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Head-to-head · PACS Software

Fujifilm Synapse PACS vs Orthanc

  • Updated Sep 2026
  • Both researched from official sources
  • 5 checks side by side
Higher score Fujifilm Synapse PACS #2 in PACS Software 8.2/10 Pricing on request ✓ 4 of 4 features Contact Fujifilm
Orthanc #8 in PACS Software 6.7/10 Free plan Free plan✓ 3 of 4 features Visit Orthanc

Fujifilm Synapse PACS leads on 1 check, Orthanc on 1, and 3 are even. Who comes out ahead on the 5 yes/no, price and count checks where we have data for both products. The editor score weighs everything else too.

Our verdict

  • Highest scoreFujifilm Synapse PACS · 8.2/10
  • Free planonly Orthanc
  • Most featuresFujifilm Synapse PACS · 4 of 4

Fujifilm Synapse PACS scores higher on our rubric for pacs software: 8.2 against 6.7 out of 10; our editors rank them #2 and #8.

Orthanc offers free plan; Fujifilm Synapse PACS doesn't. On deployment, Fujifilm Synapse PACS gives you Hybrid where Orthanc offers On-premises. Fujifilm Synapse PACS offers mobile viewing; Orthanc doesn't.

Fujifilm Synapse PACS is the better fit for health systems coordinating imaging across departments. Orthanc is the better fit for developers and facilities wanting free extensible PACS.

  • Fujifilm Synapse PACS fits best

    Health systems coordinating imaging across departments

  • Orthanc fits best

    Developers and facilities wanting free extensible PACS

Advertiser disclosure: iTechGuides is reader-supported. We may earn a commission when you click some links. How we rank.

Side by side

Feature Fujifilm Synapse PACS 8.2/10 Visit ↗ Orthanc 6.7/10 Visit ↗
At a glance
Editor score 8.2 6.7
Ranking #2 in PACS Software #8 in PACS Software
Best for Health systems coordinating imaging across departments Developers and facilities wanting free extensible PACS
Pricing model Paid Free
Starting price Not published Not published
Free plan — ✓ (best)
Free trial — —
Deployment Cloud, Self-hosted Self-hosted
Platforms Web Windows, macOS, Linux, Web
Support Docs Docs, Community
Built for Mid-market, Enterprise Small business, Mid-market, Enterprise
Features Fujifilm Synapse PACS 4/4 · Orthanc 3/4
Diagnostic viewer ✓ ✓
DICOM support ✓ ✓
Web viewer ✓ ✓
Mobile viewing ✓ (best) —
Specs
Deployment Hybrid On-premises
Supported modalities Radiology, mammography, cardiology, pathology, specialty-department imaging DICOM modalities, including CT, MR, ultrasound, X-ray and nuclear medicine
Our review
Pros
  • Combines radiology, mammography, cardiology, pathology and specialty imaging
  • Supports DICOM and non-DICOM access, with zero-download viewing
  • Adds AI worklist assignment and study prioritization to PACS workflows
  • Free open-source edition for self-hosted DICOM storage and management
  • REST API, DICOM networking and official DICOMweb plugin support
  • Plugin architecture extends databases, storage and automation with Lua
Cons
  • Pricing requires contacting sales
  • Enterprise scope may exceed the needs of a single imaging department
  • Web platform is specified, with no desktop platform listed
  • Self-hosted deployment requires your team to operate the infrastructure
  • Mobile viewing is not supported
  • Support is centered on documentation and community channels
Our verdict

Fujifilm Synapse PACS is an enterprise picture archiving and communication system for healthcare organizations that need a shared diagnostic viewer across imaging specialties. It brings radiology and mammography together with cardiology,…

Read the review →

Orthanc is an open-source, self-hosted DICOM server for storing, querying, transferring and accessing medical images. It suits healthcare organizations, imaging researchers and developers that need a PACS or DICOM gateway on their own…

Read the review →
  1. Fujifilm Synapse PACSPACS Software 8.2Pricing on request
  2. OrthancPACS Software 6.7Free plan

Strengths and trade-offs

  • Fujifilm Synapse PACS — where it wins

    • Combines radiology, mammography, cardiology, pathology and specialty imaging
    • Supports DICOM and non-DICOM access, with zero-download viewing
    • Adds AI worklist assignment and study prioritization to PACS workflows

    Where it doesn't

    • Pricing requires contacting sales
    • Enterprise scope may exceed the needs of a single imaging department
    • Web platform is specified, with no desktop platform listed

  • Orthanc — where it wins

    • Free open-source edition for self-hosted DICOM storage and management
    • REST API, DICOM networking and official DICOMweb plugin support
    • Plugin architecture extends databases, storage and automation with Lua

    Where it doesn't

    • Self-hosted deployment requires your team to operate the infrastructure
    • Mobile viewing is not supported
    • Support is centered on documentation and community channels
  • Fujifilm Synapse PACS8.2/10 · Pricing on request

    A broad diagnostic viewer for health systems bringing multiple imaging specialties together.

    Contact FujifilmFull verdict →
  • Orthanc6.7/10 · Free plan

    A free, extensible self-hosted PACS for teams that can manage infrastructure.

    Visit OrthancFull verdict →

More comparisons

All PACS software comparisons → · Full ranking →

Reviewed by iTechGuides Editors · Editorial team · Updated Sep 2026

Last updated · How we research and update