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Physician-focused innovation to remove work,
not just move it

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Fluency for Imaging

The agentic AI platform that serves as the control plane for enterprise imaging.
Built on trust to drive efficiency, improve quality and reduce cognitive burden.

Proven enough to trust. Innovative enough to lead.

80M+

Reports per year

10K+

Radiologist users

250+

Clients globally

150+

Migrations from
competitive products

Best in KLAS - Speech Recognition: Front End Imaging

#1 Best in KLAS Speech Recognition: Front-End Imaging (2026 to 2022)

The agentic AI platform that serves as the control plane to connect systems, workflows, findings, AI inputs and more, with the radiologist at the center and in full control.

Built for trust and designed for focus, Fluency for Imaging drives efficiency without compromising quality to reduce the cognitive burden on radiologists. With personalized agentic workflows such as Jacobian Impressions, Synthesis, Nudges, Guidance and more, Fluency for Imaging delivers what you need today and what you'll want tomorrow.

Fluency for Imaging

What our clients have to say

"The problem with AI in the past has been that it was one more thing the radiologist had to look at or dismiss. With Jacobian, it's acting more as an assistant."

Dr. James Busch
Radiologist, PrimeImaging

"From a flexibility and voice recognition standpoint, Fluency is our dictation system of choice. It's a slam dunk if we had to choose."

Dr. Weston Tyler Winkler
Diagnostic Radiologist and Partner, Abercrombie Radiology

"It's like someone read my mind and designed the perfect automated assistant for creating my report."

Dr. Seth Berkowtiz
Medical Director of Radiology Informatics, Beth Israel Deaconess Medical Center

"It's easy to focus on new features, but the core of it is that Fluency for Imaging has by far the best voice recognition accuracy of anything that we've used. We have many radiologists that work with competing products on a regular basis and they always say it's a relief to come back to our practice because we use Fluency for Imaging."

Dr. Yeang Chng, MD, PhD
Spectrum Healthcare Partners / Northern Light Health

"Fluency for Imaging was adapted to meet the precise reporting requirements of our national central lung screening registry. Its ability to incorporate AI findings directly from PACS into the report was essential to making lung screening efficient and feasible. This integration significantly improved productivity, allowing a straightforward baseline study to be reported and signed off in significantly less time."

Dr. Stefan Khosh
Radiologist, Lake Imaging Australia

"What sets Jacobian Fluency for Imaging apart is that it brings scalable AI innovation across proven reporting workflows without losing foundational values that are mission critical for us - unparalleled speech accuracy, enterprise-level reliability and exceptional client responsiveness. It's no wonder it continues to be the undisputed industry leader for so many years."

Dr. Zahir Momin
Radiologist, VIP Imaging

News and blogs

Our solutions

Why Jacobian

Connected
Ecosystem

An open platform that integrates with existing systems, streamlining workflows and optimizing data interpretation.

Contextual
Understanding

Disease-specific models automate tasks, improving efficiency and report quality while reducing cognitive load.

Intelligent
Assistance

AI that enhances your expertise, adapting to each user and case for faster, more informed workflows.
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Collaborative
Partnership

Dedicated support and proactive communication for seamless adoption and long-term success worldwide.

Responsible
Innovation

Safe, transparent AI with built-in guardrails, ensuring reliability and compliance with global standards.