Compare · PowerScribe One

PowerScribe One vs 360: end of life dates, migration path and cost

The short answer

PowerScribe 360 is the on-premises radiology reporting system most US groups have run for years. PowerScribe One is its cloud-hosted, subscription-priced successor. Microsoft is ending annual renewals and maintenance for PowerScribe 360 on August 31, 2026, and full support ends August 31, 2027, so every 360 site has a decision to make inside that window. The two can run side by side during a migration, and Microsoft describes a path that reuses existing PowerScribe 360 templates and content rather than rebuilding them. The differences that matter are deployment model, pricing structure and who now carries the uptime risk, not the dictation experience itself.

The comparison most radiology groups are actually running in 2026 is not PowerScribe against a competitor. It is PowerScribe 360, the on-premises system sitting in their own server room, against PowerScribe One, the cloud subscription Microsoft wants them on. The clock is set by two dates: annual renewals and maintenance for 360 ended on August 31, 2026, and full support ends August 31, 2027.

The honest summary is that PowerScribe One is a real modernization and a real change in commercial terms at the same time. You get cloud speech recognition, AI-assisted impressions and a product that is still being developed, and you give up a perpetual license you already paid for in exchange for a subscription that renews. Whether that trade is good depends less on the feature list than on what your group already owns, how your contract is written and how much integration work a move triggers.

The third option is the one Microsoft has no reason to raise: an end of life is the cheapest moment a radiology group will ever get to re-examine what its reporting layer should do. Radiological.ai is decision support built for the whole read rather than dictation alone. It flags suspected findings, prioritizes the worklist so urgent studies surface first, and drafts the structured report into your template. The radiologist reviews, edits and signs every study, exactly as now.

Last updated July 2026

The Reading Station

Assistant ready

Worklist

SERIES 1 · AX

SLICE 24/64

SAMPLE STUDY

NOT FOR DIAGNOSTIC USE

W 80 · L 40

Structured report

Draft

Run the assistant to draft this report for review.

You review & sign

Illustrative sample · not a real patient study, not a diagnosis

Drafted in · you review & sign Worklist re-prioritized

Decision support for qualified clinicians. Radiological.ai does not provide a diagnosis and is not a substitute for professional judgment.

See the comparison

Flag · prioritize · draft · you review and sign

PowerScribe One is a genuine upgrade on PowerScribe 360 and a move from a license you own to a subscription you rent; the end of life is also the one cheap moment to ask whether dictation alone is still the right reporting layer.

Side by side

PowerScribe One vs PowerScribe 360, side by side

Both are Microsoft products. This table is the neutral version, including where the older one still wins.

What changes	PowerScribe 360	PowerScribe One
Deployment	On-premises, installed and maintained on servers your organization owns	Cloud-hosted and delivered as a hybrid cloud service
Commercial model	Perpetual license plus annual maintenance, bought as capital expenditure	Recurring subscription, an operating expense that renews
Support timeline	Renewals and maintenance ended on August 31, 2026; full support ends August 31, 2027	Current product, actively developed
Speech recognition	Local recognition with per-radiologist voice profile training	Cloud speech recognition; vendor materials describe it as not requiring the profile training 360 sites are used to
AI in the report	Limited to what shipped in the on-premises release you are running	AI-assisted impressions and ambient capabilities, updated on the vendor release cycle
Templates and AutoText	Built up locally over years, and usually the biggest thing a group is afraid of losing	Microsoft describes a migration path that leverages existing PowerScribe 360 workflows and content rather than rebuilding from scratch
Outage exposure	Runs inside your network, so an internet problem does not stop dictation	Cloud service, so reporting now depends on your connectivity and the vendor availability
During the transition	Can keep running while you migrate	Can operate side by side with 360 through the migration period
Best suited for	Groups with heavy local infrastructure investment and a hard requirement to stay on-premises	Groups that want a supported, actively developed reporting platform and accept subscription pricing

Compiled from Microsoft public end of life communications and vendor documentation, July 2026. Confirm dates and contract terms with your Microsoft or reseller account team before planning around them.

Side by side

Radiological.ai vs PowerScribe One, honestly

A fair look at what each does well. Both are capable tools. Here is where they differ.

What matters	Radiological.ai	PowerScribe One
What the tool covers	Flags suspected findings, prioritizes the worklist and drafts the structured report in one pane	Dictation and report authoring, the reporting layer of the read
Worklist prioritization	Suspected time-critical studies surface to the top of the queue for your review	Reporting product; triage is handled by other systems
Structured report drafting	Drafts the report into your template before you sit down, for you to edit and sign	Strong template and AutoText authoring, plus AI-assisted impressions in PowerScribe One
Deployment	Cloud, connected to your PACS over standard DICOM	360 is on-premises; One is cloud subscription
Pricing transparency	Plans published on our pricing page	Quoted per site through Microsoft or a reseller; no public list price
Regulatory status	Decision support; we make no regulatory-status claims on this site	Established reporting platform with a long deployed history in US radiology

Comparison reflects general, publicly understood positioning. Capabilities change, so check each product for the latest.

The practical work behind this decision is mostly template and interface migration. Our PowerScribe 360 templates and AutoText guide covers how to export your library to XML and which attached settings, such as procedure code mappings and patient filters, do not travel with the template text. Sequence the rest with the PowerScribe 360 migration checklist.

