Pass 01
Structure
Macroscopic anatomy scan and orientation. Confirms technical adequacy, identifies anatomical variants, and frames the second-look.
Decision support. ChironAI does not produce a finalized read. Every report is reviewed and signed by a board-certified radiologist before it goes to chart. ChironAI does not make a regulatory clearance claim; see Disclosures.
ChironAI CDSRadiology
Chiron runs the read. The radiologist attests the report.
ChironAI radiology is a Chiron-driven diagnostic read that surfaces what a fast pass might miss. Chiron works the study as a structured five-pass review — with explicit cognitive-bias counter-measures, framework selection across roughly thirty-five named frameworks and nine RADS systems, Red-Alert discipline for time-critical findings, and source-cited findings — and hands the radiologist an attestable ten-section draft report, with the reasoning streaming even as the study is being read. The radiologist remains the primary reader, evaluates the surfaced findings, drafts the impression of record, and signs the report before it goes to chart.
Five passes, in orderSection 02
How ChironAI structures the second-look.
Pass 02
Pathology
Subtle-pathology and early-disease pattern recognition. The dense pass — surfaces candidate findings the radiologist evaluates and confirms.
Pass 03
Artifacts
Devices, iatrogenic findings, and imaging-artifact differentiation. Distinguishes "patient" from "tube," "calcification" from "compression artifact."
Pass 04
Missed Zones
Systematic scan of regions commonly overlooked in fast reads — lung apices on chest X-ray, occipital horns on head CT, retrocardiac on chest CT.
Pass 05
Correlation
Cross-window and sequence correlation across the full study. Connects findings across phases and series before the radiologist drafts the impression.
The five passes carry explicit cognitive-bias counter-measures — the read is prompted to work against satisfaction of search, anchoring, and premature closure rather than assume them away. The passes resolve into a ten-section structured report, which the radiologist evaluates and attests.
A read in the product
What ChironAI surfaces to the radiologist.
Each mockup below shows what the system surfaces as decision-support reference. The radiologist’s reviewed and signed impression is the chart-of-record; ChironAI does not produce the report.
ChironAI™ CDSXR · Right tibia / fibula, 2 views
Must review before final
Decision-support output. Clinician review and attestation required before this content is signed into the chart.
AO/OTA42-B2.1Critical
Red-Alert findings
- Open displaced fracture pattern — surgical orthopedics consultation indicated within 6 hours.
Time-critical. Surface to the supervising clinician for action.
Draft report — for radiologist attestation
Spiral oblique fracture of the right tibial diaphysis at the mid-shaft, with mild lateral displacement and angulation. Associated comminuted fragment laterally. Fibular shaft intact.
Pass 02 · Pathology · streaming
Cortical break at the distal tibial metaphysis with a lucent fracture line; adjacent soft-tissue swelling. Checking for a second fracture and for physeal involvement before
Draft report — ChironRadiologist attestsSigned to chart
Negative findings cited explicitly
- No fracture extension to the proximal or distal articular surfaces.
- No evidence of vascular compromise on visualized soft tissues.
- No gas in surrounding soft tissue.
ChironAI™ CDSMRI · Liver MRI with multiphasic Eovist
Must review before final
Decision-support output. Clinician review and attestation required before this content is signed into the chart.
LI-RADS v2018LR-4High risk
Draft report — for radiologist attestation
2.3 cm hypervascular lesion in hepatic segment VII demonstrating arterial-phase hyper-enhancement, portal-venous washout, and capsule appearance. Findings raise concern for HCC; differential includes hypervascular metastasis and hepatic adenoma. Clinical correlation and tumor-marker workup recommended.
78% Bayesian
Negative findings cited explicitly
- No additional hypervascular lesions in the visualized parenchyma.
- No portal vein thrombosis on portal-venous phase.
- No extrahepatic disease in the visualized abdomen.
~35 frameworks, nine RADS systemsA representative selection
The classification systems radiologists already speak.
Around thirty-five named frameworks ship in code, including nine RADS systems. Chiron selects the modality-appropriate framework for the study; the selection below is a representative sample of what it speaks.
BI-RADS
Breast imaging
LI-RADS
Liver lesions
PI-RADS
Prostate MRI
Lung-RADS
Lung cancer screening
TI-RADS
Thyroid nodules
ACR-TI-RADS
Thyroid (ACR variant)
RECIST
Tumor response in solid tumors
PERCIST
PET-based tumor response
ASPECTS
Stroke imaging
AO/OTA
Long-bone fractures
BOSNIAK
Renal cystic lesions
C-RADS
CT colonography
Red-Alert discipline
Time-critical findings, architecturally separated.
Time-critical findings deserve their own surface. ChironAI’s architecture routes them through a separate notification path so they are not buried inside routine reference content the radiologist scans through.
Red-Alert findings are architecturally separated from routine outputs. They surface in a distinct visual treatment, route through a separate notification path, and require explicit acknowledgement before the radiologist closes the read. The must-review-before-final gate still applies on top.
A note to the reader