The finding made it into the dictation.
The guideline never made it into the report. You saw it, you said it, it's in the Findings — but the Fleischner interval, the Bosniak category, the LI-RADS call live in a white paper, a calculator, or somebody's macro. On read 40 of a long list, the distance between what you knew and what the report says is the whole problem.
GigHz Precision AI closes that distance inside the dictation pass. It helps structure your dictation into Technique, Findings, Impression, and Recommendations. When enough details are present, it surfaces relevant scoring support — LI-RADS, Lung-RADS, Fleischner, Bosniak, adrenal washout, TI-RADS, BI-RADS, PI-RADS, and related structured-reporting language. You stay in control: the AI drafts and suggests; you review, edit, and finalize.
Built and used daily by Pouyan Golshani, MD — practicing interventional radiologist · StatPearls IR Editorial Board · FDA AI-device research on medRxiv
See it work
Live demo — PE study + Fleischner nodule popup
You saw the nodule. Did the follow-up recommendation follow it?
Radiologists don't miss structured-reporting details because they're lazy — they miss them because the workflow is noisy. A long list, a new template, a prior report with vague language, a lung nodule where follow-up depends on size, density, age, and risk, a cystic renal lesion where one word changes the Bosniak category. Precision AI is built around those friction points.
Scoring under fatigue
LI-RADS, Bosniak, Lung-RADS, PI-RADS, BI-RADS, TI-RADS, adrenal washout, and Fleischner recommendations all require details to be applied correctly. Precision AI helps surface the relevant logic when the report contains enough information.
Report-language drift
The same finding may be reported four different ways across a group, which makes follow-up harder for clinicians and quality review harder for the practice. Precision AI helps standardize the draft language while leaving final judgment with the radiologist.
Too many separate tools
White papers, calculators, macros, templates, and prior reports all live in different places. Precision AI tries to keep more of that support inside the reporting pass.
What Precision AI embeds in the dictation flow
The system recognizes from context which scoring framework applies. The radiologist describes the finding; the classification surfaces inline.
LI-RADS — surfaced for review
Describe a liver lesion with size, arterial enhancement, and washout — Precision AI surfaces the LI-RADS category in the impression, with rationale traceable to the criteria. Major and ancillary features mapped for your review.
Fleischner + Lung-RADS — embedded
Pulmonary nodule size, density, and growth context produce Fleischner follow-up recommendations or Lung-RADS scoring directly in the impression. Defensible documentation, no separate worksheet.
Bosniak v2019 — current criteria
Cyst features → Bosniak category, with the right thresholds for septations, wall thickness, and enhancement. The version that referring urologists actually use, not the 2005 version that's still in some templates.
Washout — calculated for review
Pre-contrast, portal-venous, and delayed HU values produce absolute and relative washout percentages and a suggested adenoma-vs-not call for your review — built into the report instead of a calculator window.
What it looks like in the workflow
GigHz Precision AI listens to your natural dictation and detects when classification criteria apply. It surfaces the relevant popup, pre-fills what it can, and lets you confirm or adjust. Semi-automatic — the AI proposes, you verify.
Why Precision AI is different from your current dictation tool
Most AI radiology tools work on the image. Precision AI works on the report — the part of radiology that touches every read, every day.
Embedded, not bolted-on
Scoring surfaces inline, in the impression — not as a pop-up calculator the radiologist closes without reading. The workflow stays speech-first.
Multiple frameworks in one report
A chest CT can hit Lung-RADS, Fleischner, and adrenal washout in the same read. Precision AI can surface all three scoring layers within a single dictation pass, for the radiologist to confirm.
Defensible documentation
Each category the radiologist confirms is traceable to the criteria. Quality reviews and medico-legal audits get a structured trail instead of a free-text impression.
Pricing
Two plans, billed monthly. Same product on both — nothing removed.
Institutional email → 90 days free. No credit card. Sign up with your hospital, university, or practice email and the trial starts immediately, no payment method required. Any other email: 30 days free — a card is required to start, but you are not charged during the trial. One trial per person.
Attending
$99/mo
For practicing radiologists. Billed monthly.
- Unlimited dictation and report generation
- Every template, every scoring system — LI-RADS, Bosniak, TI-RADS, PI-RADS, Lung-RADS, O-RADS, PECARN, Fleischner
- Your own templates — take over any template and edit it line by line
- Cancel any time
Resident / Fellow
$49/mo
For physicians in accredited training programs. Billed monthly.
- Everything in the Attending plan — same product, nothing removed
- Keeps the trainee rate for one full year after you finish training
- Cancel any time
How the trainee rate works. You self-report your expected graduation year at checkout and pay $49/month through training. In August of your graduation year the trainee rate is extended one more year — a thank-you for growing with us. In August of the following year the plan moves to the standard $99 rate; you are emailed before it happens, and the new rate starts on your next billing cycle. There is never a mid-cycle or partial charge.
When the trial ends. You are emailed 7 days before it does. Nothing is charged automatically — you choose a plan and confirm once, and after that it renews monthly until you cancel. If the trial lapses, the app keeps working for 7 more days; after that the account locks but nothing is deleted — your templates and settings are exactly where you left them whenever you come back. Billing, receipts, card changes and cancellation are all self-service through the Stripe customer portal.
