Building on that foundation, a growing community of customers and partners are fueling rapid innovation by fine-tuning new models, deploying AI applications, and developing specialized agents that expand what’s possible across the diagnostic imaging ecosystem. This momentum is shaping the next era of radiology—one defined by continuous innovation, open collaboration, and powerful new ways to connect insights from image to action.

Listening first: How customer feedback shapes every innovation

For decades, PowerScribe has been built alongside radiologists, grounded in real-world workflows and shaped by continuous feedback and close clinical partnerships with healthcare organizations across the country. This approach, building with radiologists and grounding innovation in real-world use, is fundamental to how we design and evolve our solutions, especially when it comes to performant AI. Those insights directly shaped how we evolved to PowerScribe One, where preserving the workflows and integrations that teams rely on while introducing a more modern, cloud-enabled experience designed for what comes next.

We’ve invested in dedicated voice-of-customer programs and teams whose sole focus is to continuously gather feedback. From advisory boards, clinical partnerships, and real-world usage, we translate those insights directly into our roadmap. This isn’t a one-time input; it’s an ongoing loop that ensures the capabilities we deliver reflect the evolving needs of radiologists across a wide range of environments.

That’s why we partner closely with organizations like University of Rochester Medical Center (URMC), St. Luke’s University Health Network (St. Luke’s), along with many others, through early preview programs ahead of general availability, so they can guide how innovation needs to be integrated. By embedding structured preview and validation stages into our development cycle, we align our releases with customer readiness, continuously refining based on real-world feedback. The result: technology that not only pushes boundaries, but prioritizes the workflow and overall customer experience.

Ultimately, it’s this approach, continuous collaboration grounded in the day-to-day realities of radiology, that gives us confidence in how we are shaping the future of the reporting workflow. This foundation makes these customer stories not just possible, but repeatable at scale.

PowerScribe One serves as the foundation for what’s next

At URMC and St. Luke’s, trust in PowerScribe One began with confidence in a cloud-based foundation designed to scale and integrate seamlessly into the radiologist’s workflow. For URMC, moving to the cloud was essential to unlock advanced AI capabilities that improve efficiency and provider satisfaction amid rising volumes and increasing cognitive demands. At St. Luke’s, modernization with cloud capabilities was equally strategic, enabling innovation while maintaining continuity and trust across the enterprise.

Our partnership and deep engagement model with URMC and St. Luke’s are reinforced at scale: today, more than 10,000 radiologists across 250+ organizations have migrated to PowerScribe One, generating millions of reports every week, across environments ranging from large Integrated Delivery Networks (IDNs) and academic medical centers to independent reading groups. That experience shaped a clear understanding of how to bring AI into the reporting workflow—not as a separate tool, but as a capability embedded directly where radiologists work, without introducing additional steps or fragmentation.

Both organizations are realizing real outcomes through PowerScribe One and its AI features, including generated draft impressions personalized to each radiologist that support improved efficiency and report quality.

“We chose PowerScribe One so we could really take advantage of cloud-based reporting. It gives our radiologists built‑in AI, excellent speech recognition and personalized impressions, making it easier to keep up with increasing demands while continuing to deliver great patient care. Microsoft has been with us every step of the way, staying responsive and supportive through implementation, go‑live and ongoing adoption. We will continue this partnership to continue to improve our workflows and efficiency.”

Robert Fournier, MD, Chairman of Radiology, St. Luke’s University Health Network 

At URMC and St. Luke’s, generated draft impressions were widely adopted because the feature works natively inside the reporting workflow—helping ensure key findings are pulled from the report and summarized in the impression section, reinforcing radiologists’ confidence in their report quality.

The ongoing adoption of PowerScribe One and its draft impression capabilities reflects a broader principle: when AI is fully integrated into the workflow, it enables radiologists to deliver more consistent, efficient, and high-quality reports without disrupting how they work.

Extending AI in the reporting workflow with Dragon Copilot

Now, URMC and St. Luke’s are extending these capabilities with Dragon Copilot, building on PowerScribe One to introduce intelligent summarization and automation directly within the reporting experience. Both organizations are actively leveraging prior report summarization, a feature within Dragon Copilot, to surface essential patient context from relevant prior reports, helping radiologists interpret studies with greater clarity and focus. At URMC, this capability is already delivering value by improving visibility into patient history.

“It works amazingly…it provides a great interface for seeing so much about the patient you otherwise might not see.”

Sean Cleary, MD, Vice Chair of Informatics for Imaging Sciences, University of Rochester Medical Center

Looking ahead, both organizations see significant potential as Dragon Copilot continues to evolve. As it gains access to richer patient context and connects to a broader ecosystem of first- and third-party AI applications and agents, Dragon Copilot can help to further reduce cognitive load and enable continuous innovation without disrupting the radiologist’s workflow.

Meeting customers where they are: From deploying off-the-shelf AI to fine-tuning models

Increasingly, innovation in radiology is shaped not just by what Microsoft delivers, but by how customers and partners extend AI within real-world workflows—helping radiologists work more efficiently, surface critical insights faster, and support better patient care.

