From your PACS (image archive) to a signed report, every step timed.
DICOM (image transfer) in from any PACS. HL7 results back into your RIS (reporting system) and EMR. A named subspecialist signature on every report. Here is the path a study takes, and the clock that runs beside it.
Matched to the right expert. Read by a person.
Each incoming study is routed by modality and body part to a subspecialist credentialed for it. Urgent cases are prioritized on the worklist by clinical severity. The radiologist reads the study and dictates structured findings, the beginning of a report only a physician finishes.
Routed by subspecialty
Each study is routed by modality and body part to a subspecialist credentialed to read it. Neuro to neuro, breast to breast, MSK (musculoskeletal) to MSK.
Prioritized by urgency
Urgent cases move up the worklist by clinical severity, so suspected critical findings reach a radiologist first, regardless of arrival order.
Read and dictated
The matched subspecialist reads the study and dictates structured findings, the start of a report only a radiologist finishes and signs.
Upload. Read. Signed report.
The same path every study takes, from the moment it leaves your PACS to the moment the signed report returns.
You send the study
Route DICOM from your PACS or drag and drop, any modality, any hour. Encrypted in transit and at rest, hashed on arrival, with priors and history attached.
A subspecialist reads
The matched radiologist reads the study and dictates structured findings, organized by anatomy, urgent cases first. Suspected critical findings are surfaced and escalated to your team.
A subspecialist signs
The reading radiologist signs the final report under their own name and credentials. It lands back in your PACS and inbox, timestamped against its turnaround tier.
Your PACS stays your PACS.
We connect to the systems you already run. No software to install on your side, no changes to how your technologists work, no new viewer for your clinicians.
From any PACS
Route studies by DICOM push from any PACS or modality. Priors and order data travel with the study. Nothing installs on your side.
Results into your RIS and EMR
Signed reports arrive in your RIS and EMR over the standard HL7 result interface your systems already accept, so the report lands in the patient record without anyone rekeying it. A PDF copy goes wherever else you want one.
VPN or TLS, your choice
Site-to-site VPN or TLS transport. Encrypted in transit and at rest, hashed on arrival, audit-logged end to end.
Your clinicians change nothing
Reports land where your clinicians already look. Your worklist, your viewer, your report formats. We fit into your workflow, not the other way around.
Live in 10 business days, not months.
Onboarding is a fixed plan with named owners on both sides, not an open-ended integration project. First signed report within 10 business days of countersignature.
Credentialing and connection
Reader licensure and credential files go to your medical staff office. The VPN or TLS link is established and tested against your PACS.
Routing and test studies
DICOM routing is configured and test studies run in both directions. HL7 results are verified inside your RIS before any live work.
First live signed reports
Live volume begins. A named clinical liaison and a named operations contact stay with your account from day one.
First signed report within 10 business days of countersignature.
The credentialing packet and the routing work differ by what you run. The same ten days set out for hospitals, imaging centers and private radiology groups.
Reports back in hours.
Typical outsourced reporting queues a study behind everything that arrived before it. We triage by clinical urgency, and tier targets hold each study there. The tier target is written into your contract, and the medians on this page show how we actually perform against it.
Tier targets are contractual. Medians are measured monthly. 99.4% of reports came back inside their SLA over the trailing 12 months. Typical-industry figure shown for scale. Definitions and measurement windows are in the SLA and QA methodology.
Quality has a number. You see it monthly.
Every read sits inside a peer review program modeled on ACR standards, and the results go to you, not into a drawer.
Independently double-read
One in twenty reports is double-read by a second subspecialist, blind to the first read. Discrepancies are tracked case by case.
Major discrepancy rate
Major discrepancies run under 0.3% of signed reports. Every one is reviewed at the monthly discrepancy meeting and closed with the reader.
A quality report you can read
Every client receives a monthly quality report: turnaround by tier, SLA compliance, the discrepancy log, and what changed because of it.
Critical findings, called
Suspected critical findings are phoned to your team within minutes of sign-off and documented on the report with time and recipient.
Credential files for every reader are available on request during procurement.
How we protect patient data.
Every image and report is treated as protected health information from the moment it leaves your network.
Encrypted end to end
TLS in transit, encryption at rest, and a SHA-256 integrity hash recorded for every uploaded image.
Role-scoped access
Clients see only their own facility’s studies. Radiologists see only what they are credentialed and assigned to read. Every access is authenticated.
Append-only audit trail
Submission, QC, assignment, signature, delivery: every state change on a study is written to an immutable event log with actor and timestamp.
Compliance posture
Built to the HIPAA Security Rule safeguard categories, with AstraRad operating as a business associate under a signed BAA and, for EU imaging, as a processor under a signed DPA. DICOM-conformant transfer, and a peer review program modeled on ACR standards. Documentation available for your security review.
Radiologists decide. Every time.
No report leaves AstraRad without a credentialed subspecialist's read and signature. A radiologist's name is on every report that reaches your clinicians.
First signed report within 10 business days of countersignature.