Experience with implementation of a radiology speech recognition system.

Recent advances in speech recognition technology have allowed development of computer systems for real-time radiologist-driven generation of reports. The transition to a speech recognition system is a technically complex process with many potential pitfalls that can decrease efficiency and disrupt workflow. In our recent experience with installation of such a system in an academic radiology department, factors that have worked against optimal performance have included environmental logistics, hardware incompatibilities, radiology information system interface problems, lack of suitable training, and inadequate technical support. Communication of our experience is intended to allow radiologists to anticipate complications of these systems and make informed decisions regarding the feasibility of such a system in their practices. With this information, potential buyers should be able to carefully scrutinize specifications for prospective systems and, by avoiding many of the possible pitfalls, make an easier transition to a speech recognition environment.