OsiriX MD review
A feature-rich macOS imaging workstation, priced from $69.99 per month.
Reviewed by iTechGuides Editors · Editorial team · Updated Oct 2026
OsiriX MD is a macOS medical-imaging workstation for radiologists, clinicians and institutions that need DICOM study review alongside PACS connectivity. It covers 2D viewing with measurements and annotations, plus 3D reconstruction, 4D cardiac and perfusion support, and fusion for PET-CT, PET-MR and SPECT-CT. Its feature breadth makes it relevant to teams handling varied imaging workflows; Mac availability is essential, so organizations standardized on other desktop platforms should look elsewhere.
Imaging workflow depth is a defining strength. DICOM network query, send and retrieve functions and worklists connect the viewer to PACS workflows, while PACS server mode supports DICOM and web access. A SQLite database stores and indexes studies. Reporting, anonymization and image export round out the workflow, and a plugin architecture with HIS/RIS integration APIs offers extension points. This is a broad workstation rather than a narrow viewer, but the listed capabilities do not include AI tools.
According to the vendor's pricing information, the Monthly Subscription costs $69.99 per month and includes the complete edition, a DICOM viewer and PACS connectivity. A Yearly Subscription is also available with the complete edition, but its price is not stated here. The product is paid, with no free plan. That makes the monthly tier a clear entry point, though buyers comparing ongoing costs should weigh it against their need for the full imaging and PACS feature set. OsiriX MD suits Mac-based practices seeking extensive imaging tools in one product; it is a poor fit for teams requiring cross-platform access or AI-assisted imaging.
OsiriX MD pros and cons
- Where it wins
- Combines 2D, 3D and 4D imaging, including fusion and cardiac support
- DICOM networking, worklists and PACS server mode in one workstation
- Includes reporting, anonymization, export and plugin architecture
- Where it doesn't
- Available only for macOS
- Monthly subscription starts at $69.99
- No AI features
OsiriX MD fact sheet, pricing and score →
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