Every European PACS and medical imaging software tool reviewed
Louvain-la-Neuve, Belgium
Pricing on request
Demo on request
Best for: Imaging groups in Belgium, France, Luxembourg, Italy, Switzerland and Germany that keep radiology and other clinical pictures in a single archive
Telemis is the product line of Telemis S.A., based in Louvain-la-Neuve, Belgium. TM-PACS handles radiology with reconstructions, comparison, annotations and personal worklists. TM-MACS reaches beyond radiology to ophthalmology, dermatology, cardiology, the operating theatre and emergency care, for DICOM and non-DICOM images alike, and TM-Capture sends photographs taken on an ordinary smartphone into that archive.
The company runs offices in Belgium, France, Luxembourg, Italy, Switzerland and Germany, which gives a hospital in those countries a local contact under a Belgian contract. A standards page lists ISO 13485, a CE mark number, an MDR transition note and IHE, DICOM and HL7 statements as PDFs, and the DRIMbox sharing tool is reported to hold the French Segur certification. The site count of 463 comes from the vendor. Pricing and hosting region are not stated.
What Telemis does well
- One supplier for radiology, mammography, pathology and general clinical images
- Offices in six European countries
- Standards and certificate documents available as PDF downloads
- Smartphone app for sending bedside photos to the archive
- Dashboards for archive activity inside the same portfolio
Where Telemis falls short
- No price list
- Cloud and hosting choices are not explained on the pages checked
- Segur certification only concerns France
- The customer figures rest on the vendor's own survey
Standout feature. The TM-Capture app turns an ordinary smartphone into a source for the clinical archive.
Innsbruck, Austria
Founded 2005
Pricing on request
Demo on request
Best for: Hospitals and practices in Austria, Germany and Switzerland that want images, video and documents on one platform
synedra is an Austrian health IT company, synedra information technologies GmbH, founded in Innsbruck in 2005. Its synedra AIM platform is the base for the PACS, a vendor-neutral archive, a multiformat viewer, video, scanning, reporting and storage for non-patient data. The vendor states that the PACS module is approved as a Class IIb medical device.
The interface list is long and documented: DICOM, HL7, FHIR and IHE profiles, with DICOM and IHE statements offered as downloads. The company reports more than 80 employees and subsidiaries in Germany and Switzerland, and its stated customers sit mainly in the German-speaking region. Prices and hosting models are not given on the pages checked, and the website asks for consent to analytics cookies.
What synedra does well
- PACS module declared as a Class IIb device by the vendor
- Radiology, video and documents share one archive
- Profiles for DICOM, HL7, FHIR and IHE are listed
- Conformance statements for DICOM and IHE are downloadable
- Austrian company with subsidiaries in Germany and Switzerland
Where synedra falls short
- No public prices
- Hosting and deployment models are not stated on the pages checked
- Customers are concentrated in Austria, Germany and Switzerland
- Analytics cookies require consent on the website
Standout feature. The PACS runs as one module of a general health content platform, so scanned paper and video sit in the same store as radiology.
Bochum, Germany
Pricing on request
Demo on request
Best for: Hospitals in German-speaking countries that want a PACS plus a content layer for DICOM and other patient data
VISUS JiveX is the product family of VISUS Health IT GmbH, Bochum, Germany, whose imprint gives the register as Bochum HRB 6804 and names CompuGroup Medical SE & Co. KGaA as the parent. JiveX Enterprise PACS is described in four blocks: Medical Integration for consolidating DICOM and non-DICOM data, a Medical Viewer for reporting, Medical Sharing between sites and Medical Archiving.
JiveX Healthcare Content Management applies the same blocks to the whole case, including data from the hospital information system, so a clinician sees images, documents and findings in one viewer. The vendor reports that the PACS won the KLAS award for PACS in DACH for the fourth time in 2024, a claim to check against what the survey measured. Its published material includes mammography and AI workflow, and its customers are mostly in Germany and France.
What VISUS JiveX does well
- PACS and content management use the same four-block structure
- Standard interfaces are described as vendor-independent
- Vendor reports a KLAS award for PACS in DACH
- Imprint with court and register number
- Published material on mammography and AI in the workflow
Where VISUS JiveX falls short
- No prices are shown
- Deployment and hosting options are not described on the pages checked
- The parent company is CompuGroup Medical
- Customer stories lean towards Germany and France
Standout feature. A second product, Healthcare Content Management, brings non-radiology records into the same viewer as the PACS.
Linkoping, Sweden
Subscription pricing on request
Demo on request
Best for: University hospitals and large health systems that want radiology, pathology and cardiology under a single platform
Sectra is the medical division of Sectra AB, registered in Linkoping, Sweden. Its IDS7 diagnostic application works under one login for DICOM imaging, medical photos, video, PDF documents and genomic data, and shows the results of AI applications bought through the Sectra Amplifier marketplace. Behind it, Sectra VNA is a storage-neutral archive for DICOM and non-DICOM material, including ECG and whole-slide pathology images.
