Radiologists and radiology groups looking for AI to help write reports often compare Rad AI and RADPAIR. Both let a radiologist speak findings in plain language and use generative AI to build the structured report and the impression, the summary at the end of a report. Rad AI, founded in 2018 by radiologist Jeff Chang and Doktor Gurson, sells to large practices and health systems, including 9 of the 10 largest U.S. radiology practices. RADPAIR, a Knoxville, Tennessee company founded by radiologist Avez Rizvi, offers individual radiologists a free trial and is the main reporting partner of Intelerad, a large maker of radiology imaging software.
Radiology groups that track report turnaround and want consistent impressions and follow-up recommendations
Groups with no radiology IT staff to own changes to the reporting workflow
Individual radiologists and small groups who want to try generative AI reporting with a free trial
Buyers who need independent studies of time savings
| Axis | Rad AI | RADPAIR |
|---|---|---|
| Trying it before you buy | Bought through an enterprise contract quoted by site or study volume. | Stronger A free 7-day trial covers 20 reports with no credit card, then pay-as-you-go credits. |
| Record at large practices | Stronger Works with 9 of the 10 largest U.S. radiology practices and more than 11,000 radiologists. |
Early users, plus Intelerad choosing RADPAIR as its main reporting partner in May 2025. |
| Proof of time saved | Stronger Reporting and follow-up outcomes score 8.0. |
Reporting time outcomes score 6.4, because the 30 to 40 percent time savings come from the company and early users, with no published studies. |
| Dictating in plain speech | Similar Rad AI Reporting lets radiologists speak naturally while the AI fills templates and carries forward unchanged findings from prior reports. |
Similar Radiologists speak without dictating punctuation, and its Wingman feature takes spoken requests to edit the report. |
| Tools beyond the report | Stronger Rad AI Continuity finds follow-up exams recommended in reports and tracks them until they are done. |
PAIR Insights pulls guidelines from Radiopaedia, a free radiology reference site, into the report on request. |
| Getting radiologists live | Scores 7.2 for fitting into the PACS and the RIS, the system that schedules and tracks radiology exams. | Stronger Getting radiologists live scores 7.5, since it runs in a web browser. |
| Knowing what you will pay | Similar Enterprise quote by site or study volume, with no public list price. |
Similar The free trial is published, but credit prices after it were not listed when checked. |
“We implememted RadAI about 60 days ago. So far so good, though the admin tools need enhancement.”
daves1243b · r/Radiology · · source
“RadAI demos really nicely but I share the concerns re how data is used.”
Apfelwein · r/Radiology · · source
“Saw a demo and looked promising. Doesn't seem quite ready for primetime, including workflows equivalent to PowerScribe for residents.”
helveticaistheone · r/Radiology · · source
“There are some big name rad groups using it and some PACS are incorporating it as their white box reporting platform, so it must be OK, just our demo was lacking.”
radCIO · r/Radiology · · source
Rad AI is for a large radiology practice or health system that wants AI reporting from a vendor with many large customers, and that will track turnaround and how much its radiologists edit the AI's text. RADPAIR is for a radiologist or small group that wants to try generative AI reporting this week at low cost, or for a practice that runs Intelerad systems.
Walk away from both if your radiologists will not review and sign every line the AI drafts. Walk away from RADPAIR if you need independent studies of time savings before you buy. Walk away from Rad AI if no one in radiology IT can own the changes to your reporting workflow.