As AI adoption expands across radiology, organizations aren’t moving along a single path; they’re navigating a wide range of needs simultaneously. Some are focused on deploying trusted, ready-to-use AI solutions directly into clinical workflows, while others are exploring how to build, customize, and push the boundaries of what’s possible with AI. At Microsoft, we’re designing with this range in mind to meet customers where they are and support multiple approaches to innovation.

For organizations looking to quickly operationalize AI, we provide a streamlined path forward with centralized access to a curated set of FDA-cleared third-party imaging AI applications from our ecosystem of partners—helping simplify how they are evaluated, deployed, and integrated. These applications integrate with our reporting workflows, enabling radiologists to access AI-powered insights within PowerScribe One and helping simplify the adoption of new capabilities.

For St. Luke’s, this approach enabled the rapid deployment of a fracture detection model from Gleamer, delivering immediate impact across its geographically distributed network and helping ensure more consistent diagnostic support regardless of where patients entered the system.

In addition to bringing FDA-cleared imaging AI into practice today, we provide the flexibility for customers and partners to build, customize, and extend AI capabilities as their needs evolve. Our premium medical imaging foundation models, MedImageInsight Premium and CXRReportGen Premium, can be requested for preview through Microsoft Foundry, and are designed for fine-tuning across modalities and workflows. These models are not medical devices, but they enable teams to build and fine-tune models that can complement clinically validated imaging AI solutions.

Delivered as fully managed endpoints, our premium models are continuously improved with curated data and enable AI builders, health systems, and partners to develop institution-specific solutions tailored to local data, specialty use cases, and evolving clinical needs. Models derived from CXRReportGen Premium can be integrated into experiences like Dragon Copilot, bringing high-performing AI directly into the radiologist’s workflow for summarization and report generation.

Together, this approach allows organizations to combine production-grade, regulated AI with ongoing innovation on a single platform, bridging standardized diagnostics and bespoke AI development. Companies like Milvue, a radiology-focused AI developer, are already using our models to accelerate development of solutions tailored to real-world clinical workflows.

“Milvue is building a radiology-native VLM. By working with Microsoft and leveraging CXRReportGen, we could start from a strong foundation allowing our team to focus on what matters most: turning foundation-model capability into clinically validated, workflow-ready radiology solutions.”

Alexandre Parpaleix Co-Founder/CEO, Milvue

No matter where customers and partners are in their journey with generative, multimodal, and agentic AI, we’re here to support them. From clinical applications like PowerScribe One and Dragon Copilot to customizable models from Microsoft Foundry, we provide a trusted, scalable foundation for innovation—enabling organizations to advance at their own pace while keeping workflows, performance, and outcomes at the center.

We’re excited to bring this next wave of radiology innovation to life at the SIIM26 Annual Meeting + InformaticsTECH Expo. Join us in Pittsburgh, PA to experience it firsthand. Visit us at the SIIM 2026 Booth #630–632 where customers and partners can explore our solutions, see live demos, and engage with our models in an interactive learning lab. See what’s possible when AI is truly embedded in the workflow.

See how AI fits into your radiology workflow

• Connect with our team
• Read more about migrating to PowerScribe One
• See demo of how Dragon Copilot supports radiologists and other members of the care team
• Learn how Microsoft applies AI for better health outcomes

The post How collaboration advances workflow-native AI appeared first on The Microsoft Cloud Blog.

As Australia looked to extend its winning streak to four straight Ashes on home soil, it was clear that left-handed batter Travis Head was leading the way for Australia as the runs piled up. But just how good was his performance? Fans using the Cricket Australia Live app had an instant answer. 

Thanks to the app’s new AI Insights feature, which provides live insights on player milestones, records and key moments using OpenAI’s GPT-5 within Microsoft Foundry, cricket aficionados and newcomers can now access much-needed context to better engage with the game. They can also dig deeper by asking follow-up questions about the insights provided. It’s an exciting development for Cricket Australia, the governing body of the sport in the country. 

“The recent series where England were here in Australia had a couple of key moments where I saw the insights come to life in real-time,” says Cricket Australia CEO Todd Greenberg. “And you can see the engagement through the analytics and the tracking that when something is delivered in the right time frame, in the right format, into the right hands, it has a huge effect.” 

Indeed, AI Insights showed that Head’s 172 runs for the match were his fifth-highest aggregate total in a test. His only higher efforts were 220 runs against Sri Lanka, 213 against West Indies, 181 against India and 180 against England. Head’s big day earned him Player of the Match honors and helped Australia claim a five-wicket victory in the match and a 4-1 Ashes series victory against its archrivals. 

Going beyond the box score 

“Scores and highlights tell you what happened. But the context tells you why you should care about it,” says Balamurugan P M, chief technology and digital officer at Cricket Australia. 

“It comes down to the storytelling. From my perspective, I thought it was essential for fans to learn more about the story rather than just following the scores or watching highlights. So, we wanted to give a different experience.” 

Cricket Australia had a corker in its arsenal as AI Insights came into focus – an extensive archive of official scorecards that dates to 1886, providing a wealth of historical data that could bridge the gap between the past and present. Those scorecards were carefully integrated over a period of three months to ensure the information would pass muster among the serious cricket experts. 