No onboarding fee, no long-term contract. (Legacy dictation vendors charge up to $525 just to start.) Group or teleradiology deployment? Talk to us.
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How GigHz Precision AI compares
We don't try to replace the enterprise systems. The full alternatives hub has the honest, side-by-side breakdown of where each tool fits — and where Precision AI is the better call.
vs PowerScribe One · vs Fluency / M*Modal · vs Dragon Medical One · vs Rad AI · vs Sirona Medical
Who it is built for
Diagnostic + IR — full-volume practices
Body imaging, abdominal, thoracic, IR — the radiologists doing the highest scoring-framework volume. Validation Partner program is currently selecting practices.
Apply →Free access in exchange for feedback
Residency and fellowship trainees get 3+ months of free access. Apply with PGY year and program. Designed to teach structured reporting alongside clinical scoring frameworks.
Apply (residents) →Standardize departmental reporting
For practice directors who want consistency across radiologists — the same finding reported the same way, with traceable scoring.
Talk to us →Enforce quality across distributed reads
Teleradiology groups whose radiologists work across many client systems are a strong fit for baked-in scoring frameworks — same report quality regardless of site template.
Contact →Support physician judgment. Never replace it.
GigHz Precision AI starts with the radiologist's words. You dictate the study findings in plain language; Precision AI helps organize that dictation into a structured report draft — Technique, Findings, Impression, and Recommendations where appropriate. When the dictated details are sufficient, it may surface scoring support or guideline-aware language for frameworks such as LI-RADS, Lung-RADS, Fleischner, Bosniak, adrenal washout, TI-RADS, BI-RADS, and PI-RADS. The radiologist remains responsible for review, edits, scoring confirmation, and final sign-off.
What it does not do
Precision AI does not interpret images by itself. It does not replace PACS, RIS, EHR, dictation infrastructure, or an enterprise reporting platform. It does not autonomously finalize reports. It is not a substitute for clinical judgment, institutional policy, or current guideline review.
The point is not to remove the radiologist. The point is to reduce the small reporting burdens that accumulate during a long list — formatting, remembering thresholds, opening calculators, checking white papers, and keeping report language consistent. That is where Precision AI fits.
Three ways in
🚀 Start free
Sign up with your institutional email — hospital, university, or practice — and get 90 days free with no credit card. Any other email gets 30 days free; a card is required to start but nothing is charged during the trial.
Start free trial →🎓 Residents & Fellows
90 days free with your program email, then $49/month — the same product with nothing removed, and you keep the trainee rate for a full year after you finish training.
Trainee details →🏥 Group / teleradiology
Rolling out across a group or a distributed reading operation? Talk to a human about deployment — every radiologist still starts with the same free trial.
Contact →Hosted in a HIPAA-eligible AWS environment under a signed BAA. TLS in transit, encrypted at rest, no third-party advertising or analytics on the application. Precision AI never asks for a patient name or MRN — and does not need one. Security & Data Handling →
Common questions
Is this another image-analysis AI?
No. Precision AI works on the report layer — dictation, structuring, and clinical scoring. It does not analyze pixels. The radiologist still reads the study; Precision AI handles how that read becomes a report.
Which scoring frameworks are covered?
LI-RADS (current version), Lung-RADS, Fleischner Society follow-up criteria, Bosniak v2019, adrenal washout calculation, and a growing list of additional frameworks. New frameworks are added based on Validation Partner feedback.
What does it cost?
Attending: $99/month. Resident or fellow in an accredited training program: $49/month — same product, nothing removed, and the trainee rate continues for a full year after you finish training. Billed monthly through Stripe; cancel any time from your account page, effective at the end of the billing period. Group and teleradiology deployments: contact us.
Do I need a credit card to try it?
Not with an institutional email address — 90 days free, no card. With a personal address (Gmail, Outlook, etc.) a card is required to start the 30-day trial, but nothing is charged during it. One trial per person.
What happens to my templates if I stop paying?
Nothing. The account locks but your templates and settings are kept. One click reactivates.
Does it handle PHI?
Precision AI is hosted in a HIPAA-eligible AWS environment under a signed BAA, but the product never asks for a patient name or MRN and does not need one — and per the Terms, patient identifiers must not be entered.
I'm a fellow finishing this year — do I lose the trainee rate immediately?
No. The trainee rate continues for a full year after you finish training, then moves to the standard rate with advance notice — the new rate starts on your next billing cycle, never mid-cycle.
What's the medico-legal posture?
Precision AI surfaces classification with traceable rationale. The radiologist remains the responsible interpreter and finalizes the report. The structured trail of how each category was assigned is more defensible than free-text impressions, not less.
Who built it?
Pouyan Golshani, MD — practicing interventional radiologist — and the GigHz team. Built because the dictation layer is where every read touches and where consistency tooling barely exists.
The guideline should make it into the report.
Start with a free trial — 90 days with an institutional email, no credit card. Then $99/month for attendings, $49/month for residents and fellows.
GigHz Precision AI surfaces clinical scoring with traceable rationale to support — not replace — the interpreting radiologist. The radiologist remains responsible for the final report. A GigHz product. Built by Pouyan Golshani, MD.
Written and reviewed by Pouyan Golshani, MD, Interventional Radiologist — Last updated April 7, 2026
Part of the GigHz library: systems doctors were never taught.