Terms of Service

Last updated: November 12, 2026

These Terms of Service (“Terms”) govern access to and use of DTI Reports at dtireports.com (the “Service”), operated by Puissant, Inc. (“Puissant”, “we”, “us”). By registering for or using the Service you agree to these Terms, the Conditions of Use, the Privacy Notice, the HIPAA Notice and the Medical Disclaimer. If you accept on behalf of an organization, you confirm that you are authorized to bind it.

1. Eligibility

The Service is available only to licensed healthcare professionals and to authorized staff acting under their supervision at healthcare organizations, and to other professional users we approve. Accounts are personal and may not be shared. We may decline or end any registration at our discretion.

2. The Service

DTI Reports generates draft interpretive reports from diffusion tensor imaging (DTI) and related quantitative data that you upload, using artificial intelligence. Every report is a draft that a qualified, licensed clinician must review, correct as needed, and sign before any clinical, legal or other use. The Service does not provide medical diagnosis or treatment and does not create a physician–patient relationship. See the Medical Disclaimer.

3. Accounts and security

  • You must provide accurate registration information and keep it current.
  • Two-factor sign-in is required for every account. Keep your password, authenticator device and recovery codes secure, and tell us at once if you suspect unauthorized access.
  • You are responsible for activity under your account and for the conduct of users in your organization.

4. Protected health information

Patient information you submit is protected health information (PHI) under HIPAA. Before submitting PHI, your organization must have a Business Associate Agreement (BAA) in place with Puissant, which governs how we safeguard and use that information; the registration acknowledgment records your organization’s acceptance of our BAA, and a copy is available on request. You must have the right to submit the data you upload, including any patient authorizations your use requires, and you must submit only the minimum information necessary.

5. Your responsibilities

  • You are responsible for the accuracy and completeness of the data you submit. Reports generated from incomplete or incorrect data may be inaccurate.
  • You are responsible for clinical review of every report, for decisions made using it, and for how you share it.
  • You must comply with all laws that apply to your use, including HIPAA, state privacy and medical-records laws, and professional rules.

6. Fees, payment and refunds

  • Reports are purchased per case at the prices shown on the case page before payment. Prices may change for future orders; the price shown when you order applies.
  • Payments are processed by Stripe on its own secure payment page. Puissant does not receive or store your card number. Only an order reference, never patient information, is sent to Stripe.
  • Promotion and free-trial codes are subject to the conditions stated with the code, may be limited to first-time customers, and have no cash value.
  • If a report cannot be generated after an automatic retry, the share of the payment for that report is refunded automatically to the original payment method. Other refunds are at Puissant’s discretion; contact admin@dtireports.com.
  • A follow-up report fee applies when you add or correct information after the first reports and ask for the same report versions to be regenerated during the follow-up period.

6A. Access periods, amendments and follow-ups

  • Online access to a case, its reports and your notes lasts 30 days from the first payment for that case. After that, the records remain archived by Puissant and are available from an administrator on request.
  • You may correct or add information and files for 14 days from the first payment. Every change is recorded with its earlier value.
  • Follow-up reports may be ordered for 30 days from the first payment. They must concern the same patient and examination. If the updated details or files differ substantially from the original submission, the follow-up will be refused and new reports must be purchased; contact admin@dtireports.com if you believe this is in error.
  • Reports generated without key information (for example age, sex, clinical history, date or mechanism of injury, or scan date) state on their first page that the findings may be compromised. Please submit complete information.

6B. Notes and sharing

Notes you add to a report are kept with the case record and cannot be deleted by users. When you share a report through a secure link, you are responsible for confirming that the disclosure is permitted (for example by HIPAA, a patient authorization or a legal process) and for choosing whether your notes are included. Share links expire, can be withdrawn, require the recipient to confirm their email address, and every view is recorded.

7. Intellectual property

The Service, including its software, report formats, reference library and content, belongs to Puissant and its licensors. Subject to these Terms, you may use reports generated for your organization for your own professional purposes. You keep your rights in the data you submit, and you grant us the rights needed to provide the Service to you.

8. Suspension and termination

You may stop using the Service at any time. We may suspend or end access if you breach these Terms, if required by law, or to protect patients, users or the Service. On termination, records are retained and then destroyed as described in the Privacy Notice and your BAA.

9. Disclaimer of warranties

To the fullest extent permitted by law, the Service and all reports are provided “as is” and “as available”, without warranties of any kind, express or implied, including warranties of accuracy, merchantability, fitness for a particular purpose and non-infringement. AI-generated content can be incomplete or wrong.

10. Limitation of liability

To the fullest extent permitted by law, Puissant will not be liable for any indirect, incidental, special, consequential or punitive damages, or for lost profits, revenue or data, arising from or related to the Service. Puissant’s total liability for any claim relating to the Service is limited to the fees you paid for the Service in the twelve months before the claim. Nothing in these Terms limits liability that cannot be limited by law, or Puissant’s obligations under a signed BAA.

11. Indemnification

You will defend and indemnify Puissant against third-party claims arising from your data, your use of reports, or your breach of these Terms or applicable law.

12. Changes

We may update these Terms. We will post the new version here with a new date and, for material changes, notify account holders by email. Continued use after the effective date means you accept the updated Terms.

13. General

These Terms, with any signed agreement and BAA between your organization and Puissant, are the entire agreement about the Service. If a signed agreement conflicts with these Terms, the signed agreement controls. If any provision is unenforceable, the rest remains in effect.

14. Contact

Questions about these Terms: tech@dtireports.com.