RadMyk vs Dolbey Fusion Narrate: Subscription speech or local dictation

Dolbey Fusion Narrate is one of the more practical alternatives to Dragon Medical One. It is positioned as a cheaper, more dynamic medical speech product, and Dolbey has a long history in clinical documentation. For buyers who want a healthcare-focused cloud dictation system with strong command tooling, it deserves a close look.

RadMyk comes from a different belief. Speech-to-text for radiologists should be a tool you own, not a subscription you keep renewing. It should work locally, offline, and wherever you can type. RadMyk is a one-time purchase, with no subscription. It measures 95.7% word accuracy out of the box and transcribes at roughly 220 words per minute.

That makes the comparison clear. Choose Dolbey if you need cloud healthcare dictation with advanced shortcuts, scripting, EHR testing, Citrix/RDP support, and optional AI add-ons. Choose RadMyk if you want private radiology dictation that runs on the machine and is bought once.

What is the main difference between RadMyk and Dolbey Fusion Narrate?

Dolbey Fusion Narrate is a cloud medical dictation product with a strong command and workflow layer. RadMyk is an on-device radiology dictation tool that types at the cursor. Dolbey is stronger when teams need shortcut automation, EHR-focused deployment, phone-as-mic options, and enterprise support. RadMyk is stronger when the priority is owning speech-to-text and keeping audio local.

The architecture is also different. Standard Fusion Narrate uses the nVoq cloud recognition engine, wrapped in Dolbey’s interface and workflow tooling. RadMyk runs its speech model on the radiologist’s machine. There is no third-party speech cloud in the standard dictation path.

Both tools can help a radiologist get text into a report. They disagree on ownership, dependency, and scope.

How do the features compare?

Fusion Narrate is Dolbey’s cloud front-end medical speech recognition product. It lets clinicians dictate into EHRs, PACS, RIS, and other applications. The separate radiology variant, Fusion Narrate Dx, is on-prem. Dolbey wraps the third-party nVoq cloud engine with its own user interface, shortcut builder, EHR integration, and onboarding.

Fusion Narrate has useful strengths. It needs no initial training or enrollment. It supports a front-end dictate, self-edit, and sign workflow. Its “Vision Click” image-based commands, multi-step shortcuts, AutoIt and VBScript scripting, and speech-enabled templates give teams a lot of control. Admins can build shortcuts without using a license. Dolbey says it has been tested with about 100 EHRs, supports non-vendor-defined integration, and works over Citrix and RDP.

Fusion Narrate Dx adds radiology-specific capabilities: radiology vocabulary, support for all major PACS/RIS systems, linked routines, report prioritization, and a single profile across sites. Dolbey also has generative AI add-ons, including AI Assist for impressions and recommendations and Fusion Narrate ACI for ambient clinical intelligence.

Those are real capabilities, especially for organizations that want command automation and healthcare workflow support.

RadMyk is not a command-automation suite or an enterprise reporting layer. It is a floating medical dictation widget for radiologists. You press a global shortcut, speak, pause, and the text appears at your cursor. It works in report editors, EHR fields, PACS/RIS text areas, local notes, and any other app where typing works.

RadMyk runs its speech model on-device, so audio never leaves your machine and there is no third-party cloud in the path. A guided calibration step tunes it to your voice, and you can build voice macros for repeated phrases. It includes a live transcript, configurable shortcut, pause threshold, auto-paste or clipboard-only mode, compute settings, and a webhook for partial and final transcription events.

Fusion Narrate has more enterprise workflow tooling. RadMyk has a simpler promise: accurate medical dictation you own.

Where does Dolbey genuinely win?

Dolbey’s strongest case is command automation. Vision Click image-based commands, multi-step shortcuts, AutoIt and VBScript scripting, and admin-side shortcut building can matter in complicated EHR environments. A team that wants to automate repeated navigation, insert phrases, trigger steps, and manage shortcuts centrally may get value from that layer.

Dolbey also deserves credit for practical deployment surfaces. Citrix and RDP support matter in hospitals. Phone-as-mic and mobile speech keyboard options matter for clinicians who do not want another hardware microphone. Testing with about 100 EHRs is a useful signal for buyers who live inside clinical systems.

Fusion Narrate Dx is also important for radiology buyers because it is Dolbey’s on-prem radiology path. If an institution wants Dolbey plus local infrastructure and radiology-specific workflow, Dx may be the relevant product.

RadMyk does not offer that command suite or enterprise radiology variant. It keeps the job narrower: local speech recognition and cursor-based text entry.

How much does Dolbey Fusion Narrate cost compared with RadMyk?

Dolbey is unusual because some entry pricing is public. The brief lists Fusion Narrate at $850 per user per year, about $71 per month, with a minimum one-year term and any number of users. It also notes another published figure of $1,350 for a one-year prepaid subscription elsewhere. Treat those as published but context-dependent, likely tied to tier or bundle differences.

