AI workloads handle protected health information, including our agreements with model providers, talk to our security team — we will put it in writing.

Can we build our own automations?

Yes — trigger conditions, data-access scopes, and agent behavior are configured by the practice. Cortex is in limited beta release today.

Does Cortex replace Platform AI features?

No — it sits on top of them. Auto-Impressions, Priors Summary, and other Platform AI features, including Quality Assist (Coming Soon), are the building blocks Cortex agents orchestrate.

When will it be generally available?

Cortex is in production today in a limited beta release with select customers. Talk to your account team about joining the beta.