We have improved the probability of the changes listed below returning accurately.
If you find that specific terms are not still working correctly after a topic release, we recommend adding vocabulary and/or substitutions to improve recognition. Additionally, transcripts in which words are not recognized accurately should be corrected so we can harvest them and add them to the appropriate topic's corpus.
All Topics (General Accuracy)
Improved Handling of Prefixes in Dictation – (D-13881; 20251020) In previous topic releases, some words that began with prefixes such as “post” or “mid” were not combined correctly with the root word. For example, “postsurgical” might have appeared incorrectly as “pos tsurgical.” This issue has been fixed, and words like “postsurgical” and “midlateral” now appear correctly as single, combined terms.
Improved Recognition of the Word “Hyphen” – (D-13928, 20251020) After the topic release on August 15, 2025, an issue was discovered where saying “hyphen” sometimes still returned the word itself instead of the punctuation mark (-). For example, “C one hyphen bisected shave” was transcribed as “C1 hyphen bisected shave” instead of “C1-bisected shave.” This issue, which occurred when the words before and after “hyphen” were not numbers, was initially addressed in item D-13855 but was later found to persist. We have corrected this behavior again, and “hyphen” now consistently returns the punctuation mark as expected.
Improved Handling to Centimeters (cm) – (D-13600, 20251113) We received reports that the word “centimeters” was sometimes transcribed as “CM” or fully spelled out instead of returning as “cm” in the Pathology topic. Additional handling has been added to ITN to ensure “cm” returns correctly in measurement contexts, and this update now applies across all topics. Lowercase “cm” will return when spoken as part of a measurement, while uppercase “CM” will return only when used in the proper context, such as when dictating “C M” as an abbreviation for case manager.
New Drugs Support July 2025 – (S-18472, 20251113) Corpus and dictionary support for new drug names approved by the FDA in July 2025 was added to all topics.
July OOVs Added – (S-18578, 20251118) New and previously unrecognized words (a.k.a. “Out of Vocabulary” or OOV) identified in July 2025 AOS corrections have been added to the dictionary and corpus across all topics. Note: Only organizations that allow use of text and audio are included in extracted corrections.
August OOVs Added – (S-18728, 20251205) New and previously unrecognized words (a.k.a. “Out of Vocabulary” or OOV) identified in August 2025 AOS corrections have been added to the dictionary and corpus across all topics. Note: Only organizations that allow use of text and audio are included in extracted corrections.
Medical Terminology Standardization – (S-19026, 20251226) Support has been added to return the standardized term “heterogeneous” instead of “heterogenous” in dictated content. This update helps ensure medical notes remain accurate, consistent, and aligned with current clinical terminology.
New Drug & Device Support August 2025 – (S-18729, 20260213) Corpus and dictionary support for new drug names and medical devices approved by the FDA in August 2025 has been added to all topics.
General Medicine
Word Support - (S-18475, 20130213) Support has been added for the following words to help them return more accurately: fructans, Wheat Zoomer, Provitalize, Zepbound, trimethylglycine. and dyspnea
Improved Recognition for FAST Terms - (D-14013, 20260305) Support has been added to improve recognition for FAST terms in the General Medicine topic. Updates have been made to help ensure terms such as FAST 7D and other exam variations (e.g. FAST 4D) are returned correctly during dictation.
Pathology
Improved Issue with Cytokeratin (CK) Stain Formatting - (D-13999, 20130213) We addressed an issue where abbreviated cytokeratin stain names such as CK5/6, CK7, CK8, and CK20 were occasionally transcribed with an unintended space between the letters and numbers, for example “CK 7” instead of “CK7.” To improve consistency and accuracy, we added missing cytokeratin stain entries to the dictionary, expanded Pathology unigram support for CK stains, removed legacy language model support for approximately 1,000 incorrect CK variants, and implemented substitution rules to help correct any remaining spacing inconsistencies. These updates are intended to improve the accuracy and consistency of cytokeratin stain transcription in pathology documentation.
Hyphenation Improvement - (S-19036, 20130213) We introduced a formatting enhancement to support correct and consistent hyphenation of pathology terminology. This update aligns transcription output more closely with established pathology documentation standards.
Topic Word Updates - (S-19032, 20260303) Support has been added for requested dictionary token updates in the Pathology topic. Updates include additions and removals of words, along with improvements to spelling, formatting, and pronunciation to help support more accurate dictation.
Veterinary
Support Added for “uveodermatologic” – (S-18777, 20251201) Support has been added for the term “uveodermatologic” within the Veterinary topic. This improvement helps ensure your specialized dictation returns accurately, keeping clinical notes clear and precise even with complex terminology.