Radiology voice dictation: how to choose speech recognition
Accuracy measured on real dictations, words versus commands, report templates, languages, trial: the criteria that matter when choosing radiology voice dictation.
Medically reviewed by Dr Alexandre Parpaleix, MD-PhD, CEO and co-founder of Milvue
What should you expect from radiology voice dictation today?
Radiology voice dictation must recognise medical vocabulary from the first dictation, tell a word from a command ("period", "new line"), and put the text in the right place of the radiologist's report template. General-purpose speech recognition, trained on conversation, stumbles on anatomical terms, measurements and abbreviations: that is where most proofreading time goes.
How do you measure the accuracy of medical speech recognition?
The useful figure is the error rate measured on real radiology dictations. Ask what it was measured on (number of dictations, subspecialties, languages), against which reference transcript, and whether punctuation commands are counted. The safest test is to dictate your own reports during the trial: ten dictations representative of your work say more than a brochure figure.
Word or command: why does dictated punctuation matter so much?
Radiologists dictate punctuation and layout. An engine that types "period" instead of ending the sentence, or cuts a sentence where "period" belonged to the text, forces a correction in every paragraph. Check that the tool decides from context and keeps your habits for commas, capitals and line breaks.
Should the dictated text follow my report template?
Yes. The text should land in the right section of your report template (indication, technique, findings, impression), in your usual wording. A good tool lets you select the template by voice and adapts to its form instead of imposing its own.
What role for generative AI in dictation?
Generative AI can turn free dictation into a complete report, rework a sentence or suggest an impression. It stays under the radiologist's control, who reviews everything before signing. Ask which checks the tool applies to the text it produces (for example laterality or measurements) and whether you can choose a word-for-word transcription.
Which practical criteria should you check before choosing?
- Languages: those of your radiologists and your reports.
- Hardware: support for your dictation microphone (for example SpeechMike) and its buttons.
- Workstation: web app or installed software, and how it sits next to the RIS and PACS.
- Data: hosting, retention of recordings, GDPR compliance.
- Trial: full access, on your own dictations, before any commitment.
- Price: per-user subscription or licence, and what each plan includes.
How does TechCare Report meet these criteria?
TechCare Report, Milvue's dictation and reporting app, works in 20 languages and makes up to 4× fewer errors than leading general-purpose models (Milvue benchmark on 191 radiology dictations, October 2026). It tells a word from a command and formats the text in your report template; in agent mode (Pro plan), you pick that template by voice. SpeechMike buttons can be configured from the Essential plan up. Strict and Copilot modes are included in every plan. The trial gives 14 days of full access with no credit card. TechCare Report is report-drafting assistance software; it is not a medical device.
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