A pre-reading layer for every study that lands in your worklist.
Radivault sits between your modality and your radiologist. Three operations run before the first click: triage priority assignment, structured draft generation, and urgent-finding notification. Radivault does not replace clinical judgment. It removes the blank-screen problem for the cases where the blank screen costs the most time.
Triage: priority assignment before the first click.
Radivault analyzes each incoming study and assigns one of three worklist priority tiers: Urgent (read within 30 minutes), Expedited (same-shift read), or Routine (standard queue). The tier is delivered to your existing PACS worklist as a DICOM SR annotation or HL7 ORU message. Radiologists see it inside the tool they already use. No second screen, no separate viewer to open.
Priority assignments are clinical decision support, not diagnostic conclusions. Radiologist review and sign-off is always required. Radivault does not issue final diagnoses.
FINDINGS
Lungs are clear bilaterally. No focal consolidation, pleural effusion, or pneumothorax. Cardiomediastinal silhouette is within normal limits. Bony structures are intact.
IMPRESSION
[AI DRAFT, review required]No acute cardiopulmonary process.
Draft: structured report language ready at open.
For Routine studies, Radivault generates a structured report draft matched to your department's reporting template. The findings section is pre-populated from the image analysis. The impression block carries an [AI DRAFT, review required] label so the radiologist knows exactly what needs independent judgment. For normal chest X-rays and routine CT follow-ups, the radiologist reviews the findings, corrects language where needed, and signs. No dictation from a blank page.
Route: urgent findings reach the ordering clinician immediately.
When Radivault flags an Urgent finding, a structured notification reaches the ordering clinician before the radiologist has finished reading the study. The notification routes through your hospital's existing communication pathway: HL7 v2 ORU message, secure text, or direct EHR alert. The radiologist still signs and issues the final report. The routing step ensures the ordering team is not waiting on a phone call that may not come for 45 minutes.
Study: PT-2251, Chest CT
Finding: Suspected pneumothorax, right upper lobe
Priority: URGENT, read within 30 min
Channel: HL7 v2 ORU to ordering EHR
Sent: 10:04 AM
Connects to the systems your department already runs. Not a replacement for any of them.
PACS
Worklist overlay via DICOM SR annotation and HL7 ORU message. Priority tier visible in your existing PACS without any worklist reconfiguration.
EHR
HL7 v2 ADT/ORU and FHIR R4 DiagnosticReport for order ingestion and result delivery. Supports Epic, Cerner, and most major EHR environments.
RIS
Study routing, accession number matching, and report status sync. Pre-read results map to the RIS order record without manual reconciliation.
Dictation
Structured draft injection into PowerScribe 360 and MModal Fluency. The draft pre-populates the report template field at study open. Radiologist edits and signs within the dictation tool they already use.
Clinical decision support, with a clear regulatory path.
Radivault operates as a clinical decision support tool under radiologist supervision. We are pursuing FDA clearance under the Software as a Medical Device (SaMD) framework. Until clearance is obtained, all Radivault outputs are decision support aids and must not be used as standalone diagnostics. Every triage assignment, every draft, and every routing notification requires radiologist review and sign-off before any clinical action is taken based on it.
Radivault is not a diagnostic device. It does not issue a final diagnosis, and it does not replace the radiologist's interpretive role.
Pursuing FDA clearance, SaMD pathway. All AI outputs are marked as decision support and require radiologist review.