The Best Radiology Software in 2026
We researched radiology software using vendors’ official websites, including pricing pages, plan tables, and product documentation. Rankings focus on the category’s core imaging workflow, value for money, and verified features. Compare options for image storage, diagnostic viewing, reporting, and interoperability to find a fit for your organization.
Our top picks
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Top ranked
Intelerad IntelePACS#1 of 179.2/10An enterprise PACS spanning diagnostic viewing, specialty workflows and clinical integrations.
Pricing on request
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Runner-up
Sectra PACS#2 of 179.1/10A hybrid PACS combining diagnostic viewing, workflow tools, and clinical image access.
Pricing on request
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Top-ranked free plan
Orthanc#11 of 178.2/10A self-hosted DICOM foundation for teams assembling their own radiology archive.
Free plan
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 17 tools, best first
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Best forHospitals needing enterprise PACS breadth
An enterprise PACS spanning diagnostic viewing, specialty workflows and clinical integrations.
9.2/10★★★★★Visit Intelerad -
Best forOrganizations needing PACS with clinical access
A hybrid PACS combining diagnostic viewing, workflow tools, and clinical image access.
9.1/10★★★★★Visit Sectra -
Best forMulti-specialty imaging and remote reading
A broad enterprise PACS for multi-specialty imaging, remote reading, and AI worklists.
9.0/10★★★★☆Visit Fujifilm -
Best forAdvanced diagnostic imaging across locations
A diagnostic imaging platform for distributed teams needing advanced viewing tools.
8.9/10★★★★☆Contact Visage -
Best forHospitals and imaging networks needing enterprise PACS
Enterprise PACS for networks that need image access, diagnostic viewing, and reading workflows.
- PACS included
- Diagnostic DICOM viewer
8.8/10★★★★☆Visit site -
Best forHealthcare organizations needing radiology workflows
A radiology information system for coordinating exams, reporting, follow-up, and performance.
- RIS included
8.7/10★★★★☆Contact Epic -
Best forCloud radiology teams wanting PACS and AI workflows
A cloud PACS that unifies DICOM management, diagnostic viewing, worklists and AI workflows.
8.6/10★★★★☆Visit RamSoft -
Best forMid-size and enterprise radiology departments
A broad RIS workflow suite for departments that need reporting, documentation, and system connections.
- RIS included
- Modality worklist
8.5/10★★★★☆Contact medavis -
Best forTeams prioritizing radiology scheduling and reporting
A cloud RIS focused on imaging workflows, scheduling, worklists and reports.
- Structured reporting
- RIS included
- Modality worklist
8.4/10★★★★☆Contact RamSoft -
Best forEnterprises needing image distribution and viewing
Enterprise imaging for archiving, distributing and viewing DICOM studies across clinical sites.
- PACS included
- Diagnostic DICOM viewer
8.3/10★★★★☆Visit Mach7 -
Best forTeams building a self-hosted DICOM archive
A self-hosted DICOM foundation for teams assembling their own radiology archive.
8.2/10★★★★☆Visit Orthanc -
Best forTeams needing a free, self-hosted DICOM archive
A no-license-cost, self-hosted DICOM archive for teams with separate viewer and RIS tools.
- PACS included
- Modality worklist
8.1/10★★★★☆Visit dcm4che -
Best forMac users needing free DICOM viewing and 3D tools
A focused desktop viewer for local DICOM review, visualization, and network transfer.
- Diagnostic DICOM viewer
8.0/10★★★★☆Visit Horos -
Best forSmall teams needing cloud viewing and mobile access
A cloud PACS with browser diagnostics, mobile access, and secure DICOM sharing.
7.9/10★★★★☆Visit PostDICOM -
Best forWindows users needing advanced DICOM viewing tools
A Windows desktop viewer with advanced image tools, but not a PACS or RIS.
- Diagnostic DICOM viewer
7.8/10★★★★☆Visit RadiAnt -
Best forTeams needing simple cloud image sharing
A cloud PACS for teams that need browser-based access to organize and share DICOM studies.
7.7/10★★★★☆Visit Medicai -
Best forSolo users needing free Windows DICOM viewing
A focused Windows desktop viewer for local DICOM studies, with a free usage option.
- Diagnostic DICOM viewer
7.6/10★★★★☆Visit MicroDicom
No tools match those filters.
Compare at a glance
| # | Tool | Free plan | Paid from | RIS included | Deployment | Score |
|---|---|---|---|---|---|---|
| 1 | Intelerad IntelePACS | 9.2 | ||||
| 2 | Sectra PACS | No | 9.1 | |||
| 3 | Fujifilm Synapse PACS | No | 9.0 | |||
| 4 | Visage 7 | Cloud | 8.9 | |||
| 5 | Siemens syngo.plaza | No | Both | 8.8 | ||
| 6 | Epic Radiant | Yes | 8.7 | |||
| 7 | RamSoft OmegaAI | Cloud | 8.6 | |||
| 8 | medavis RIS | No | Yes | 8.5 | ||
| 9 | RamSoft RIS | No | Yes | Cloud | 8.4 | |
| 10 | Mach7 eUnity | No | No | 8.3 | ||
| 11 | Orthanc | Yes | Free | On-premises | 8.2 | |
| 12 | dcm4chee Archive | Yes | Free | No | On-premises | 8.1 |
| 13 | Horos | Yes | Free | No | On-premises | 8.0 |
| 14 | PostDICOM | Cloud | 7.9 | |||
| 15 | RadiAnt DICOM Viewer | No | No | On-premises | 7.8 | |
| 16 | Medicai | Cloud | 7.7 | |||
| 17 | MicroDicom | Yes | No | On-premises | 7.6 |
Head-to-head All 22 comparisons →
- Intelerad IntelePACS vs Siemens syngo.plaza
- Intelerad IntelePACS vs Epic Radiant
- Intelerad IntelePACS vs RamSoft OmegaAI
- Intelerad IntelePACS vs medavis RIS
- Sectra PACS vs Siemens syngo.plaza
- Sectra PACS vs Epic Radiant
- Sectra PACS vs RamSoft OmegaAI
- Sectra PACS vs medavis RIS
- Fujifilm Synapse PACS vs Siemens syngo.plaza
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How we rank radiology 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