RAD Reporter

From the selected dictation through the pre-processing stage – technical terms, your own documents, literature from PubMed and the RSNA report template – to the AI request and the finished report. The example is a real run: a prostate MRI with a PI-RADS 4 lesion, for which PubMed first returned the EAU/ESUR guideline 2024 and the ACR Appropriateness Criteria, and RSNA RadReport the template “mpMRI of the prostate gland”.

Narrated by the synthetic voice “Cori” (generated locally with Piper, MIT licence; voice model trained on LibriVox recordings, public domain); the stations are captioned in English, the illustrations show the German program. 15 MB, loads only when played.

What exactly does RAD Reporter do

RAD Reporter waits invisibly in the background; all you see is a small bar of icon buttons at the top right of the screen. You trigger it by shortcut or button – what happens then, in detail:

RAD Reporter builds on what you already use: four steps, all in the writing program you know, with no separate interface to learn.

On the left the one-off setup in six steps. On the right the daily work. Every picture is a screenshot from the running program, at original size.

Setting up – once

1Provider and key 2Choose the examination 3The rule set 4Your own documents 5Literature from PubMed 6Activation

Working – every day

7The icon buttons 8The AI is working 9Access to public specialist sources 10Where the answer goes

1Provider and keySetup

Six routes to choose from (Claude, ChatGPT, Mistral, Ollama locally, Claude via Amazon Bedrock, ChatGPT via Azure OpenAI). The key stays on your machine – encrypted with Windows data protection (DPAPI), readable only by your Windows account – and goes only to the chosen provider; Claude Opus 5 is preset. “Test connection” tells you at once whether it works; “Usage and costs” shows tokens and costs per case, day, week and month.

2Choose the examinationSetup

The examination travels with the request and saves the AI from guessing. The list is yours to define – or you leave it to the AI to recognise it from the dictation.

3The rule setSetup

The rules behind every text - readable, as a PDF and editable in Word. At the top you choose whether they apply generally or to a single examination; the »guide« explains what good rules look like, and the AI orders new ones accordingly.

4Your own documentsSetup

House standard, templates and classifications go into a folder NEXT TO THE PROGRAM - generally or for a single examination only. Small collections travel in full and are cached at the provider.

5Literature from PubMedSetup

Before every report RAD Reporter searches PubMed – first for guidelines of societies such as EFSUMB, ESUR or ACR – and fetches the RSNA report template for the exam. The AI may cite literature only from them. How many articles, from which period, which societies first – you set it here. Only English search terms go out.

6ActivationSetup

Send the request code, enter the key – done. Three months to try, then per computer according to the cost structure and analysis.

7The icon buttonsWork

Select the text and trigger - plus the program icon, which opens the settings. Four buttons at the top right of the screen, the same three actions also as shortcuts.

8The AI is workingWork

A translucent progress bar with a seconds counter, provider and model. It steals no focus and appears for every longer operation.

9Access to public specialist sourcesWork

What is fetched before every report is shown by the trial on the Literature tab: from PubMed the societies' guidelines first (here the ESUR recommendation 2024), then reviews – each with author, journal, year and PMID – and from RSNA RadReport the report template for the exam with its sections. Both go along as a cited block; the AI cites literature only from them.

10Where the answer goesWork

By default: in place of the selection. On request - and always when the document is read-only - into a Word document of its own. Without Word in LibreOffice Writer; beside it sits the box for the report after every answer.

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RAD Reporter is operated from the icon buttons, the icon in the notification area and global keyboard shortcuts.

📋 How to get there

• Settings – left-click the program icon on the icon bar or the icon in the notification area – nine tabs:
  • AI provider – Provider, API key and model; connection test; usage and costs (cost ledger); link to the provider's key page.
  • Modalities – The examination passed to the AI – or “leave it to the AI”. The list is yours to define: add, rename, order, reset – it also appears in the right-click menu of the icon buttons.
  • Options – Language (automatic from Windows, German or English), number the sections, start at logon, put the answer into a new Word document instead of the text, show the AI's report after every answer, the switch for the writing window (Word, otherwise LibreOffice Writer) and the table of all shortcuts.
  • Report rules – At the top you choose what the rules apply to: generally, or a single examination. Below it the text as a preview, PDF or text file – editable under Modify; Guide opens the instructions for it.
  • Own documents – House standard, report templates and classifications as Word, PDF, RTF or text files – in a folder next to the program, generally or per examination. RAD Reporter passes them to the AI.
  • Literature – PubMed search on or off, number of articles, period, reviews and guidelines only, abstracts, a reference list below the report, the RSNA report template, the societies whose guidelines come first – and a trial field that shows at once what PubMed and RadReport return for a term.
  • Activation – This computer's request code, entering the key, status and expiry date.
  • Licence – The licence agreement in full – as a preview, as a PDF or as a text file.
  • Proxy / network – System proxy, no proxy or a manual address with user and password – for networks behind a firewall. Applies to the AI as well as to PubMed and RSNA RadReport; the password is stored encrypted.
• Right-click the icon in the notification area – opens the dashboard, like a left-click; at its bottom right three image buttons: Save (the dashboard stays open, a short notice confirms), To the desktop (into the taskbar, the Reporter keeps running) and Quit (quits the whole application; if an AI request is running, you are asked first). Only here can you quit – neither the program icon on the bar nor the icon in the notification area offers Quit.

