Best Epic Radiant Alternatives in 2026
The top Epic Radiant alternatives are Intelerad IntelePACS, Sectra PACS and Fujifilm Synapse PACS: 15 radiology software our editors would look at instead of Epic Radiant, in our ranking order.
Epic Radiant: A radiology information system for coordinating exams, reporting, follow-up, and performance. Where it falls short: does not provide PACS functionality.
Switching from Epic Radiant? For most radiology software buyers the best Epic Radiant alternative is Intelerad IntelePACS, built for hospitals needing enterprise PACS breadth. Orthanc has a free plan.
Why People Look for an Epic Radiant Alternative
- Does not provide PACS functionality
- Pricing requires contacting sales
- Relies on interfaces to send orders and results to PACS and other systems
- No pACS included — 3 of the alternatives below have it
Quick Picks by What You Need
- Best overallIntelerad IntelePACS9.2
Hospitals needing enterprise PACS breadth
Visit Intelerad IntelePACS - Best free optionOrthanc8.2
Has a free plan
Visit Orthanc - Best for pacs includedSiemens syngo.plaza8.8
PACS included (Epic Radiant: no)
Visit Siemens syngo.plaza
All 15 Epic Radiant Alternatives, Ranked
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.
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Best forHospitals needing enterprise PACS breadth
- Better than Epic Radiant:
- Editor score 9.2 vs 8.7
An enterprise PACS spanning diagnostic viewing, specialty workflows and clinical integrations.
9.2/10★★★★★Visit Intelerad -
Best forOrganizations needing PACS with clinical access
- Better than Epic Radiant:
- Editor score 9.1 vs 8.7
A hybrid PACS combining diagnostic viewing, workflow tools, and clinical image access.
9.1/10★★★★★Visit Sectra -
Best forMulti-specialty imaging and remote reading
- Better than Epic Radiant:
- Editor score 9.0 vs 8.7
A broad enterprise PACS for multi-specialty imaging, remote reading, and AI worklists.
9.0/10★★★★☆Visit Fujifilm -
Best forAdvanced diagnostic imaging across locations
- Better than Epic Radiant:
- Editor score 8.9 vs 8.7
A diagnostic imaging platform for distributed teams needing advanced viewing tools.
8.9/10★★★★☆Contact Visage -
Best forHospitals and imaging networks needing enterprise PACS
- Better than Epic Radiant:
- PACS included
- Editor score 8.8 vs 8.7
Enterprise PACS for networks that need image access, diagnostic viewing, and reading workflows.
- PACS included
- Diagnostic DICOM viewer
8.8/10★★★★☆Visit site -
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
- Better than Epic Radiant:
- PACS included
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
- Better than Epic Radiant:
- PACS included
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
Epic Radiant Alternatives: Common Questions
What is the best alternative to Epic Radiant?
Intelerad IntelePACS: #1 in our Radiology Software ranking, with an editor score of 9.2 out of 10. An enterprise PACS spanning diagnostic viewing, specialty workflows and clinical integrations.
Is there a free alternative to Epic Radiant?
Yes. Orthanc, dcm4chee Archive and Horos have a free plan or a free tier.
Why do people look for Epic Radiant alternatives?
Does not provide PACS functionality; Pricing requires contacting sales; Relies on interfaces to send orders and results to PACS and other systems.
How do I switch from Epic Radiant?
Export your data from Epic Radiant (most tools have an export in their settings). Sign up for the alternative; start on its free plan or trial if it has one. Import your export and set up the integrations your team relies on. Run both side by side for a short while, then cancel Epic Radiant.
How to Switch from Epic Radiant
- Export your data from Epic Radiant (most tools have an export in their settings).
- Sign up for the alternative; start on its free plan or trial if it has one.
- Import your export and set up the integrations your team relies on.
- Run both side by side for a short while, then cancel Epic Radiant.
Epic Radiant vs Each Alternative
| # | Tool | Free plan | Paid from | RIS included | Deployment | Score |
|---|---|---|---|---|---|---|
| 6 | Epic Radiant | Yes | 8.7 | |||
| 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 | RamSoft OmegaAI | Cloud | 8.6 | |||
| 7 | medavis RIS | No | Yes | 8.5 | ||
| 8 | RamSoft RIS | No | Yes | Cloud | 8.4 | |
| 9 | Mach7 eUnity | No | No | 8.3 | ||
| 10 | Orthanc | Yes | Free | On-premises | 8.2 | |
| 11 | dcm4chee Archive | Yes | Free | No | On-premises | 8.1 |
| 12 | Horos | Yes | Free | No | On-premises | 8.0 |
| 13 | PostDICOM | Cloud | 7.9 | |||
| 14 | RadiAnt DICOM Viewer | No | No | On-premises | 7.8 | |
| 15 | Medicai | Cloud | 7.7 |
Head-to-Head
- Epic Radiant vs Intelerad IntelePACS
- Epic Radiant vs Sectra PACS
- Epic Radiant vs Fujifilm Synapse PACS
- Epic Radiant vs Visage 7
- Epic Radiant vs Siemens syngo.plaza
- Epic Radiant vs RamSoft OmegaAI
Reviewed by iTechGuides Editors · Editorial team · Updated Oct 2026
Last updated · How we research and update