On budget, PowerScribe 360 price and PowerScribe One pricing analyzes 183 public federal contract awards and shows upgrade services, interface work and training being contracted separately from the license. The end of life dates set the timeline, and the PowerMic and headset guide covers whether your dictation hardware carries over.

If the upgrade is prompting a wider look, the Nuance alternatives and competitors page sorts out which Microsoft product you are actually replacing, and structured radiology reporting covers what a reporting layer should do beyond capturing dictation.

Why groups pick Radiological.ai

One assistant across the whole read

The migration is the moment to ask the bigger question

You are going to spend the integration, training and validation effort either way. Spending it on a like-for-like dictation swap gets you back to where you started with a subscription attached. Spending it once on the reporting layer you actually want is the same work with a different outcome.

Drafting beats dictating from blank

Faster speech recognition still starts every report from nothing. Radiological.ai drafts the structured report into your template with measurements and comparisons already in the right sections, so the work is editing rather than construction. You review, edit and sign every study.

One assistant, not three integrations

Most groups end up wiring a triage tool, a detection tool and a reporting tool into the same PACS. Flagging, worklist prioritization and drafting arrive together here, which is one interface to validate and one vendor to hold accountable.

Good questions

PowerScribe One vs Radiological.ai, answered

PowerScribe 360 is the on-premises version, installed on servers you own and licensed perpetually with annual maintenance. PowerScribe One is the cloud-hosted successor, sold as a subscription, with cloud speech recognition and AI-assisted impressions. The dictation experience is broadly familiar; what changes is where the software runs, how you pay for it and who is responsible when it is unavailable.

Annual renewals and maintenance for PowerScribe 360 ended on August 31, 2026, and full support ends on August 31, 2027. End of life letters went to customers in early 2026. Practically, that means a 360 site still has runway into 2027 but no path to renew maintenance, so the migration decision should be made rather than deferred.

No. PowerScribe One is Microsoft recommended path, not the only one. A group can move to another speech-based reporting platform, or use the forced decision to reconsider whether dictation should remain the core reporting input at all. The one option that is not really available is staying on PowerScribe 360 indefinitely with support behind it.

Microsoft does not publish list pricing for PowerScribe One, so any number you see quoted publicly is somebody else deal rather than a rate card. Pricing is per site through Microsoft or a reseller and depends on reader count, volume and integration scope. The number to ask for is the fully loaded first-year total including interfaces, template migration and training, plus what the subscription does at renewal three years out.

Yes. Microsoft states the two can operate side by side during a customer migration period, which is what makes a phased cutover practical. Most groups use that overlap to move one subspecialty or one site at a time rather than switching every reader on a single weekend.

Microsoft describes a migration that leverages existing PowerScribe 360 workflows and content rather than rebuilding from scratch, so the answer is broadly yes. Treat it as a claim to test rather than a guarantee: export your template library early, count how many templates are genuinely in active use, and validate the migrated versions against real signed reports before cutover.

Because a lot of departments bought PowerScribe 360 as a capital purchase, built local infrastructure around it and expected to keep running it. Moving to a subscription converts a paid-for asset into a recurring cost with a renewal negotiation attached, and it shifts uptime responsibility to a vendor. That objection is about the commercial structure, not the software quality, and it is a fair one to raise in the negotiation.

It covers the drafting job PowerScribe does and adds two more: flagging suspected findings and prioritizing the worklist. Groups evaluating it during a PowerScribe migration should compare the whole workflow rather than dictation alone, and should test it on their own case mix during a shadow period. It is decision support, and the radiologist reviews, edits and signs every study.

More comparisons

See how Radiological.ai compares

vs Aidoc

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One assistant across the whole read, not acute triage alone.

vs Rad AI

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Drafting plus flagging and triage, in one assistant.

vs DeepHealth

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Reporting AI without buying it from a competitor.

vs Fluency for Imaging

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The two reporting platforms most US groups actually shortlist.

vs Annalise.ai

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Finding flags plus triage and drafting, together.

vs Nuance PowerScribe

Nuance PowerScribe alternative

More than dictation: flagging, triage and drafting.

vs Qure.ai

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Flags plus triage and drafting, in one assistant.

vs Viz.ai

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Beyond acute stroke triage, across the whole read.

vs Nuance DAX

Nuance DAX alternative

Built for the read, not for the patient conversation.

vs Lunit

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vs Gleamer

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One assistant across X-ray, CT and MRI, not a suite of per-exam detectors.

vs Sirona Medical

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Add the assistant to the PACS you already run, without replacing the stack.

vs RapidAI

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Past the stroke pathway, across the whole reading list.

vs Dragon Medical One

Dragon Medical One pricing

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vs PowerScribe

PowerScribe pricing

No list price exists. Here are the only verifiable numbers that do.

vs PowerScribe

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What AutoText actually is, how to get yours out, and what survives a migration.

vs RADPAIR and PowerScribe

RadPair vs PowerScribe

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vs Aidoc and Viz.ai

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Three acute triage platforms, compared on what they were each built to do.

See every radiology use case

From the blog: what the PowerScribe 360 end of life means for radiology groups, how much radiology AI costs, and the full comparison of the best AI radiology software in 2026.

See how Radiological.ai reads alongside your group

One assistant that flags suspected findings, prioritizes the worklist, and drafts the structured report on X-ray, CT and MRI. You review and sign every study.

See pricing

Decision support for qualified clinicians. Radiological.ai does not provide a diagnosis and is not a substitute for professional medical judgment.