⌨ Keyboard shortcuts

Button	Keys	Function
	Ctrl + Alt + B	Report synthesis – the selected dictation becomes a report
	Ctrl + Alt + K	Report correction – the selected report is only corrected
–	Ctrl + Alt + U	Restore – the text last sent comes back
	Ctrl + Alt + R	Learn from the correction – from the draft and your revised version the AI proposes rules – an assistant guides you in four steps: compare, choose rules, scope, adopt
	Ctrl + Alt + T	Writing program – start or close Word or LibreOffice Writer
–	Ctrl + Alt + F	Release – after proof-reading, remove the Reporter's colour marks; with a separate Word document the same as Release in the release window
	Click the button	Dashboard – settings, archive, study

The same three actions also sit as icon buttons at the top right of the screen. They are there while RAD Reporter is ready; they disappear while it is working and while the settings window is open. Clicking one does not take the selection away from your editor. The bar shows only what is available right now: without an open editor window just the program icon, the Last AI answer button only once there is one (what it does: see the FAQ).

RAD Reporter does not work from a free-form prompt but from a fixed, readable rule set – eighteen ground rules that apply to every report and can be extended or overridden as needed.

A rule set says HOW a report is built. Your own documents say how it sounds in your department: which structure, which phrasing, which classifications. Both go to the AI together.

How this works in detail – caching, excerpt retrieval, the cost per report, the differences between providers and the effect of individual documents – is set out in the technical dossier.

Reports are health data and specially protected. Even after names and numbers are replaced they remain personal data, because rare findings together with age and date can allow conclusions to be drawn. RAD Reporter therefore shows you before every transmission what is sent. Note: the speech recognition of Word and Windows usually runs through the Microsoft cloud; the text leaves your computer before RAD Reporter pseudonymises it.

Review before sending

If the selected text contains personal data, RAD Reporter replaces it before anything leaves the computer – and shows you the result before it goes out.

1. Detect. Before sending, RAD Reporter looks for personal data in the selected text: real names and academic titles, addresses with postcode and town, e-mail addresses, phone and mobile numbers, IBAN, account number, bank code and BIC, credit cards, social security numbers, ID card, passport and driving licence numbers, tax numbers, vehicle registration plates, IP addresses, dates of birth, company register and VAT numbers as well as patient, case and order numbers. Each is replaced by a synthetic placeholder such as [PERSON_1] or [TITEL_1]. In addition a local name model recognises people and companies from context – even a first name on its own or a foreign name. It runs on your computer only, offline. If it is missing, a check against the Windows dictionary flags unknown proper names as suspected. Medical and technical eponyms (such as “Crohn’s disease”, “Bosniak”) and courts are left as they are.
2. Review. If anything was replaced or is suspected, the revised version opens in a separate Word instance – every replacement marked in red. Beside it a small window shows the mapping. You can still correct the text in Word; without Word, RAD Reporter shows it in a window of its own. Beside it is one table (since 3 October 2026): every item with the placeholder it is sent as, its type and what found it. Uncertain items are at the top in yellow; a tick replaces them, removing it puts the original back, a grey tick marks a fixed rule. Whatever you send yellow and unticked counts as harmless from then on and is no longer marked. Right-click remembers “always” or “never”; under “Missed something?” you add a name. IBAN and card numbers count only with a valid check digit, a form of address or role (“Mr”, “client”, “patient”) makes an uncertain name certain, and law-firm and partnership names are replaced as companies. The check also appears when there is only a suspicion.
3. Send – or cancel. Only Send passes exactly this version to the AI; PubMed receives search terms without personal data only. Cancel means nothing is sent.
4. Restore the real data – if you wish. Once the AI answer has arrived, RAD Reporter shows it in a separate Word instance with the real data put back, each item marked in green; you choose Insert real data or Keep placeholders. The mapping never leaves the computer.What the answer for restoring looks likeFor Max Mustermann, born 01.02.1960, a PI-RADS 4 lesion is seen left peripheral …

The program shows both processes under Process on the rules tab as well – with the same click texts; there they can also be saved as an image.

