AI X-ray and MRI analysis for chiropractors
Upload a film, a DICOM from an imaging CD, or an sEMG / range-of-motion device report. Get structure-by-structure observations organized by anatomy — drafted for your review, corrected on your word, and signed by you before anything reaches the chart.
ChiroScribe drafts structured X-ray and MRI observations for chiropractors: findings by vertebral level, clinical correlation, impressions, and recommendations. Every read is a draft. If something looks off, you request a second read and explain why. Nothing enters the SOAP note, treatment plan, or patient report until you confirm it.
What ChiroScribe reads
Films and DICOM from an imaging CD get structure-by-structure observations. Surface EMG and range-of-motion device reports get an attribution-first, descriptive read. Combined narratives cover confirmed X-rays or confirmed MRIs — one modality per report — after you sign those reads.
X-rays and DICOM
Drag .dcmfiles straight from an imaging CD. ChiroScribe converts them and pulls the metadata — modality, body region, view — so the read starts from the right context. Up to 20 images in one batch, each read independently and filed to the patient's imaging gallery.
MRI, sequence by sequence
MRI review is sequence-aware and organizes observations by sequence, then groups findings across every image in the same study — so you get one coherent picture instead of a stack of unrelated reads.
Clinical studies — sEMG and ROM device reports
Upload a surface EMG or range-of-motion device report as a PDF or a photo of the printed report. ChiroScribe produces an attribution-first, descriptive read — never a diagnosis. Study reads stay out of active treatment plans until a provider has reviewed them.
The read is a draft. You are the reader.
AI-drafted observations are meant to support, not replace, your professional review. Nothing changes in the chart until you accept it.
Confirm the read
Every AI-drafted read carries an unreviewed state until a provider works through the structure-by-structure checklist and signs it. The record then shows Reviewed and confirmed by {provider} on {date}. If the analysis changes afterwards, the confirmation goes stale and asks to be signed again — a signature never silently covers a read the provider didn't see.
Correct & Re-read
Something looks off? Say what — a missed finding, a wrong level or side, a positioning problem — and ChiroScribe re-examines the entire image with your concern in hand. It comes back with the proposed read and a verdict on your concern: supported, not supported, or indeterminate. It is not built to agree with you. A "not supported" is the system doing its job.
Only accepted findings leave the imaging screen
Your current read stays the read of record while you compare it against the proposal, side by side. Accept and the prior version is preserved in revision history; keep the current read and the proposal has no effect. Only what you accept becomes available to SOAP notes, treatment plans, and patient reports.
One narrative across every confirmed X-ray — or every confirmed MRI
Individual reads are useful. A case needs a story. ChiroScribe pulls the confirmed findings across a patient's confirmed X-rays, or across a patient's confirmed MRIs, into a single narrative — one modality per report, not both together. Export it as a Word document: a standard variant for the chart, or an attorney variant for the file. Clinical studies (sEMG and ROM) are not included in this combined report.
It fails closed.
If the narrative would come back truncated or empty, ChiroScribe produces nothing rather than handing you a report that stops mid-finding. You will never sign a half-written impression without knowing it.
A record that survives review
When an adjuster, an IME reviewer, or opposing counsel opens the file, what holds up is not that the observations were thorough. It is that the chart shows who read the image, when they confirmed it, what changed, and why. ChiroScribe keeps all four: the named signature with its date, the full revision history of every proposed and accepted read, and the provider decision attached to each one.
- 1WhoNamed provider
The chart records which provider signed the read — not an anonymous confirmation.
- 2WhenConfirmation date
The signature carries the date it was given, so a later reviewer can see the timeline.
- 3What changedRevision history
Every proposed and accepted read is kept. Prior versions are preserved, not overwritten.
- 4WhyDecision recorded
The provider decision is attached to each revision, so the file shows why the read stands.
Re-attestation required if the analysis changes.
How a read works
Upload, review, correct, confirm. The imaging stays a draft until you sign it.
Upload the imaging
X-ray, MRI, DICOM from a CD, or an sEMG/ROM device report — up to 20 images at a time.
