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Head-to-head · PACS Software

Visage 7 vs Orthanc

  • Updated Sep 2026
  • Both researched from official sources
  • 5 checks side by side
Higher score Visage 7 #4 in PACS Software 7.4/10 Pricing on request ✓ 4 of 4 features Contact Visage
Orthanc #8 in PACS Software 6.7/10 Free plan Free plan✓ 3 of 4 features Visit Orthanc

Visage 7 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 scoreVisage 7 · 7.4/10
  • Free planonly Orthanc
  • Most featuresVisage 7 · 4 of 4

Visage 7 scores higher on our rubric for pacs software: 7.4 against 6.7 out of 10; our editors rank them #4 and #8.

Orthanc offers free plan; Visage 7 doesn't publish it. On deployment, Orthanc gives you On-premises where Visage 7 offers Cloud. Visage 7 offers mobile viewing; Orthanc doesn't.

Visage 7 is the better fit for advanced diagnostic imaging and 3D analysis. Orthanc is the better fit for developers and facilities wanting free extensible PACS.

  • Visage 7 fits best

    Advanced diagnostic imaging and 3D analysis

  • 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 Visage 7 7.4/10 Visit ↗ Orthanc 6.7/10 Visit ↗
At a glance
Editor score 7.4 6.7
Ranking #4 in PACS Software #8 in PACS Software
Best for Advanced diagnostic imaging and 3D analysis 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 Self-hosted
Platforms Web, Windows, macOS, iOS Windows, macOS, Linux, Web
Support Phone, Email Docs, Community
Built for Small business, Mid-market, Enterprise Small business, Mid-market, Enterprise
Features Visage 7 4/4 · Orthanc 3/4
Diagnostic viewer ✓ ✓
DICOM support ✓ ✓
Web viewer ✓ ✓
Mobile viewing ✓ (best) —
Specs
Deployment Cloud On-premises
Supported modalities CT, MR, PET-CT, ultrasound, computed radiography, digital radiography, mammography, X-ray angiography DICOM modalities, including CT, MR, ultrasound, X-ray and nuclear medicine
Our review
Pros
  • Combines MPR, volume rendering, and volumetric analysis.
  • Includes specialized tools for cardiac imaging, neuroradiology, and oncology.
  • Streams server-stored images for remote access without replicating data.
  • 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
  • The web client is limited to image distribution and basic 2D viewing.
  • Mobile diagnostic viewing is through Visage Ease Pro for iOS.
  • Pricing is sales-led rather than presented as published plans.
  • 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

Visage 7 is an archive-neutral medical imaging platform for distributing, viewing, processing, and archiving images across diagnostic and clinical workflows. Its thin-client architecture streams server-stored image data, and it supports…

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. Visage 7PACS Software 7.4Pricing on request
  2. OrthancPACS Software 6.7Free plan

Strengths and trade-offs

  • Visage 7 — where it wins

    • Combines MPR, volume rendering, and volumetric analysis.
    • Includes specialized tools for cardiac imaging, neuroradiology, and oncology.
    • Streams server-stored images for remote access without replicating data.

    Where it doesn't

    • The web client is limited to image distribution and basic 2D viewing.
    • Mobile diagnostic viewing is through Visage Ease Pro for iOS.
    • Pricing is sales-led rather than presented as published plans.

  • 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