Sectra One Cloud is the managed subscription, with customer-success management, a 24/7 service desk and a major update every year. The vendor claims 99.99 percent uptime and CSA STAR level two certification. The service is built with Microsoft on Azure and the region follows the contract, so an operator in the United States is part of the chain. Prices are quoted, and the product list is wide enough that small practices will find it heavy.
What Sectra does well
- A single diagnostic application used by several specialties
- VNA that accepts DICOM and non-DICOM content
- Updates and a service desk are part of the managed subscription
- CSA STAR level two certification, according to the vendor
- Contracting company has a Swedish registration number
Where Sectra falls short
- Hosted on Microsoft Azure
- Subscription prices are not published
- The scope is large for a small practice
- Awards and customer numbers are the vendor's own claims
Standout feature. Digital pathology, cardiology and radiology can be read in one diagnostic application behind one login.
Belgium
Software is free; support packs from Orthanc Team
Demo on request
Best for: Researchers, small clinics with IT staff and integrators who want to run the DICOM core themselves
Orthanc is an open-source DICOM server whose copyright is held by Orthanc Team SRL, the UCLouvain university and individual contributors, with the project's roots in Belgium. It receives, stores and forwards DICOM, and offers a REST API, a web interface, a DICOMweb plugin, the Stone web viewer, PostgreSQL and MySQL storage plugins, whole-slide imaging and plugins in Python and C++.
The core is licensed GPLv3+ and selected plugins AGPLv3+, so redistribution needs a read of the licensing table in the Orthanc Book. It runs on Windows, Linux, macOS and Docker, wherever you place it, and Orthanc Team sells optional support. The flip side is responsibility: the team states it is not liable for defects, and clinical validation and the medical-device status of your installation are yours. The legal address of Orthanc Team SRL was not found.
What Orthanc does well
- There is no licence fee
- The source code can be inspected
- A REST API and plugins support automation and custom routing
- Installed on your servers, so the data stays where you choose
- Paid support is available from Orthanc Team
Where Orthanc falls short
- A building block, not a finished enterprise PACS
- The authors accept no liability for defects
- The operator carries the medical-device obligations
- AGPL plugins limit how you can redistribute
Standout feature. It is the only product in this list whose source code you can read, change and host without a vendor contract.
Rostock, Germany
Founded 2003
Pricing on request
Demo on request
Best for: Imaging centres, practices and teleradiology networks that prefer to pick modules rather than adopt a full suite
iQ IMAGE is the brand of IMAGE Information Systems Europe GmbH in Rostock, Germany, founded in 2003 and listed at the Rostock court under HRB 11011. The range covers iQ-SYSTEM PACS, the iQ-WEB server, the iQ-4VIEW browser viewer, the iQ-VIEW workstation viewer, iQ-ROUTER for teleradiology, iQ-WORKLIST and the iQ-4CLOUD service.
The browser viewer needs no installation, the router encrypts teleradiology traffic, and the company offers free DICOM tools such as Conquest and DICOMAnonymize. Since 2023 a majority stake has been held by PARATUS, and the group has offices in the USA and India as well. During our check the homepage carried a notice asking customers to install a security update for a named PHP vulnerability. Prices are not published.
What iQ IMAGE does well
- Components can be combined, from viewer to server
- Browser viewer that needs no installation
- Free DICOM utilities alongside the paid software
- Encrypted router for teleradiology
- German company with a court register entry
Where iQ IMAGE falls short
- No price list
- A security update notice sat on the homepage
- The group also has offices in the USA and India
- Covers fewer enterprise specialties than the larger suites
Standout feature. PACS, RIS and a teleradiology router are sold as separate parts that a centre can combine as it needs.
Geneva area, Switzerland
OsiriX MD from $69.99 per month (listed in US dollars)
Demo on request
Best for: Radiologists, surgeons and general practitioners who read studies on a Mac and need a certified viewer
OsiriX is a DICOM viewer and imaging workstation for Apple computers, developed and sold by Pixmeo SARL in the Geneva area of Switzerland. OsiriX MD is the commercial edition sold by subscription from $69.99 per month, a price the vendor lists in US dollars, and OsiriX Lite is offered as a free demo. It runs on macOS 12 to 27 and needs at least 6 GB of memory.
The software offers 2D, 3D and 4D navigation, PET-CT and SPECT-CT support and a plugin platform, and it imports from a PACS, a CD or a USB drive. Studies stay on the local Mac. The vendor cites ISO 13485, FDA Class II and CE IIa, and the CE label refers to the previous Medical Devices Directive, so request the current status. Switzerland is outside the EEA but covered by an adequacy decision. OsiriX is a viewer, not an archive.
