Evidence-based utilization review and AI-drafted radiology reports — reviewed and signed by board-certified radiologists. Built for the future of diagnostic medicine.
ApertureAI was founded by a board-certified radiologist and Kellogg MBA with deep experience in FDA-cleared medical AI devices. We know the reporting stack, the regulatory landscape, and what clinicians actually need.
Every decision pathway is grounded in ACR Appropriateness Criteria and clinical evidence. No black boxes — radiologists review every AI-generated draft before it reaches the record.
Our decision-tree engine guides ordering physicians through evidence-based imaging selection — reducing unnecessary studies, cutting costs, and improving patient outcomes.
AI-generated draft reports for the modalities covering ~80% of clinical volume: CT Head, CT Abd/Pel, CTA Chest, CXR, and Bone X-Rays. Radiologist-signed. Always.
Designed to integrate with existing PACS and RIS infrastructure. Compatible with PowerScribe, Fluency, and SynthOS reporting environments. Proven hospital relationships.
Actively developing utilization review tools for Canada Health's diagnostic imaging ordering system — reducing wait times and improving resource allocation nationally.
Built with FDA Class I/II device experience and HIPAA/PIPEDA compliance in mind. We know the regulatory path — and we've walked it before.
Founder & Chief Radiologist
Triple board-certified radiologist with an MBA from Kellogg School of Management (Northwestern). Former CEO of a medical AI company with an FDA-cleared Class I device. Has trained thousands of radiology residents. Holds approved privileges at multiple hospital systems — the deployment network is already built.
Two tools in one: evidence-based imaging order review and AI-generated report drafting.
Answer clinical questions below to receive an evidence-based imaging recommendation. Powered by ACR Appropriateness Criteria.
Acute high-acuity headache presentations (thunderclap, focal neuro deficit, meningismus <72h, head trauma with LOC) require immediate non-contrast CT Head to exclude hemorrhagic stroke, subarachnoid hemorrhage, or mass effect.
70450 — CT Head/Brain Without Contrast
Subacute or evolving neurological symptoms with clinical concern benefit from MRI for superior soft tissue resolution, evaluation of white matter pathology, and mass lesion characterization.
70553 — MRI Brain With & Without Contrast
Chronic stable headaches without red flags (thunderclap onset, new focal deficit, fever, papilledema, immunocompromised, age >50 with new pattern, trauma) have very low yield for imaging. Clinical management and reassurance are appropriate first-line.
High clinical suspicion for PE (Wells ≥2 + positive D-dimer) or aortic dissection requires CTA Chest for definitive vascular evaluation. Time-sensitive — delay increases mortality.
71275 — CTA Chest With Contrast (PE Protocol)
Chest radiograph is the appropriate first-line study for suspected pneumonia and general cardiopulmonary evaluation. Low cost, low radiation, widely available.
71046 — Chest X-Ray PA & Lateral
CT Abdomen/Pelvis with IV contrast is the workhorse for acute abdominal evaluation, appendicitis workup, and renal colic (consider without contrast for stones).
74177 — CT Abd/Pel With Contrast74178 — CT Abd/Pel With & Without Contrast
RUQ ultrasound is first-line for suspected biliary pathology (cholelithiasis, cholecystitis, biliary dilation). No radiation, no contrast, highly sensitive for gallbladder disease.
76700 — US Abdomen Complete
Plain radiography is the appropriate first-line study for suspected fracture, arthritis evaluation, and acute MSK trauma. Low cost, low radiation, immediately actionable.
73030 — Shoulder 2 views | 73562 — Knee 3 views | 73600 — Ankle 2 views
MRI is superior for soft tissue evaluation (ligaments, tendons, cartilage, menisci). Should be preceded by plain X-ray unless acute soft tissue injury with specific surgical planning need.
MRI is now the preferred modality for osteomyelitis evaluation (superior sensitivity/specificity). Bone scan (Tc-99m) is an alternative when MRI is contraindicated.
Major/polytrauma requires rapid whole-body assessment. Pan-scan protocol (CT Head, CT C-Spine, CT Chest/Abd/Pel with contrast) provides comprehensive evaluation in minutes.
70450 + 72125 + 71250 + 74177
Select a modality and clinical context below. ApertureAI will generate a structured draft report — ready for radiologist review and signature.
Select a modality and click Generate to see an AI-drafted report
Whether you're a hospital system, imaging center, or health authority — let's talk about what ApertureAI can do for you.
Hospital systems, imaging centers, health authorities, and EHR vendors welcome.
Currently developing utilization review tools for Canadian diagnostic imaging ordering.
Limited pilot slots available. Radiologist-supervised deployment at your facility.