Onboarding is listed at $500 per user one time. AI Assist is an add-on at $350 per user per year. Fusion Narrate ACI is pay-as-you-go, with rates not disclosed. One, two, and three-year terms are available. Enterprise implementation and migration are quote-based.

That is clearer than many competitors, but it is still a recurring subscription. The base seat recurs every year. Onboarding is extra. AI features add more recurring cost.

RadMyk is one-time pay. No annual seat renewal. No add-on fee to keep basic dictation useful. No per-word meter. There is a 14-day trial for everyone, an extra 14 days for verified radiologists, and free trainee access until qualification.

The three-year math is direct. At the published $850 per user per year, Fusion Narrate costs $2,550 over three years before onboarding. Add the listed $500 one-time onboarding fee, and the total becomes $3,050. If AI Assist is added at $350 per user per year, that adds $1,050 over three years, bringing the total to $4,100 before any pay-as-you-go ACI use or enterprise services.

RadMyk is a one-time purchase over the same three years, not a recurring fee. That comparison does not include Dolbey’s workflow value. It isolates the cost of keeping speech-to-text available.

If you want Dolbey’s automation, EHR work, and enterprise support, the subscription may be reasonable. If you want medical voice-to-text as a core input method, the ongoing fee is the part to question.

Does Dolbey Fusion Narrate work offline or keep audio local?

Fusion Narrate is cloud native. It has a small download, web install, and no local admin requirement in the standard product. It supports fast onboarding, no voice training, Citrix, and RDP. It also offers iOS and Android speech keyboards and phone-as-mic options.

The standard cloud product is Windows-first, with no native Mac app. Mac use means virtualization. It also needs constant connectivity for the cloud engine and carries a 99.9 percent uptime SLA rather than offline operation. The radiology-specific Fusion Narrate Dx option is on-prem, which avoids the cloud path but requires separate infrastructure. Radiology buyers must choose between the standard cloud product and the on-prem Dx variant.

RadMyk avoids that split. The same app runs on macOS Apple Silicon and Windows. After setup, it works offline. It is not limited to one reporting stack. It is not a Windows-only workstation tool. It is a cross-app dictation layer.

Privacy is also different. Standard Fusion Narrate streams audio to the nVoq cloud, and Dolbey’s generative AI features also involve cloud processing. It is positioned as HIPAA-compliant. Fusion Narrate Dx keeps processing local because it is on-prem. RadMyk keeps speech recognition on the radiologist’s machine by default, with no audio leaving the room.

There is one more practical detail: Dolbey depends on nVoq for the core recognition engine. That does not make it bad, but it does mean the core speech stack is third-party, and your voice travels to that third party’s cloud. RadMyk’s model is direct: local app, local speech model, local output. Your voice is processed on your machine and stays there.

Which tool fits teleradiology and mixed reporting systems?

Dolbey is built for healthcare environments with managed deployment needs. Citrix, RDP, EHR testing, scripting, and admin-side shortcut controls are useful when an organization wants to support many clinicians inside known systems. Fusion Narrate Dx gives radiology departments a separate on-prem path if they are ready for infrastructure.

RadMyk fits a different reporting pattern. A teleradiologist may read through a browser portal in the morning, a remote desktop in the afternoon, and a local report editor at night. A resident may dictate in a teaching file tool, an EHR field, and a PACS/RIS box during the same rotation. A Mac user may not want a Windows-first speech stack.

RadMyk does not need to know the system name. It processes the audio locally, then types where the cursor is. That is the practical benefit of acting like a keyboard rather than an integration project.

Dolbey gives more command control. RadMyk gives more local independence.

Is RadMyk a Dolbey Fusion Narrate alternative?

RadMyk is a Dolbey Fusion Narrate alternative when the need is direct medical dictation for radiologists. It is not an alternative to Dolbey’s full command automation, scripting environment, enterprise support, mobile speech keyboards, or Fusion Narrate Dx on-prem radiology deployment.

If those Dolbey features are central to the buying case, Dolbey is the better fit. If the buying case is “I need accurate dictation that works across apps without a yearly invoice,” RadMyk is the cleaner answer.

The important point is not that one product has more features. Dolbey does. The important point is whether those features are the reason you are buying, or whether they are wrapped around a basic input method you could own.

Should I choose RadMyk or Dolbey Fusion Narrate?

Choose Dolbey Fusion Narrate if you want healthcare dictation with advanced shortcuts, command automation, Citrix/RDP support, EHR testing, and optional AI add-ons. Choose Fusion Narrate Dx if your institution specifically wants Dolbey’s on-prem radiology path and is ready for the infrastructure.

Choose RadMyk if you want a radiology dictation tool that works across apps, runs offline, supports Mac and Windows, and does not turn basic speech-to-text into a yearly invoice.

The fair summary is this: Dolbey is stronger for managed healthcare dictation with command automation and enterprise support. RadMyk is stronger for private, local, owned dictation that follows the radiologist across apps.

voice-to-text is a basic tool of the trade, not a premium you rent forever