The last mile for radiology AI.
Your workflow. Your templates. Your AI model. Presto makes it work.
Presto integrates AI draft reporting directly into your existing reporting environment — preserving your templates, voice commands, and field structure. No workflow changes. No retraining.
No Workflow Disruption
Presto sits inside your existing reporting environment — no new PACS, no template migration, no change management. Radiologists open the same application they've always used. Presto is already there.
Your Choice of AI Model
Presto is model-agnostic. Whether your group selects an open source model, a commercially available solution, or an internally developed tool, Presto integrates the results seamlessly — recomposing AI output into each radiologist's personal template with fields and voice navigation intact.
Built for How Radiology Actually Works
Designed by practicing radiologists with deep experience in radiology IT. Presto preserves the field structure that makes editing fast — the part that matters most when drafts need refinement.
Common questions
Does Presto work with my reporting system?
Presto is designed to work with any radiology reporting system. We currently support PowerScribe 360, with PowerScribe One and Fluency support coming soon. We continue to expand based on market demand — if your system isn't listed, reach out and let us know.
How does deployment work?
Presto is installed as an application on individual radiology workstations. Our team works with your IT department to integrate output from your AI system into Presto. User authentication and access management are handled through Presto's secure user management system. If your practice doesn't yet have an AI model in place, we can help you get started.
Can radiologists choose whether to use Presto on a given study?
Yes. Presto is entirely optional and radiologist-controlled. They can use it on every study, selectively on specific case types, or not at all — entirely up to them.
Is my data secure?
Presto is HIPAA compliant and runs in a secure, encrypted cloud environment. Before using Presto, an authorized representative from your practice will execute a Business Associate Agreement with HOPPR.
Are you an individual radiologist looking to get started on your own?
Presto offers direct early access for radiologists who want AI-assisted reporting without waiting for a group rollout.