Reporting Redefined

Reports that start from the image, not a blank page.

Legacy reporters process text and audio — they've never seen the images. Sirona's FDA Class I reporter ingests DICOM pixel data directly, so AI can work from the images while you read.

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How Sirona is Different

You can't accelerate reporting without pixel data

Reporting platforms have spent two decades optimizing text workflows — better speech recognition, smarter templates, faster macros. But the images themselves have always been invisible to the reporter. That's a ceiling. AI can now auto-label anatomy, surface findings, propose measurements, and draft impressions for a radiologist to review — but only if it can work from the images. Sirona's reporter ingests DICOM pixel data natively, even when deployed as a standalone reporting solution without the viewer. Every AI acceleration that matters in the next decade starts with pixel access.

What pixel access enables

When the reporter can see the images, everything about reporting changes — from anatomy labeling to impression drafting to the long-term trajectory toward fully AI-generated reports.

Anatomic Navigation

Automatic spine, knee, and shoulder labeling directly in the report. Click a vertebral level in the report and the viewer highlights the anatomy. Click anatomy in the image and the report populates. High auto-acceptance in everyday reading.

Explore Spine Suite

Bi-Directional Pixel-Word Link

Every finding in the report is linked to the region of the image it describes. Click the text, see the anatomy. Click the anatomy, populate the report. The reporter and the image are finally connected.

Explore Reporter

AI-Drafted Impressions

Auto-Impressions reads the images, the findings, the priors, and the radiologist's dictation pattern — then drafts an impression in seconds. Personalized to each radiologist.

Explore Auto-Impressions

Real-Time Quality Assist

AI that checks the report against the images as you dictate — flagging discrepancies, missing findings, and measurement inconsistencies before you sign. Only possible when the reporter sees the pixels.

Explore Quality Assist

Automated Measurements

AI-derived measurements from the images flow directly into the report with structured data and linked coordinates. No manual entry, no transcription errors, no copy-paste from the viewer.

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Foundation Model Trajectory

Today: AI assists with impressions, labels anatomy, and checks quality. Tomorrow: foundation models that draft complete reports from images alone. A reporting platform positioned for this future is one that already ingests pixels.

Platform AI

The pixel-powered argument, in three parts

Speed Ceiling

Text-only reporting has hit its ceiling

Macros, templates, and better speech recognition can only take you so far. The step change in reporting velocity comes from AI that can see the image alongside the radiologist — auto-labeling anatomy, pre-populating measurements, drafting impressions. Every one of those capabilities requires pixel access.

Anatomic labeling can't exist without pixels

Auto-Impressions needs image context to ground its drafts

Real-time QA compares text to what's actually in the image

Every next-generation acceleration starts with pixels

Architecture

Why legacy reporters can't catch up

Traditional reporters are HL7-in, HL7-out systems — text architecture, not image architecture. And analyzing pixels for clinical use means being an FDA Class I medical device, which requires design controls, verification, and validation traced back to the product's inception. That can't be retrofitted onto an existing product — so legacy reporters must rely on someone else for pixel analysis, and lose value as pixels take over the reporting workflow.

HL7-only data model by design

Class I status requires design history back to inception

Reverse-engineering into a device platform isn't feasible

Outsourcing pixel analysis means losing value over time

AI-Native Gateway

Pixel-native is the entry condition for AI-native

Multimodal AI — the thing that will reshape radiology over the next decade — analyzes images, text, and audio in one pass. A reporting platform without pixel access is structurally locked out. Choosing a text-only reporter today locks you out of tomorrow's AI roadmap.

Multimodal foundation models require pixels

Agentic workflows coordinate across image and text

Voice-to-action commands need pixel context

The AI roadmap starts at pixel access

Performance

What pixel-powered reporting delivers today

This isn't a future promise. Sirona's pixel-powered reporter is running in production today — accelerating reporting, drafting impressions radiologists accept, and auto-labeling anatomy. Every radiologist on the platform gets the pixel advantage without any custom integration.

Faster reporting with AI assistance

High Auto-Impressions acceptance

Reliable Anatomic Navigator labeling

FDA Class I device platform, production-grade

FDA

Class I medical device platform — built for pixels from day one

Faster

reporting with pixel-powered AI assistance

Trusted

Auto-Impressions radiologists accept

What pixel-powered reporting feels like

Pixel-Powered Reporting demoWatch the demo

10-Minute Demo: Why Unified Data is Necessary for Reporting's Future

Sirona's Chief Technology Innovation Officer, Dr. Mark Longo, demonstrates why Sirona's unified platform is necessary for the future of reporting AI. If AI is going to transform radiology reporting, that process starts with pixels and ends with action — as Dr. Longo illustrates with a demo of Sirona's production platform.

Epsilon Health

We built our AI on Sirona because it's the only infrastructure where the model, the images, and the report can live in one place.

Rustin Rassoli

Founder & CEO, Epsilon Health

FAQs

What makes a reporter 'pixel-powered'?

It ingests and processes DICOM pixel data natively — not just HL7 text or dictated audio. That unlocks AI that can label anatomy, surface findings, and draft image-grounded impressions for the radiologist to review.

Why can't PowerScribe do this?

PowerScribe (and mModal, RadWhere, etc.) are text-architecture systems. They have no pixel pipeline, and they aren't FDA Class I medical devices — which processing images for clinical use requires. It's a structural gap, not a feature gap.

Does this work as a standalone reporter?

Yes. Sirona's reporter is pixel-powered even when deployed standalone on top of a legacy PACS. You don't need to adopt Sirona's viewer to get pixel-powered reporting.

Is Sirona an FDA medical device?

Yes. Sirona is an FDA Class I medical device platform that processes DICOM pixel data for clinical use.

How does this pair with the Platform AI features?

Auto-Impressions, QualityAssist, Spine Suite, and Lung Measure are all enabled by pixel-powered reporting. The paradigm is the enabler for the features.

What's the long-term roadmap?

Foundation models that draft full reports from images are on the horizon. Only pixel-native platforms can host them.