The Best PACS Software in 2026
We researched PACS software using vendors’ official websites, including pricing pages, plan tables, and product documentation. Rankings focus on the category’s core job, value for money, and verified features that matter to imaging providers comparing systems for storing, retrieving, and viewing medical images.
Our top picks
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Top ranked
Intelerad IntelePACS#1 of 169.3/10A broad enterprise PACS combining diagnostic viewing, specialized workflows and remote reading.
Pricing on request
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Runner-up
Fujifilm Synapse PACS#2 of 169.2/10A broad diagnostic viewer for health systems bringing multiple imaging specialties together.
Pricing on request
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Top-ranked free plan
PacsOne#11 of 168.2/10A free, self-hosted PACS option, but its Basic Edition is no longer maintained.
Free plan · pricing on request · 45-day trial
Advertiser disclosure: iTechGuides is reader-supported. Vendors can pay for top positions in our rankings and for a place on other products' pages, and we may earn a commission when you click some links. Bought places stand at the number bought; this page and our disclosure say so. Paying vendors may get a fuller, more detailed review from our editors, and that review can change their score. How we rank.
The full ranking 16 tools, best first
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Best forHealthcare networks with distributed imaging workflows
A broad enterprise PACS combining diagnostic viewing, specialized workflows and remote reading.
- Diagnostic viewer
9.3/10★★★★★Visit Intelerad -
Best forHealth systems coordinating imaging across departments
A broad diagnostic viewer for health systems bringing multiple imaging specialties together.
- Mobile viewing
- Diagnostic viewer
9.2/10★★★★★Contact Fujifilm -
Best forCompliant radiology teams needing 3D web access
Compliant PACS with 2D/3D/MPR review, web access, and RIS/EMR integration.
- Mobile viewing
- Diagnostic viewer
9.1/10★★★★★Visit Sectra -
Best forAdvanced diagnostic imaging and 3D analysis
Advanced image analysis with streaming access across diagnostic and clinical workflows.
- Mobile viewing
- Diagnostic viewer
9.0/10★★★★☆Contact Visage -
Best forMid-market and enterprise imaging teams
AI-assisted PACS that prioritizes worklists and unifies multimodality viewing.
- Mobile viewing
- Diagnostic viewer
8.9/10★★★★☆Visit INFINITT -
Best forHospitals needing broad modality coverage
Broad, web-based PACS coverage for hospitals managing diverse imaging workflows.
- Diagnostic viewer
8.8/10★★★★☆Visit GE HealthCare -
Best forRadiology groups seeking web-based imaging workflows
A web-based PACS combining diagnostic viewing with radiology workflow tools.
- Mobile viewing
- Diagnostic viewer
8.7/10★★★★☆Visit Konica Minolta -
Best forProviders needing broad DICOM interoperability
A broad DICOM PACS with web-based review and optional HL7 and reporting modules.
- Mobile viewing
- Diagnostic viewer
8.6/10★★★★☆Visit MedDream -
Best forEnterprise radiology teams wanting cloud AI workflows
A cloud PACS for imaging teams that need browser diagnostics and AI-assisted workflows.
- Diagnostic viewer
8.5/10★★★★☆Contact RamSoft -
Best forMid-market or enterprise on-premises PACS
A self-hosted PACS covering DICOM archives, routing, viewing, modalities, and worklists.
- Diagnostic viewer
8.3/10★★★★☆Visit DICOM Systems -
Best forBudget-conscious sites needing free PACS administration
A free, self-hosted PACS option, but its Basic Edition is no longer maintained.
8.2/10★★★★☆Visit PacsOne -
Best forDevelopers and facilities wanting free extensible PACS
A free, extensible self-hosted PACS for teams that can manage infrastructure.
- Diagnostic viewer
8.0/10★★★★☆Visit Orthanc -
Best forSmall practices needing straightforward cloud PACS
Cloud DICOM storage, browser-based diagnostic viewing and study sharing for imaging teams.
- Mobile viewing
- Diagnostic viewer
7.8/10★★★★☆Visit PostDICOM -
Best forSmall teams needing basic cloud image sharing
A focused cloud PACS for basic DICOM storage, browser viewing and secure sharing.