1. 1
   What forGenerally – or choose a single examination.
2. 2
   WriteModify opens Word (otherwise LibreOffice Writer). Rules of other categories can be inherited with a double-click.
3. 3
   KeepYour version stays as regeln_roh.txt – it is never lost.
4. 4
   The AI checksContradictions among themselves AND against the general rule set, plausibility, order – the AI resolves them without inventing anything.
5. 5
   Settle the orderThe AI settles the order in which the parts go out: G general rule set, K rules of the category, U own documents, T your text – T always last. Measures, in this order of priority: 1. the best answer, 2. speed, 3. cost.

   Own documents in the fixed system block: it stays the same and is cached at the provider – faster and cheaper.

   Own documents immediately before the text: closer to the case, but sent anew every time.
6. 6
   Anything changed?The AI says whether it touched anything.

   yes: dossier and protocol are created.

   no: an old dossier is deleted, your version applies.
7. 7
   Dossier and protocolEvery change with its reason – and the settled order. Both stay with the category and can be viewed in Word at any time.
8. 8
   ScopeThe green button on the rules tab decides.

   extends the general rule set.

   replaces it – only these rules apply, plus always the mandatory rules (pathology as a word, no template, no neologisms, no questions back).
9. 9
   In useFor every request the parts go out in the order of the protocol: general rule set, rules of the examination, own documents – your text last.

1. 1
   SelectSelect the text – in Word, LibreOffice Writer, a PDF or the browser. The icon bar sits in the document window in front; floating on the desktop it shows only the main button (since 3 October 2026).

   selected: exactly this passage goes out.

   nothing selected: the whole document goes out.
2. 2
   TriggerCtrl+Alt+B for the report, Ctrl+Alt+K to only correct – or the button on the icon bar.

   document, PDF or browser window in front: the buttons appear in it (no correction in PDF and browser).

   none open: both buttons are hidden.
3. 3
   PseudonymiseNames, titles, dates of birth, patient, case and order numbers, social security numbers, addresses, phone, e-mail, account and ID numbers are replaced on your computer by placeholders such as [PERSON_1]. Findings, measurements and age remain. A local name model also recognises people and companies from context (without it: dictionary suspicion).

   on (default): only the placeholder text goes out – to the AI and to PubMed.

   off (Options): the text goes out unchanged.
4. 4
   Check before sendingIf anything was replaced or is suspected, a separate Word instance shows the version that goes out – placeholders in red, the mapping beside it. One table: every item with placeholder, type and origin; tick = replaced, uncertain items YELLOW at the top – sent unticked, they count as harmless from then on; right-click: always/never.

   Send: the version – corrected in Word if need be – goes out.

   Cancel: nothing is sent.
5. 5
   Literature and templateThe AI derives English technical terms from the pseudonymised dictation; only these go to PubMed – first for guidelines of the societies (EFSUMB, ESUR, ACR …), then in general. The RSNA report template for the exam comes along as a checklist. Literature may be named only from these.

   found: the articles go along – cited, not invented.

   nothing found, switched off or a mere correction: without literature.
6. 6
   Build the requestThe parts go out in the order of the protocol – your text last. Large collections contribute only the fitting excerpts: each excerpt carries its heading, and the search runs on wording and on meaning. A small language model on your machine finds the passage even when you name it differently – ask about poor kidney values and you get the section on filtration rate. Nothing goes online.

   examination replaces: only its own rules.

   examination extends: general rules + its rules + documents.
7. 7
   To the AIStraight to the chosen provider over HTTPS, with your key – it is stored encrypted with Windows data protection (DPAPI). A continuous progress bar with the reporter's emblem shows every step up to the finished answer – provider, model, time; Cancel stops the request at any time, the cancellation is logged and listed as “cancelled” in the archive. As its last rule the AI checks every word for plausibility – in the text it was given as well; ambiguous passages are rendered neutrally and reported as “unclear in the text”. On request (Options, off by default) the word and sense check follows – still with placeholders: fixed spellings, invented words and wrongly used terms. What Windows spell check, the texts sent along and the learned term list do not know, the AI checks in a short extra call; confirmed words are learned, wrong ones replaced at once next time.

   cut off or connection lost: the program continues by itself.

   complete: word and sense check if switched on, then re-insertion.
8. 8
   Real data back?If the answer contains placeholders, a separate Word instance shows it with your real data – the re-inserted details in green.

   Insert real data: this version goes on, corrected in Word if you wish.

