Slate.MD is a modern PACS and reporting system for teleradiology groups and imaging centers — an on-prem appliance, a browser-only client, and a workflow designed by someone who eats the latency too.
Every value comes from a measurement the radiologist placed. Nothing is computed from pixels. That's a feature.
Legacy PACS make you glue five products together. Slate.MD is the worklist, the viewer orchestration, the dictation, the structured capture, and the report — one system, one browser tab.
Deterministic ordering — STAT, then TAT-breached, then oldest. Turnaround targets and breach states are visible per row, tuned per site.
Hip/FAI radial reformats with manual alpha, center-edge, and version capture flowing straight into the report. More subspecialty modules follow the same pattern.
Every monitor filled, every scroll instant — a workstation-memory cache with honest fidelity tags. One keystroke to a 2×2 MPR with draggable oblique crosshairs; slab thickness and spacing live on the function row, W/L presets on F1–F8. It feels tuned because it is — nightly, on a multi-monitor rig, by the radiologist who reads on it.
Browser mic to on-site speech recognition — your audio never leaves the building. Voice runs navigation and signing: say “sign report” to finalize. Reports configured to push instantly ask for one explicit click first, with a plain warning that release is immediate.
Dictate findings in whatever order you read — Slate routes each utterance to the right organ section as you speak, builds the report in your own template language, and drafts an impression from your findings alone (a fabricated number blocks the draft outright). Radiologists lose ~80 minutes a shift wrestling dictation into a report. This is the workflow that takes them back.
Active problems, meds, recent imaging, and labs pulled from the EHR and summarized with citations back to the source record. Read with the story, not just the pixels.
Four-view hanging by view and laterality, BI-RADS capture with density language, and the MQSA audit statistics your physicist asks for. Diagnostic rendering rides a cleared mammo viewer.
Whole-slide viewing for tumor boards and consults — gigapixel pyramids, micron-true scale bars, the same appliance. Review use; primary-diagnosis pathology has its own clearance path and we say so.
Coronary calcium scoring, vessel centerlines, and LV volumetrics — running today behind an investigational banner while we walk the regulatory path properly. Never in the clinical read.
Software that measures for you is a medical device. Everyone shipping "AI detection" without clearance is selling you their liability. Slate.MD holds a different line: the radiologist defines every axis and reads every measurement — our software provides the reformats, the tools, and the capture, never a determination. Where we do build device-track features, they live behind an investigational banner until they've earned their clearance. Restraint is the product.
On-prem appliance. PHI never leaves your network by default — the subprocessor list is nearly empty on purpose. And the audit log can prove its own integrity.
Admins cannot open studies. Emergency access exists — break-glass with a written reason, a hard expiry, and loud auditing.
AES-256-GCM envelope encryption for sensitive payloads on top of full-disk encryption, with key rotation that doesn't re-encrypt your archive.
Every control mapped to its Security Rule citation in our architecture whitepaper — with implemented vs. planned labeled honestly. Ask for it.
Send us twenty sample HL7 messages before the kickoff call. Our conformance linter returns a gap report — which fields map, which priority codes need translation, what your Z-segments carry — so the interface meeting is a confirmation, not archaeology.
Orders in, results out, with per-site field mapping as configuration — not custom code. Your RIS puts the accession somewhere unusual? That's a setting.
SMART on FHIR launch from the chart with patient context, plus FHIR reads for the clinical summary. Cerner and Meditech follow the same standard path.
The client probes each workstation and picks its rendering strategy — full client volumes on a workstation, appliance-side rendering for thin clients — with the reasons shown on the diagnostics page.
Incumbent PACS pricing is a ransom note with a renewal date. Ours is a page. Final numbers land with your study volumes on one call — and design partners lock their rate for the duration.
Twelve months, roughly half of intended list locked for two more years, a weekly thirty-minute call, and a product shaped around how your group actually reads. If you own a teleradiology group or imaging center and your PACS is the thing everyone complains about — talk to us.
hello@slatemd.io