- Diagnostic viewer
7.6/10★★★★☆Visit Medicai -
Best forHospitals and regions coordinating radiology operations
An integrated PACS / RIS for hospital radiology operations, with archiving, workflow and quality tools.
7.4/10★★★★☆Contact Neusoft -
Best forTechnical teams needing free DICOM indexing and search
A self-hosted DICOM archive with metadata search, DICOMweb, and an extensible plugin model.
7.2/10★★★★☆Visit Dicoogle
No tools match those filters.
Compare at a glance
| # | Tool | Paid from | Deployment | Diagnostic viewer | Supported modalities | DICOM support | Score |
|---|---|---|---|---|---|---|---|
| 1 | Intelerad IntelePACS | Hybrid | Yes | CT, MR, DX, CR, mammography (MG), ultrasound, PET/CT, SPECT/CT, PET/MR, nuclear medicine | Yes | 9.3 | |
| 2 | Fujifilm Synapse PACS | Hybrid | Yes | Radiology, mammography, cardiology, pathology, specialty-department imaging | Yes | 9.2 | |
| 3 | Sectra PACS | Hybrid | Yes | CT, MRI, ultrasound; vendor-neutral modality interfaces | Yes | 9.1 | |
| 4 | Visage 7 | Cloud | Yes | CT, MR, PET-CT, ultrasound, computed radiography, digital radiography, mammography, X-ray angiography | Yes | 9.0 | |
| 5 | INFINITT PACS | Hybrid | Yes | X-ray, CT, mammography, MRI, ophthalmology, endoscopy | Yes | 8.9 | |
| 6 | GE HealthCare Centricity PACS | On-premises | Yes | CT, MR, ultrasound, nuclear medicine, computerized radiography, digital mammography, digital X-ray, PET, X-ray angiography, intra-oral X-ray, radiofluoroscopic X-ray, secondary capture, visible light | Yes | 8.8 | |
| 7 | Konica Minolta Exa PACS | Cloud | Yes | PET, DBT, surgical video | Yes | 8.7 | |
| 8 | MedDream PACS | Hybrid | Yes | CR, CT, DX, ECG, ES, MG, MR, NM, OP, OT, PX, RF, RG, SC, US, XA | Yes | 8.6 | |
| 9 | RamSoft OmegaAI | Cloud | Yes | Yes | 8.5 | ||
| 10 | DICOM Systems UniPACS | On-premises | Yes | Yes | 8.3 | ||
| 11 | PacsOne | On-premises | CT, MRI, CR, ultrasound, nuclear medicine | Yes | 8.2 | ||
| 12 | Orthanc | Free | On-premises | Yes | DICOM modalities, including CT, MR, ultrasound, X-ray and nuclear medicine | Yes | 8.0 |
| 13 | PostDICOM | Cloud | Yes | CT, MR, CR, DR, US, MG, NM, XA, PET | Yes | 7.8 | |
| 14 | Medicai | Cloud | Yes | Yes | 7.6 | ||
| 15 | Neusoft Intelligent PACS / RIS | 7.4 | |||||
| 16 | Dicoogle | Free | On-premises | Yes | 7.2 |
Head-to-head All 28 comparisons →
- Intelerad IntelePACS vs Fujifilm Synapse PACS
- Intelerad IntelePACS vs Sectra PACS
- Intelerad IntelePACS vs Visage 7
- Intelerad IntelePACS vs INFINITT PACS
- Intelerad IntelePACS vs GE HealthCare Centricity PACS
- Intelerad IntelePACS vs Konica Minolta Exa PACS
- Intelerad IntelePACS vs MedDream PACS
- Fujifilm Synapse PACS vs Sectra PACS
- Fujifilm Synapse PACS vs Visage 7
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How we rank PACS software
Every tool on this page was researched by iTechGuides Editors from its official website — pricing pages, plan tables and product documentation. We rank on how well each one does this category's core job, what the free or entry plan includes, and where it falls short. Where we have enough verified facts, the score out of 10 is a rubric — job fit, value and how much we could verify — shown with its breakdown on every tool's page; a tool we have not verified enough to score yet shows its rank without a number. Scores are re-checked when a product changes its plans. Read the full editorial policy, or submit a tool we missed.
Reviewed by iTechGuides Editors · Editorial team · Updated Oct 2026
Last updated · How we research and update