Documentation

How to use radiology
reporting software

Step-by-step guides on radiology report templates, AI voice dictation setup, and how to automate radiology reports with Pisum.

01 Installation

Pisum is a lightweight desktop application designed for Windows. It requires zero complex IT configuration.

  1. Download the latest installer using the link provided in your welcome email.
  2. Double-click the downloaded .exe file.
  3. Follow the on-screen instructions. Administrator privileges are generally not required.
Note on Privacy Pisum operates completely offline by default. Patient data is never uploaded to any cloud server.

02 Using Templates

Pisum comes pre-loaded with 112 expert templates covering 5 modalities (CT, MRI, Ultrasound, X-Ray, Interventional).

Selecting a Template

On the left panel, navigate through the modality folders (e.g., CT > Abdomen-Pelvis) or use the search bar at the top to quickly find a specific protocol.

Custom Templates You can edit any built-in template or create your own by clicking the 'New Template' button. These are saved locally to your profile.

03 AI Voice Dictation

The built-in Sally AI engine allows you to dictate reports hands-free in 23 languages, automatically correcting radiology-specific terms.

  • Click the 🎙️ icon or press F4 to start/stop recording.
  • Select your preferred language from the dropdown menu in the dictation toolbar.

04 Export to RIS/PACS

Pisum is designed to act as a companion tool that easily feeds your existing systems without complex integrations.

Copy-Paste (Recommended)

Click the 'Copy Report' button (or Ctrl+C) once your report is finished. The text formatting is preserved and ready to be pasted directly into your RIS or PACS text editor.

Word Export

Use the 'Export to DOCX' button to save a professionally formatted document, ideal for private clinics handing reports directly to patients.

07 Report Translation NEW · v2.9.8

The Report Translation feature lets you convert any completed radiology report into another language in one click. Clinical terminology is preserved and the report structure remains intact — available on Pro, Expert, and Clinic plans.

How to use it

  1. Open a completed report from your worklist.
  2. Click Translate Report in the toolbar (or use the keyboard shortcut Ctrl+T).
  3. Select the target language from the dropdown (23 languages supported).
  4. Click Translate. The translated report opens in a side-by-side view within seconds.
  5. Review, then export the translated version to PDF or Word as usual.
Original preserved The original report is never overwritten. Translation creates a separate copy linked to the same patient exam — both versions appear in the worklist.

Supported languages

All 23 PISUM interface languages are available as translation targets, including French, Spanish, German, Arabic, Portuguese, Italian, Dutch, Polish, and more.

Plan limits Pro: 100 translations/month · Expert: Unlimited · Clinic: Unlimited. Translation requires an active internet connection.

06 LAN Network Sharing

Available on Expert and Clinic plans. Share the patient database across multiple workstations in your clinic — no internet required, no cloud storage, no extra server to set up.

How it works

All workstations point to a single SQLite database file stored on a shared network folder (NAS, Windows SMB share, or mapped drive). PISUM handles concurrent access automatically using WAL locking. Patient data is encrypted end-to-end with AES-256-GCM before it ever touches the network.

Plan limits

  • Expert — 1 site, up to 3 workstations (same building)
  • Clinic — Multi-site, unlimited workstations

Prerequisites

  • A shared network folder accessible by all workstations in read/write (NAS, Windows SMB share, or mapped drive like Z:\)
  • SMB 3.0 or higher recommended for stable file locking
  • All PCs must be on the same LAN or VPN

Setup — step by step

  1. On your server or NAS, create a shared folder — e.g. \\SERVER\PISUM — and give read/write access to all workstations.
  2. Open PISUM on the first workstation → go to Settings → Local Network (LAN).
  3. Fill in the Network Path (e.g. \\SERVER\PISUM or Z:\PISUM), a unique Workstation ID (e.g. WORKSTATION-01), and your Clinic Name.
  4. Enter a network password (minimum 6 characters). You will use the exact same password on every workstation.
  5. Click Activate. The badge turns ● Connected and the shared database is created automatically on the network folder.
  6. Repeat steps 2–5 on every other workstation — same path, same password, different Workstation ID.
Workstation limit reached? If you see "Max workstations reached", either upgrade to Clinic (unlimited) or open the .workstations.json file in your shared folder and remove the entry for the stale workstation.

Security

  • All patient data is encrypted with AES-256-GCM before being written to the shared folder — the raw database file is unreadable without the key.
  • The encryption key (.enc_network_key) is stored in the shared folder and is itself protected by your network password (PBKDF2-HMAC-SHA256, 600 000 iterations).
  • The network password is never saved to disk — it is only held in memory for the duration of the session.
  • Every access, modification, and export is logged in a GDPR-compliant audit trail with timestamp and workstation ID.

Troubleshooting

  • Badge stays "Disconnected" — verify the shared folder path is correct and accessible from this PC (try opening it in Windows Explorer first).
  • "Wrong password" error — the network password must be identical on all workstations. Re-enter it carefully; it is case-sensitive.
  • Slow or locked database — ensure your NAS or share supports SMB 3.0. Some older NAS firmware versions do not support SQLite WAL locking correctly; update the firmware or switch to a Windows-shared folder.

05 Contact Support

If you encounter any issues not covered in this documentation, our team is here to help.

Open Contact Page →