“We had hundreds of years of data, and when it comes to fans, trust is non-negotiable,” Balamurugan says. “When you’re dealing with records and milestones, you can’t make mistakes. There are some hardcore fans who know these stats like the back of their hand. History is core to cricket’s identity. And instant context turns a scoreboard into a story. 

“Getting that volume of data, integrating it and surfacing greater context for live games required huge data alignment and validation. With our systems and with the skilled team that we’ve got, that was made possible.” 

Creating a solution fans can use in real time 

Cricket Australia joined forces with Microsoft, alongside technical partners Insight Enterprises, HCL Tech and Skewer, to create the new iteration of the app. With the important Ashes and T20 international tournaments on the horizon, time was of the essence to launch the app before the bats were raised on those key fixtures. 

The app is anchored by Microsoft Azure, the cloud foundation that Cricket Australia uses to run and scale its digital platforms and the app experience. AI Insights takes advantage of Azure OpenAI Service in Microsoft Foundry, which generates the real-time, match-aware insights that serve as a companion to what fans are seeing on the field. 

“What we’re talking about is a really good example of solving a fan-facing problem with deep technical capability and a shared vision on delivery,” Greenberg says. “Microsoft brought world-class cloud and AI foundations. Without them, we would not have been able to get as far as we have. And our partners have helped accelerate the build, the integration and, importantly, operational readiness.” 

One of the biggest challenges with AI Insights is ensuring that fans watching a match and using the app can get updates and context within the flow of the game, making it an additional resource for fans at the grounds or watching alongside with commentary. 

Azure Cosmos DB supports Cricket Australia’s ecosystem of apps – including Cricket Australia Live with AI Insights and PlayCricket, which hosts scores for up to 7,000 community matches a weekend. The technology provides a fast, scalable data layer that can update quickly during live play, always keeping fans aware of the latest scores. 

“All live sport has one thing in common. There are no pauses,” Greenberg says. “It’s not like reality television. So, the experience has to be fast, reliable and consistent, especially when it’s under peak demand and when you have millions of people enjoying it at the same time.” 

An experience for every type of fan 

While cricket has its ardent supporters, especially in Australia, it can also be difficult for newcomers to pick up. As Cricket Australia looks to cultivate the next generation of fans, Greenberg realizes that the app can prevent sticky wickets for the sport’s novices. 

“I mean, we play a crazy sport that goes over five days and sometimes at the end of the five days, you still don’t get a result,” Greenberg says. “We can’t expect people to be tuned in at every moment, but what we can do is we can hyper-personalize the way they would like to engage with the sport during the contest.” 

The Seddon Cricket Club in Melbourne has been in existence since the 1920s and is now home to several senior, junior and all abilities sides that compete in associations across Australia. It is also home to a loyal supporters group, featuring fans who love the game in all forms. For them, the AI Insights on the Cricket Live App has been a value add as they go deeper into the game. 

“It’s definitely made it more interesting to follow along and learn more about the players,” says Cassie Gray, a Seddon Club supporter and cricket fan. “You could follow a player, you could see what they’re known for, as well as figure out what’s their next step or what do they need to get an amazing moment next. 

“Cricket is a game of history. It’s been around for a really long time, and the players influence other players, and countries influence other countries. With the insights, it gives me an understanding of not just what’s happening today, but what’s led up to that in the game itself.” 

The next step for AI insights is to create greater personalization within its levels of information for different types of fans. A user can select “newcomer,” “history buff” or “stats guru” and receive insights tailored to their persona. 

“We want to understand every fan and cater to how they want to be served by the app,” Balamurugan says. “We have moved from scores to storytelling, but we want to move from storytelling to fans setting up the narrative themselves. Fans should hear the story how they want to hear it. That is one of our lodestars.” 

With the initial success of the AI Insights feature, Greenberg said other sports organizations have reached out to learn more about how it was developed and the impact on the fanbase. Most people working at Cricket Australia have a deep love of the sport, often having played for many years. Greenberg hopes the app’s success and further innovation can continue the sport’s momentum. 

“The thing we’ll never know until much later on is the impact that we’re having on young kids falling in love and choosing cricket as their preferred sport,” he says. “And if we help them love it, what we can create for a fan on their journey between the ages of 8 and 80 is astronomical for a sport like cricket. And so, we’re very mindful of ensuring kids get the opportunity to engage in cricket so we can form lifelong partnerships.” 

Top Image caption: Supporters at the Seddon Cricket Club in Melbourne love the game in all forms, and the Cricket Live App featuring AI Insights has allowed them to gain further insights into the sport, whether they are a novice fan or stats guru. Photo by Graham Denholm for Microsoft.  

Elliott Smith writes about AI and innovation at Microsoft, from how the Premier League is transforming its online presence to why AI may play a major role in saving the Amazon rainforest. Previously, Smith worked as a sports reporter in Washington, D.C., Washington state and Texas, covering high schools to the pros. You can contact him on LinkedIn. 

The post Cricket Australia uses AI Insights to bring fans closer to the action appeared first on The Microsoft Cloud Blog.