Review the draft observations
Structure by structure, organized by anatomy, referenced against the framework your case type calls for.
Correct anything that looks off
On an X-ray or MRI, request a second read, explain your concern, and compare the current and proposed reads side by side.
Confirm and file
Sign the X-ray or MRI read. Confirmed imaging findings flow into SOAP notes, treatment plans, and the combined narrative for that modality. sEMG and ROM study reads stay out of active treatment plans until a provider has reviewed them.
Built for auto-accident and personal-injury cases
Tag the patient's case type and the review framework follows. Auto-accident and PI cases use a Foreman & Croft-informed review checklist — the standard reference for acceleration/deceleration injuries — and the provider confirms every item. Standard chiropractic cases reference Yochum and Rowe. Either way the framework is applied consistently across every image in the case, and the attorney-variant report is one click from the chart.
Auto-accident practice workflowFrequently asked questions
Can AI analyze chiropractic X-rays and MRIs?
Yes. ChiroScribe produces AI-drafted imaging observations for chiropractors — findings by vertebral level, clinical correlation, impressions, and recommendations — from X-rays, MRIs, and DICOM files. You can also upload an sEMG or range-of-motion device report as a PDF or a photo of the printout for a structured, attribution-first read. The observations are a draft for provider review, not a diagnosis. The provider confirms the read before it becomes part of the record.
What happens if the AI gets an imaging finding wrong?
Use Correct & Re-read. You describe what looks off — a missed finding, a wrong level or side, a positioning problem — and ChiroScribe independently reassesses the entire image, then reports whether your concern is supported, not supported, or indeterminate. Your current analysis stays in effect until you accept the revision.
Does explaining my concern force the AI to agree with me?
No. The second read is independent. ChiroScribe reassesses the whole image and evaluates the evidence rather than confirming the request, which is why "not supported" is a possible outcome. A not-supported result protects the record from an unsupported change to a clinical document.
Who signs off on an AI-generated imaging read?
The provider does, and the chart records it. Once a provider works through the structure-by-structure checklist and confirms the read, the record shows who confirmed it and when. If the analysis later changes, the prior confirmation goes stale and a fresh signature is required before the read counts as reviewed.
Does an AI-assisted imaging report hold up for a personal injury case?
What holds up is the record behind it. ChiroScribe keeps the named provider confirmation with its date, the full revision history of every proposed and accepted read, and the provider's decision on each one. The clinical interpretation remains the provider's, and the file shows exactly who made it and when.
Can ChiroScribe read an sEMG or range-of-motion report?
Yes. Upload the PDF or a photo of the printed sEMG or range-of-motion device report. ChiroScribe produces a structured, attribution-first read — descriptive of what the device documented, never a diagnosis. Study reads stay out of active treatment plans until a provider has reviewed them.
Can I produce an imaging narrative for an attorney?
Yes. ChiroScribe combines the confirmed findings across a patient's confirmed X-rays, or across a patient's confirmed MRIs — one modality per report, not both together, and not including clinical studies — and exports it as a Word document, in a standard variant for the chart or an attorney variant for the file. Only findings the provider has accepted are included.
Can I upload DICOM files from an imaging CD?
Yes. Drag `.dcm` files in directly. ChiroScribe converts them and extracts the metadata — modality, body region, and MRI sequence — so the read starts from accurate context. You can upload up to 20 images in a single batch.
Is imaging analysis included in my plan?
AI X-ray and MRI analysis is included on the Practice plan ($299/month, up to 5 providers) and Enterprise. It covers imaging uploads, AI-drafted observations, provider-guided second reads, read confirmation, and combined imaging reports. Practice owners and providers can request re-reads.
Will an imaging finding change my SOAP note automatically?
No. Only findings you explicitly accept become available to SOAP-note generation, treatment plans, and patient reports. A proposed revision has no downstream effect while it is under review, and the read of record does not change until you accept it.
Start your free trial
SOAP notes, imaging reads, treatment plans, superbills, scheduling — review stays with you. Try ChiroScribe free for 21 days.
Start Free Trial21-day free trial. No credit card required. Cancel anytime.