AI scribe and clinic software for radiology and private imaging clinics

What wai drafts in radiology, and what it leaves alone

Be plain about the report. A diagnostic radiology report is written at a reporting workstation, and the Royal College of Radiologists' reporting standards, in a third edition published in October 2025, set out what that report must do, from clear, specific recommendations to communicating clinically important incidental findings.¹ wai does not write into a reporting system and does not read images. An ambient scribe records a conversation, and reporting is not one.

The conversations are where it fits. The same standards say interventional radiology reports should include aftercare instructions and the need for follow-up, and that where local practice is not to take written consent, the verbal consent and the complications discussed should form part of the report.¹ Those are spoken things. In an interventional radiology clinic, wai drafts the note in the clinic's template, symptoms and scores, imaging as the radiologist described it, suitability, options, decision and plan, and records the consent discussion in the words used. The signed note copies as plain text into any other system.

wai suggests ICD-10 and SNOMED CT codes from the clinic note, each beside the line of the consultation it rests on, for the radiologist to confirm. Typical WHO ICD-10 codes in a private interventional and imaging practice are N40 for hyperplasia of prostate, D25.9 for leiomyoma of uterus, unspecified, I86.1 for scrotal varices, R91 for abnormal findings on diagnostic imaging of lung and R92 for abnormal findings on diagnostic imaging of breast. In ICD-10-CM in the US, prostate enlargement splits into N40.0 and N40.1 depending on whether there are lower urinary tract symptoms. Procedure codes for embolisation or biopsy, CPT in the US and OPCS in the UK, stay with the clinic's coder.

Letters, referrals and results in an imaging clinic

The RCR standards point to NHS England's recommendations on patient access, under which the referrer who requested a test is responsible for reviewing, acting on and communicating the result.¹ A private imaging clinic sits on both sides of that line, taking referrals from consultants and GPs and, for interventional work, becoming the treating team. wai drafts the letters on the treating side, a letter to the patient with copies to the referrer and GP after a clinic visit, a letter after a procedure with aftercare and who to call, and a referral letter onward when a finding needs another specialist.

Referrals coming in matter as much. Under the Ionising Radiation (Medical Exposure) Regulations 2017, the referrer must give the practitioner enough medical data, such as previous diagnostic information or medical records, to decide whether an exposure has a sufficient net benefit.² Those rules govern X-ray, CT, fluoroscopy and nuclear medicine in the UK, and not MRI or ultrasound. Referrals that arrive by email or web form land in the patient's thread, and wai drafts the reply asking for the missing clinical question or previous imaging, for a person to approve before a slot is offered. The referral letter covers what a good one carries.

Results explained. When the referring clinician or the radiologist adds a comment to a finished report, wai sends it to the patient with that comment and a plain explanation, held for a person to approve. The RCR suggests that any report a patient views tells them it has gone to the referring clinician and that questions go to that clinician.¹ The explanation sits beside the report and never rewrites it.

Consent and results in the patient's own language

wai works in 60 languages, among them English, Arabic, Spanish, French, Portuguese, Italian, Russian, Polish, Turkish, Urdu and Mandarin. English can be mixed in one consultation with Spanish, French, Portuguese, Russian, Italian, Dutch, German, Hindi or Japanese, and the other languages are captured in that language. The signed note is written in English for the record, or in another language the clinic chooses, and the patient's summary can be translated into their language beside it, with crisis and emergency numbers kept exactly as written.

In radiology that matters most at two moments, the consent conversation before a procedure and the explanation of a result. A patient deciding on embolisation needs the risks in the language she thinks in, and the translated summary beside the English note gives her the aftercare and the number to call. In a systematic review of 33 studies, 76% found at least one outcome better when patient and physician shared a language other than English.⁶ Multilingual consultations shows how capture works in practice.

Clinic software for radiology clinics, from referral to result

A private imaging clinic is a scheduling business with clinical rules. Referrals arrive by email, web form, phone and WhatsApp, self-pay patients ask for prices and slots, and every scan needs the right preparation. wai Admin puts all of it in one thread per patient and drafts each reply in the clinic's voice for a person to approve. Booking links read each radiologist's calendar in Google, Outlook or Apple, cancellations backfill from the waitlist and reminders go out before each appointment.

Payments run through the clinic's own Stripe account, with deposits for self-pay scans and procedures, invoices, payment links and insurer invoices for policies that cover imaging. Before each interventional clinic visit, the radiologist sees a sourced brief of the patient, each fact traced to the referral, letter or result it came from. After a procedure, the signed plan goes home in plain words and each follow-up scan and referral is tracked until it is done, and recalls go out for surveillance imaging, each message approved by a person.

In the UK, blood tests before contrast or a biopsy can be ordered and returned through TDL. wai does not connect to imaging systems or scanners, so images and reports stay where they are. More is on the clinic management software page.

One interventional radiology clinic visit, start to finish

Take a 68-year-old man referred by his urologist to a private interventional radiology clinic to discuss prostate artery embolisation. He has two years of poor stream and gets up three times a night, tablets have not helped enough, and he wants to avoid surgery. NICE says patient selection for this procedure should be done by a urologist and an interventional radiologist.³ The radiologist reviews his MRI with him, records his symptom score, explains the procedure, the expected benefit, the risks she names and the alternatives, and he asks how soon he can travel afterwards.

The draft lands in the interventional template. It holds his symptoms, the symptom score, the prostate volume as the radiologist read it from the MRI, his medicines including tamsulosin, suitability, the options discussed and a consent discussion section listing each risk she named and his questions. wai suggests N40 beside the line it rests on. The radiologist corrects the prostate volume, which the draft gave as 18 ml rather than 80 ml, adds the plan for his anticoagulant before the procedure, confirms the code and signs.

Two letters go out. A letter to him, copied to his urologist and GP, explains the plan, the preparation and the aftercare in plain words, and a short letter to the urologist records the joint decision. The front desk sends a booking link for the procedure date, raises the deposit through Stripe, orders his kidney function test through TDL and sets a recall for the 3-month follow-up clinic, each message approved by a person. The procedure report itself will be written in the reporting system, as it always was.

The evidence behind wai's method

The note is one part of the day the evidence measures. In a randomised trial of 238 outpatient physicians across 14 specialties at UCLA Health, the ambient scribe with a significant effect cut the time spent writing each note by about 41 seconds, against 18 seconds in usual care.⁵ wai is built on that finding, so it takes on the letters, the replies, the bookings and the follow-up as well as the note.

Radiology's own standards set the line wai keeps to. The RCR asks that interventional radiology reports carry aftercare instructions and, where consent is verbal, the consent and complications discussed, and that a patient reading a report is directed back to the referring clinician.¹ wai drafts those spoken parts for a clinician to sign and leaves the diagnostic report to the radiologist.

A draft stays a draft until a person signs it. The Academy of Medical Royal Colleges says the clinician checks every document a scribe produces.⁴ wai holds every draft until the radiologist signs it, and every reply until a person at the clinic sends it.

Measured in a working clinic. At The Wellness in London, which runs on wai every day, every clinician has 15 hours a week back, as published in the customer story.⁷

Where to start

Start with the interventional clinic of one radiologist. Load the clinic's template for new patient visits, with fixed fields for imaging reviewed, options, risks discussed and decision, and run it for two weeks. Count corrections to measurements and risks, and time the gap from the end of clinic to signed letters.

Then switch on the front desk for referrals, deposits and reminders, and add results explained for the scans your clinicians already comment on. Read medico-legal risk before using drafts in consent, see the referring side on the urology page, and browse every specialty on the specialties hub. The scribe itself is on the clinical page.

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