A large part of the clinician's interaction with the EHR involves navigation through the user interface using menus, and tab/button clicks, and is heavily dependent on keyboard and mouse: voice-based navigation provides only modest ergonomic benefits. By contrast, many highly customized systems for radiology or pathology dictation implement voice "macros", where the use of certain phrases – e.g., "normal report", will automatically fill in a large number of default values and/or generate boilerplate, which will vary with the type of the exam – e.g., a chest X-ray vs. a gastrointestinal contrast series for a radiology system. Therapeutic use Prolonged use of speech recognition software in conjunction with word processors has shown benefits to short-term-memory restrengthening in brain AVM patients who have been treated with resection. Further research needs to be conducted to determine cognitive benefits for individuals whose AVMs have been treated using radiologic techniques. Military High-performance fighter aircraft Substantial efforts have been devoted in the last decade to the test and evaluation of speech recognition in fighter aircraft. Of particular note have been the US program in speech recognition for the Advanced Fighter Technology Integration (AFTI)/F-16 aircraft (F-16 VISTA), the program in France for Mirage aircraft, and other programs in the UK dealing with a variety of aircraft platforms. In these programs, speech recognizers have been operated successfully in fighter aircraft, with applications including setting radio frequencies, commanding an autopilot system, setting steer-point coordinates and weapons release parameters, and controlling flight display. Working with Swedish pilots flying in the JAS-39 Gripen cockpit, Englund (2004) found recognition deteriorated with increasing g-loads. The report also concluded that adaptation greatly improved the results in all cases and that the introduction of models for breathing was shown to improve recognition scores significantly. Contrary to what might have been expected, no effects of the broken English of the speakers were found. It was evident that spontaneous speech caused problems for the recognizer, as might have been expected. A restricted vocabulary, and above all, a proper syntax, could thus be expected to improve recognition accuracy substantially. The Eurofighter Typhoon, currently in service with the UK RAF, employs a speaker-dependent system, requiring each pilot to create a template. The system is not used for any safety-critical or weapon-critical tasks, such as weapon release or lowering of the undercarriage, but is used for a wide range of other cockpit functions. Voice commands are confirmed by visual and/or