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Head-to-head · PACS Software

INFINITT PACS vs Orthanc

  • Updated Sep 2026
  • Both researched from official sources
  • 5 checks side by side
Higher score INFINITT PACS #5 in PACS Software 7.1/10 Pricing on request ✓ 4 of 4 features Visit INFINITT
Orthanc #8 in PACS Software 6.7/10 Free plan Free plan✓ 3 of 4 features Visit Orthanc

INFINITT 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 scoreINFINITT PACS · 7.1/10
  • Free planonly Orthanc
  • Most featuresINFINITT PACS · 4 of 4

INFINITT PACS scores higher on our rubric for pacs software: 7.1 against 6.7 out of 10; our editors rank them #5 and #8.

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

INFINITT PACS is the better fit for mid-market and enterprise imaging teams. Orthanc is the better fit for developers and facilities wanting free extensible PACS.

  • INFINITT PACS fits best

    Mid-market and enterprise imaging teams

  • 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 INFINITT PACS 7.1/10 Visit ↗ Orthanc 6.7/10 Visit ↗
At a glance
Editor score 7.1 6.7
Ranking #5 in PACS Software #8 in PACS Software
Best for Mid-market and enterprise imaging teams 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, iOS, Android Windows, macOS, Linux, Web
Support Email, Phone Docs, Community
Built for Mid-market, Enterprise Small business, Mid-market, Enterprise
Features INFINITT PACS 4/4 · Orthanc 3/4
Diagnostic viewer ✓ ✓
DICOM support ✓ ✓
Web viewer ✓ ✓
Mobile viewing ✓ (best) —
Specs
Deployment Hybrid On-premises
Supported modalities X-ray, CT, mammography, MRI, ophthalmology, endoscopy DICOM modalities, including CT, MR, ultrasound, X-ray and nuclear medicine
Our review
Pros
  • AI-supported abnormality analysis and workload-based worklist prioritization
  • Single viewer for mammography, 3D/CT-PET fusion, and multiple modalities
  • Encrypted collaboration with annotations, audit trails, and image sharing
  • 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 is handled through sales rather than a self-service plan
  • No free plan is available
  • Integration coverage centers on EMR, advanced visualization, and AI software
  • 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

INFINITT PACS is a picture archiving and communication system for radiologists, imaging departments, and clinical teams that manage diagnostic studies across modalities. It supports X-ray, CT, mammography, MRI, ophthalmology, and…

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. INFINITT PACSPACS Software 7.1Pricing on request
  2. OrthancPACS Software 6.7Free plan

Strengths and trade-offs

  • INFINITT PACS — where it wins

    • AI-supported abnormality analysis and workload-based worklist prioritization
    • Single viewer for mammography, 3D/CT-PET fusion, and multiple modalities
    • Encrypted collaboration with annotations, audit trails, and image sharing

    Where it doesn't

    • Pricing is handled through sales rather than a self-service plan
    • No free plan is available
    • Integration coverage centers on EMR, advanced visualization, and AI software
  • 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

More comparisons

Reviewed by iTechGuides Editors · Editorial team · Updated Sep 2026

Last updated · How we research and update