The triage layer is the part I did not know I needed. Urgent findings are already flagged when I log in. I stop making the mental triage decision from scratch every morning. That changes how the whole shift runs.
AI Radiology Pre-Reading
Read every study faster, without leaving your PACS
Radivault pre-reads imaging studies to flag urgent findings and draft the routine report, giving radiologists back the minutes a growing scan backlog keeps taking.
PACS WORKLIST + RADIVAULT OVERLAY
RV-0041
Chest CT, Adult
CT, 312 images
08:14
Urgent
RV-0042
Abdominal MRI, Adult
MR, 180 images
08:31
Expedited
RV-0043
Chest X-Ray, Adult
CR, 2 images
08:44
Routine
RV-0044
Chest X-Ray, Adult
CR, 2 images
08:52
Routine
RV-0045
Head CT, Adult
CT, 248 images
09:03
Expedited
30%+
of radiology departments report daily read backlogs over 200 studies
18 min
average time to open and dictate a routine chest CT
3 of 4
radiologist burnout reports cite volume, not complexity
2024
Radivault founded, Pittsburgh PA
The challenge
The scan volume grew. The reading room did not.
CT, MRI, and plain-film orders have grown by double digits year over year at most imaging centers. The reading staff has not. Radiologists context-switch between urgent calls and a routine queue that has no inherent order. Report turnaround slips. Referring clinicians call. Radivault was built on one observation: triage and first-draft language should not require a radiologist to open a blank screen on every case.
How it works
Three things. Done before the radiologist opens the case.
01
Triage
Radivault analyzes the incoming DICOM study and assigns a worklist priority tier: Urgent, Expedited, or Routine. The tier surfaces directly in your existing PACS worklist via DICOM SR overlay or HL7 ORU message. No second screen.
02
Draft
For Routine studies, a structured report draft is pre-populated and waiting when the radiologist opens the case. Findings sections are filled. The impression block is flagged as AI-generated and awaits radiologist review. Edit and sign. Not dictate from nothing.
03
Route
When an Urgent finding is detected, a structured notification goes to the ordering clinician through your existing communication pathway: HL7 v2 ORU message, secure messaging, or direct EHR alert. No new notification tool to install.
Early reader feedback
What radiologists said in the pilot
We ran the pilot on chest X-ray volume first. Most drafts need a line or two of editing. For routine normals, it reads like a structured macro I would have built myself, except I did not have to. The turnaround time on that modality is noticeably shorter.
De-identification at ingestion, PHI never stored in model training
Encrypted in transit and at rest, AES-256
Designed with HIPAA-aligned access controls
Audit log on every study read and every draft generated
Data security
Patient imaging data handled with the controls healthcare requires.
Radivault is designed with HIPAA-aligned access controls and supports Business Associate Agreement execution as a standard part of onboarding. PHI is never stored in model training. We are not the right fit for departments that cannot execute a BAA before going live.
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