Dragon Copilot at RSNA 2025
Introducing Dragon Copilot, your AI companion for PowerScribe One
For radiologists, the reporting workflow of the future is here. At RSNA 2025, in Chicago, we’re showcasing Dragon Copilot, a cloud-native companion for PowerScribe One. Currently in preview, Dragon Copilot builds on the trusted capabilities of PowerScribe One to accelerate innovation and modernize reporting workflows while unlocking extensibility for radiology teams and partners.
Why we built it: Technical drivers for a new era
With growing demand for imaging services coupled with a workforce shortage, healthcare professionals face increased workloads and burnout while patients experience greater wait times. With our breadth of healthcare industry experience combined with our AI expertise and development at Microsoft, we immediately understood how we could help address these challenges. For radiologists, we sought to plugin into existing reporting workflows with rapid innovation, scalable AI, and open extensibility.
How we built it: Modern architecture and extensibility
By delivering Dragon Copilot as cloud-native solution built on Azure, we can enable new services globally. We apply the full capabilities of Azure for compute, storage, and security for high availability and compliance. Our modular architecture enables fast delivery of new features with APIs at the core to allow seamless integration, extensibility, and partner innovation. To imbue the workflow with AI through our platform, we harness the latest generative, multimodal, and agentic AI (both internal and through our partners) to support clinical reporting, workflow automation, and decision support.
Key architectural highlights:
- AI services: Integrated large language models (LLMs) and vision-language models (VLMs) for multimodal data processing.
- API-first design: RESTful APIs expose core functions (draft report content generation, prior summarization, quality checks and chat) enabling partners and developers to build extensions and custom workflows.
- Extensibility framework: Open platform for 1st- and 3rd-party extensions, supporting everything from custom AI models to workflow agents.
Inside the innovation
Dragon Copilot alongside PowerScribe provides a unified AI experience. Radiologists can take advantage of the latest AI advancements without disruption to their workflows. They do not need another widget taking up room on their desktop. Instead, they need AI that fits seamlessly into existing workflows connecting their data to the cloud. Our cloud-first approach brings increased reliability, stability, and performance to a radiologists’ workflow.
I’m thrilled to highlight the key capabilities of this dynamic duo: PowerScribe One with Dragon Copilot.
- Prior report summary: Automatically summarizes relevant prior reports, surfacing key findings, and context for the current study.
Prior report summary - AI-generated draft reports and quality checks: The most transformative aspect of Dragon Copilot is its open, extensible architecture for AI integration. We don’t limit radiology teams to a single set of AI tools. We enable seamless plug-ins for AI apps & agents from both Microsoft and our growing ecosystem of 3rd-parties. We provide a single surface for all your AI needs. This approach will enable radiology departments to discover, acquire, & deploy new AI-powered extensions. We’re enthusiastic about embarking on this journey with partners. We're also excited about collaborations with developers and academic innovators to bring their own AI models and services directly into the Dragon Copilot experience.
AI draft report content
- Integrated chat experience with credible knowledge sources and medical safeguards: This chat interface connects radiologists to credible, clinically validated sources from Radiopedia and Radiology Assistant. It enables agentic orchestration and safeguards provided by Azure's Healthcare Agent Services for PHI and clinical accuracy. In the future, we expect to have a variety of other sources for radiology customers to choose from as well as the ability for organizations to add their own approved policies and protocols. This chat is designed to route questions to the right agent, provide evidence for claims, and filter responses for clinical validity. Over time, it will include extensions with custom agents powered by Copilot Studio.
Chat with creditable sources
Help us shape what’s next
As we continue to evolve Dragon Copilot alongside PowerScribe One, we invite innovators, developer partners, and academics to join us in shaping the future of radiology workflow. Dragon Copilot is more than a product; it’s a solution for rapid, responsible innovation in radiology. By combining cloud-native architecture, advanced AI capabilities, and open extensibility, we’re enabling radiology teams to work smarter, faster, and with greater confidence.
Ready to see it in action? Visit us at RSNA 2025 (November 30–December 4), booth #1311 South Hall. Or contact our team to join the journey.
Introducing Dragon Copilot, your AI companion for PowerScribe One, click to view
Microsoft