Radiological.ai
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Platform & software · Radiology PACS integration

Radiology AI PACS integration that works with your DICOM and RIS workflow

The short answer

Radiology AI integrates with a PACS using the same standards the PACS already speaks: studies reach the AI over DICOM, results come back as a DICOM secondary-capture series or structured object, and priority and report drafts flow to the RIS over HL7 or FHIR. A well-integrated tool adds no new login and no second monitor: the flags and the drafted report appear inside the viewer and worklist the radiologist already uses. Radiological.ai is built to this pattern and is decision support, so the radiologist reviews and signs every study.

The question that decides most radiology AI purchases is not what the model can do. It is whether the thing will actually fit. A tool that makes the radiologist open a second application, log in again, and copy findings back by hand will be quietly abandoned inside a month, no matter how good it is, because it adds a step to a workflow that is already full.

Radiological.ai is built to disappear into the workflow you have. Studies reach the assistant over standard DICOM from your PACS, flags come back into the study you are already looking at, worklist priority and drafted reports move over HL7 or FHIR into the RIS and reporting system your team already signs in. No new monitor, no second login, no copy and paste. The assistant is decision support: it flags, prioritizes and drafts, and the radiologist reviews, edits and signs.

Last updated July 2026

The Reading Station

Worklist

SERIES 1 · AX
SLICE 24/64
SAMPLE STUDY
NOT FOR DIAGNOSTIC USE
W 80 · L 40
ILLUSTRATIVE SAMPLE

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.

Run the assistant

Flag · prioritize · draft · you review and sign

X-RAY CT MRI BUILT WITH RADIOLOGISTS

Decision support not a diagnosis

You review & sign

Why it works

What your group gets with radiology pacs integration

Standards, not a special case

DICOM for images, HL7 or FHIR for orders, priority and reports. The assistant speaks what your PACS and RIS already speak, so integration is configuration rather than a custom engineering project.

Results land where you already look

Flags return into the study in your existing viewer and drafts land in your reporting system, so the radiologist never leaves the pane they read in or logs into a second tool.

No rip and replace

The assistant sits alongside the PACS, RIS and reporting stack you have already paid for and trained on. Nothing has to be torn out for it to earn its place.

What it handles

Flagged, prioritized and drafted for your review

The assistant pre-reads each study, surfaces a region of interest for review, re-prioritizes the worklist, and drafts the structured report in your template. You confirm, edit and sign.

  • Receives studies from your PACS over standard DICOM
  • Returns flags into the study you are already viewing
  • Sends worklist priority to the RIS over HL7 or FHIR
  • Drafts the structured report into your reporting template
  • Adds no second login and no extra monitor
  • Runs alongside your existing PACS, RIS and reporting stack
RADIOLOGY PACS INTEGRATION STAT

Region of interest flagged for review

A focal region is surfaced on the sample study for the radiologist to review. The assistant does not characterize it as a diagnosis.

Draft impression

Suspected finding flagged for radiologist review. Correlate clinically and confirm. Draft for review and sign-off.

Illustrative sample · not for diagnostic use You review & sign

Why Radiological.ai

One assistant across the whole read

Not three vendors stitched together. Flag, prioritize and draft in one calm pane, on X-ray, CT and MRI, with the radiologist signing every study.

Flags suspected findings

A second set of eyes surfaces regions of interest for review on every study, so a suspected finding is less likely to slip past late in a shift.

Prioritizes the worklist

Suspected-critical studies move to the top, so urgent reads surface ahead of routine follow-ups across your sites and shifts.

Drafts the report

A structured draft arrives in your template, ready to edit and sign. The draft saves the typing and the measuring, never the judgment.

Good questions

Questions about radiology pacs integration

Yes, when it is built on standards. Radiological.ai receives studies from the PACS over DICOM and returns flags into the same study, so results appear in the viewer the radiologist already uses. Worklist priority and drafted reports travel to the RIS and reporting system over HL7 or FHIR.
In practice: a DICOM route from the PACS to the assistant, a path back for results, and an HL7 or FHIR feed for orders, priority and reports. Most groups also want a quiet shadow period where the assistant runs without changing the worklist, so the team can see its behavior on their own studies before it affects anything.
No, and a tool that requires one tends to get abandoned. Flags come back into the study inside your existing PACS viewer and report drafts arrive in your reporting system, so the radiologist stays in a single pane and signs where they always have.
Deployment shape is one of the first things to settle with any vendor, because it drives your security review, your network work and your cost. Ask where studies are processed, what leaves your network, and how protected health information is handled, and get the answer in writing before you sign.
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Read more studies, with the assistant alongside you

Flag suspected findings, prioritize the worklist, and draft the structured report. You review and sign every study.

See pricing

Radiological.ai is a workflow and decision-support tool for qualified clinicians. It does not provide a diagnosis and is not a substitute for professional medical judgment.