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Head-to-head · PACS Software

Konica Minolta Exa PACS vs Orthanc

  • Updated Sep 2026
  • Both researched from official sources
  • 5 checks side by side
Higher score Konica Minolta Exa PACS #7 in PACS Software 6.8/10 Pricing on request ✓ 4 of 4 features Visit Konica Minolta
Orthanc #8 in PACS Software 6.7/10 Free plan Free plan✓ 3 of 4 features Visit Orthanc

Konica Minolta Exa 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 scoreKonica Minolta Exa PACS · 6.8/10
  • Free planonly Orthanc
  • Most featuresKonica Minolta Exa PACS · 4 of 4

Konica Minolta Exa PACS scores higher on our rubric for pacs software: 6.8 against 6.7 out of 10; our editors rank them #7 and #8.

Orthanc offers free plan; Konica Minolta Exa PACS doesn't publish it. On deployment, Orthanc gives you On-premises where Konica Minolta Exa PACS offers Cloud. Konica Minolta Exa PACS offers mobile viewing; Orthanc doesn't.

Konica Minolta Exa PACS is the better fit for radiology groups seeking web-based imaging workflows. Orthanc is the better fit for developers and facilities wanting free extensible PACS.

  • Konica Minolta Exa PACS fits best

    Radiology groups seeking web-based imaging workflows

  • Orthanc fits best

    Developers and facilities wanting free extensible PACS

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Side by side

Feature Konica Minolta Exa PACS 6.8/10 Visit ↗ Orthanc 6.7/10 Visit ↗
At a glance
Editor score 6.8 6.7
Ranking #7 in PACS Software #8 in PACS Software
Best for Radiology groups seeking web-based imaging workflows Developers and facilities wanting free extensible PACS
Pricing model Paid Free
Starting price Not published Not published
Free plan Not published ✓ (best)
Free trial — —
Deployment Cloud Self-hosted
Platforms Web, iOS, Android Windows, macOS, Linux, Web
Support Email Docs, Community
Built for Small business, Mid-market, Enterprise Small business, Mid-market, Enterprise
Features Konica Minolta Exa PACS 4/4 · Orthanc 3/4
Diagnostic viewer ✓ ✓
DICOM support ✓ ✓
Web viewer ✓ ✓
Mobile viewing ✓ (best) —
Specs
Deployment Cloud On-premises
Supported modalities PET, DBT, surgical video DICOM modalities, including CT, MR, ultrasound, X-ray and nuclear medicine
Our review
Pros
  • Zero-footprint diagnostic viewer uses server-side rendering.
  • Specialty viewing includes PET, DBT, and surgical video.
  • Worklists, STAT prioritization, reporting, peer review, and messaging are included.
  • 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.
  • Email is the listed support channel.
  • AWS is the only named integration.
  • 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

Konica Minolta Exa PACS is a picture archiving and communication system for radiology and imaging organizations. Its web-based diagnostic viewer uses server-side rendering, giving users access from web-enabled computers and mobile devices…

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. Konica Minolta Exa PACSPACS Software 6.8Pricing on request
  2. OrthancPACS Software 6.7Free plan

Strengths and trade-offs

  • Konica Minolta Exa PACS — where it wins

    • Zero-footprint diagnostic viewer uses server-side rendering.
    • Specialty viewing includes PET, DBT, and surgical video.
    • Worklists, STAT prioritization, reporting, peer review, and messaging are included.

    Where it doesn't

    • Pricing requires contacting sales.
    • Email is the listed support channel.
    • AWS is the only named integration.

  • 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

All PACS software comparisons → · Full ranking →

Reviewed by iTechGuides Editors · Editorial team · Updated Sep 2026

Last updated · How we research and update