Dictate the report while the images are still on screen, on your computer and without sending anything online. Dictadoc checks the musculoskeletal terms it is unsure of and tells you when a sentence repeats in the text. Once you turn the option on, the text can also go straight into your reporting software.
Every examination ends with a report, often while the next patient is getting onto the table. Length and urgency vary from one examination to the next.
The CT or MRI report
Clinical details, technique, findings and conclusion, for the clinician who requested the scan. A CT of the chest, abdomen and pelvis or a joint MRI takes a long description, series by series, and the conclusion has to stay clear to a non-radiologist.
The ultrasound report
It is dictated in the room, straight after the scan, and the patient often leaves with it. Organs described one by one, measurements, and little time before the next appointment.
The urgent examination
On call, a CT for a patient in the emergency department is waiting for its conclusion. A few lines first for the emergency team, then the full report once every series has been reviewed.
The interventional procedure report
CT-guided injection, biopsy or ultrasound-guided drainage: the guidance, the equipment, what was injected and the aftercare. It is written between two procedures, while the room is being prepared.
Day to day
What slows down your imaging reports
Musculoskeletal terms to correct on every scan
Today
A consumer dictation tool writes "scindesmosis" for syndesmosis or "hollow" for hallux. On an ankle or foot MRI these words come back in every other line, and you fix them one by one before you sign the report off.
With Dictadoc
For every word the engine is not sure of, Dictadoc checks a list of medical terms centred on musculoskeletal anatomy and imaging. "Scindesmosis" goes back to "syndesmosis". A word the engine heard clearly stays exactly as you dictated it.
Medical vocabulary check
Losing your place in a long description
Today
A CT of the chest, abdomen and pelvis is described organ by organ, over several minutes. The radiographer calls you, or a colleague puts their head round the door, and when you come back you cannot remember whether you have dictated the adrenals.
With Dictadoc
Pause the dictation, then resume it. If you turn on live text, your sentences appear in Dictadoc a second or two after you say them, and a glance shows where you were. It is a preview: the full recording is then transcribed again, and that is the text you keep.
Live text
Dictation in several takes
A repeated sentence in place of a passage
Today
On a long dictation, a transcription engine can get stuck and repeat the same sentence several times. What you dictated meanwhile is missing from the report, and nothing flags it before you read it through.
With Dictadoc
Dictadoc checks every take. When the same sentence comes back three times in a row or more, the repeats are removed and the take says so. You can then transcribe it again, or dictate the missing passage once more.
Repetition check
Dictation example
A shoulder MRI, dictated while reading
MRI of the right shoulder, dictated with the images on screen.
What you say
Full-thickness tear of the anterior supraspinatus tendon measuring twelve millimetres [full stop] tendon retraction of fifteen millimetres [comma] with no muscle atrophy or fatty infiltration [full stop][new line] subscapularis and infraspinatus tendons intact [full stop] long head of biceps tendon located in the bicipital groove [full stop][new line] small subacromial subdeltoid bursal effusion [full stop] acromioclavicular joint osteoarthritis with inferior osteophytes [full stop][new paragraph] conclusion [colon][new line] full-thickness supraspinatus tear measuring twelve millimetres [open parenthesis] moderate retraction [close parenthesis] with no muscle atrophy [full stop] acromioclavicular joint osteoarthritis [comma] which may contribute to subacromial impingement [full stop]
What Dictadoc writes
Full-thickness tear of the anterior supraspinatus tendon measuring 12 mm. Tendon retraction of 15 mm, with no muscle atrophy or fatty infiltration.
Subscapularis and infraspinatus tendons intact. Long head of biceps tendon located in the bicipital groove.
Small subacromial subdeltoid bursal effusion. Acromioclavicular joint osteoarthritis with inferior osteophytes.
Conclusion:
Full-thickness supraspinatus tear measuring 12 mm (moderate retraction) with no muscle atrophy. Acromioclavicular joint osteoarthritis, which may contribute to subacromial impingement.
The words in brackets are commands. Dictadoc replaces them with punctuation and line breaks.
With the "Numbers, units and dosages" setting turned on.
The settings list every command for your language.
Privacy
What you dictate stays on your computer
Transcribed on your computer
Your computer transcribes your voice itself. Nothing you dictate is sent over the internet.
Erased on quit, if you want
Choose to keep nothing, and reports and recordings are erased when you quit Dictadoc.
Encrypted on your disk
The reports you keep stay in an encrypted database whose key is held by your system keychain.
For a clinic or hospital
Dictadoc Server transcribes for every workstation in your organisation, on a server on your premises. Nothing leaves your network.
In part. The list used to check uncertain words was built first for musculoskeletal work and imaging examinations. Neuroradiology, chest and abdominal imaging have no section of their own, so fill the gaps with your own vocabulary, contrast agents included.
Can the report go into the software where I sign off my examinations?
Yes, with no connector, as long as the setting that writes into the active application is on. When the dictation is transcribed, the text arrives in the field that had the cursor, as if typed on the keyboard. When software refuses paste, Dictadoc can type it character by character. If writing fails, the text stays in Dictadoc and a message tells you.
Are lesion sizes written as numbers?
Yes, once you turn on "Numbers, units and dosages". A number followed by its unit becomes digits: "three point two centimetres" becomes "3.2 cm" and "twelve millimetres" becomes "12 mm". Hounsfield units, grays, millisieverts and numbers dictated with no unit stay in words.
Our reporting workstations have no internet access. Does Dictadoc work?
Yes. Dictation, transcription and correction happen on the workstation itself, and no dictated word leaves it. A connection is only needed once, at the start, to activate Dictadoc and download a transcription model.
Does every reporting workstation need a graphics card?
Not necessarily, but speed depends on it. On a Mac with Apple silicon, as on a PC with an NVIDIA graphics card, a take is transcribed quickly. Without a graphics card, the wait is 10 to 20 times longer. So that you do not have to equip every workstation, a radiology practice or an imaging department can hand transcription to Dictadoc Server, installed on a single computer.
Install the app on Mac or Windows, buy a licence, then enter the key you receive by email in Dictadoc. The licence year starts on the day you activate it.