   Keep placeholders: the answer stays as it came.
9. 9
   Where to?A read-only document, a PDF or browser window, or the box on the Options tab decides.

   a separate Word document – proof-read, then Release or Cancel.

   in place of the selection.
10. 10
    InsertThe target window is brought back to the front; in Word the answer takes exactly the place of the selected passage. An open editor window receives it as well. If the target window is not really in front, the answer stays on the clipboard with a notice.
11. 11
    ReportThe box on the Options tab decides. The report always appears in front – even when Word is on top.

    on: model, stop reason, tokens, cache, replacements.

    off: just a short notice.
12. 12
    Review and take responsibilityCtrl+Alt+U brings the original back – the answer was a draft.

The steps outlined in amber are decisions; below them you see what happens in either case. The green box is the result.

What defines RAD Reporter is not radiology but the interplay of two things: what you put in, and the rules by which it becomes a text. Both can be carried over to other fields without changing the tool itself.

One installer that brings everything along – install, start, activate, enter your key.

1. Run the installer Run Setup_RAD_Reporter.exe. It brings everything along – the program, the language model for the meaning-based search and the required runtime files –, checks the requirements (Windows 64-bit with .NET Framework 4.7.2, present on Windows 10 and 11; plus Microsoft Word – without Word LibreOffice Writer), shows the licence for confirmation and puts everything into one folder, C:\RAD Reporter by default. No registry or environment entries. If Windows SmartScreen reports an unknown file: the files are not signed – only run what you received through your personal link.
   Details

   • On request it creates shortcuts in the Start menu and on the desktop.
2. Start the program Via the shortcut or Radreporter.exe in the installation folder: RAD Reporter places itself invisibly in the background, puts its icon in the notification area and shows the icon buttons at the top right.
   Details

   • Starting it twice does not create a second instance – it simply brings up the settings of the running program.
3. Activate On first start the Activation window opens. The procedure is described in the next section; without activation the program writes no reports.
4. Enter your API key In the AI provider tab choose a provider and paste your own API key; “Test connection” checks it right away. The key is stored encrypted with Windows data protection (DPAPI) in radreporter.ini next to the EXE (or under %APPDATA%\Radreporter if that folder is read-only).
   Details

   • With Ollama no key is needed: the model runs locally on your machine.
   • Behind a firewall: tab Proxy / network.
5. Optional: start automatically In the Options tab the checkbox “Start automatically at logon” switches autostart on and off: when set, saving writes an entry under HKCU\Software\Microsoft\Windows\CurrentVersion\Run; clearing it removes the entry again. No Windows service is installed. To uninstall, run Entfernen.bat in the installation folder (clear the checkbox first): it removes the program and the shortcuts, your documents and the activation stay.
   Details

   • What remains: radreporter.ini, the folders Unterlagen and Freischaltung in the installation folder and, if used, %APPDATA%\Radreporter with the activation mark and the log – delete them by hand if you wish.

RAD Reporter is activated per machine. This keeps track of where the program runs, and modified copies cannot activate themselves.

1. Read the request code The Activation window (automatic on first start, later in the dashboard, tab Activation) first sums up in a few sentences what the program does – the same text as at the top of this page – and below it shows this machine's code, e.g. RR-AKTIV-XXXXXXXXXXXXXXXX-0. It is derived from a one-way function over the Windows device ID – it cannot be traced back to the machine or to you.
2. Send the code Send request sends the request with your e-mail address straight to the licence server. If that is not possible, Prepare e-mail sets up a ready-made message to the licensor, or you copy the code. What is transmitted is listed below.
3. Enter the key You receive an activation key of the form PCK2-YYYYMMDD-…. Pasting the entire reply e-mail into the field is enough – the key is extracted, even if the mail program wrapped it over several lines. “Activate” checks it immediately.
   Details

   • The key is an RSA signature over exactly this request code. It is valid once and only on this machine; on another machine it is rejected.
   • The program verifies with the public key only – it cannot create an activation itself.
   • The expiry date is taken from the signed key only.
4. After the trial period The first activation is valid for three months and is not extended. Seven days before expiry the program reminds you at start-up. To continue, press Request a licence in the Activation window: it prepares an e-mail with your request code. The payment method is communicated when the request is made. Once payment has arrived you receive the key – for one year with SMART, for one month with FLEX; to renew, simply send the request code again. No reinstallation, settings are kept.
   Details

   • The mark is stored in %APPDATA%\Radreporter\radreporter_aktiv.dat and is bound to the machine: copying it elsewhere has no effect.

RAD Reporter is activated per computer. After the trial you choose the plan that suits you. The payment method is communicated when the request is made. The reference is the request code; an invoice is issued on request.

On top: only the usage-based cost of your provider's AI interface – about EUR 10 a month for 200 reports through the Claude interface. Run locally with Ollama, that cost drops to EUR 0.00.
Please note: All figures on operating and third-party costs – in particular the fees of the AI providers – are estimates based on the information currently available. Provider prices may change, and actual usage depends on how you work. We therefore cannot guarantee the costs actually incurred.

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