What OsiriX does well
- A certified edition exists for clinical reading
- Installs locally in minutes
- A free Lite version is available for testing
- Tools for 3D and 4D navigation
- Swiss company holding ISO 13485
Where OsiriX falls short
- Runs only on macOS
- No PACS server or archive function
- The price is quoted in US dollars
- The CE label cited predates the current regulation
Standout feature. A single radiologist can install a certified DICOM workstation on a Mac without any server or IT project.
Florence, Italy
Enterprise licence and services
Demo on request
Best for: Hospitals and regional health authorities that buy imaging together with other clinical software
Dedalus is an Italian healthcare software group headquartered in Florence, with clinical, diagnostic and administrative software for hospitals and the regional authorities that run them. The portfolio on our tool page covers hospital information systems, electronic patient records, departmental software including laboratory and radiology, diagnostic imaging and regional health information exchange platforms.
It has grown by acquiring European health IT businesses and so has a footprint across several national systems. That history has a cost: the lineage of its products varies, and integration between acquired products is uneven. Pricing is an enterprise licence plus services, set per institution or per region through public procurement and not published. For imaging alone, Dedalus is one option inside a broad hospital software contract.
What Dedalus does well
- Designed around regional health system structures
- Clinical, diagnostic and administrative software from one group
- Laboratory and radiology products are in the range
- Active in several national health systems
- Regional exchange platforms for health information
Where Dedalus falls short
- Several product lineages from past acquisitions
- Integration across acquired products is uneven
- Sales cycles follow public tenders
- Prices are not published
Standout feature. Imaging is offered together with the hospital information system and regional exchange platforms by the same group.
Mortsel, Belgium
Enterprise licence and services, quoted
Demo on request
Best for: Hospitals that want radiology, cardiology and pathology to share a single imaging archive
Agfa HealthCare is the imaging IT half of the Agfa-Gevaert group, registered as Agfa HealthCare N.V. in Mortsel, Belgium, with the parent listed on Euronext Brussels. Its Enterprise Imaging Platform collects radiology, cardiology, breast imaging, digital pathology, molecular imaging and point-of-care ultrasound in one vendor-neutral archive, read through the XERO universal viewer.
On top of the archive sit RUBEE, an AI layer aimed at workflow prioritisation rather than diagnosis, and teleradiology and streaming access for remote and multi-site reading. Our tool page describes it as an imaging platform rather than a hospital record, so it normally runs next to a separate EHR. Pricing is a quoted enterprise licence with services, and the value shows at multi-department, multi-site scale.
What Agfa HealthCare does well
- A vendor-neutral archive spanning radiology, cardiology, pathology and more
- One universal viewer replaces a viewer for each department
- About thirty years of imaging IT behind the platform
- Parent group listed on Euronext Brussels
- Remote reading and teleradiology are part of the platform
Where Agfa HealthCare falls short
- Imaging only, not a clinical or hospital record
- No published prices
- A big installed base leaves modernisation uneven between modules
- Pays off most with several departments and sites
Standout feature. Radiology, cardiology and pathology can read from the same archive through the same viewer.
Netherlands
Pricing on request
Demo on request
Best for: Large healthcare organisations that want an established multinational supplier for imaging informatics
Philips Enterprise Imaging is the PACS and imaging informatics offer of Koninklijke Philips N.V., a Dutch company. The vendor describes a vendor-agnostic platform meant to avoid lock-in, with unlimited licences and modality connections, available as a managed service or a capital purchase. Its feature list covers image exchange, diagnostic informatics, breast imaging, workflow prediction, cloud connect and AI integration.
The page names Malaffi in Abu Dhabi, Hospital Nuestra Senora del Rosario in Madrid and Campus Bio-Medico in Rome as customers, and results are reported by the vendor for selected sites. The cloud deployment is built on Amazon Web Services, so ask which region and which legal entity holds your tenant. The product page is a sales overview rather than a specification, and prices are not public. The Amsterdam head office was not verified.
What Philips Enterprise Imaging does well
- Unlimited licences and modality connections, as the vendor describes it
- A managed service and a capital budget route are both offered
- Image exchange is used in a regional health information exchange
- Radiology, cardiology, oncology and pathology informatics from one supplier
- Parent company is Dutch
Where Philips Enterprise Imaging falls short
- Hosted on Amazon Web Services
- Prices are not public
- Reported results cover selected sites and come from the vendor
- Imaging informatics is a minor line in a big group
Standout feature. Cloud and managed-service contracts come from a multinational medical technology group rather than an imaging specialist.
