PacsOne review
A free, self-hosted PACS option, but its Basic Edition is no longer maintained.
Reviewed by iTechGuides Editors · Editorial team · Updated Oct 2026
PacsOne Server is a self-hosted DICOM 3.0 PACS that combines image storage, query and retrieval with browser-based administration and image access. It is intended for sites managing imaging across modalities including CT, MRI, CR, ultrasound and nuclear medicine. The software runs on Windows and Linux, with Mac OS X support also documented by the vendor. Its free Basic Edition may appeal to budget-conscious sites, while Premium is the commercial edition for organizations that need its additional administrative functions.
The editions make maintenance status an important buying consideration. Basic Edition is free and may be modified or distributed under the vendor’s stated conditions, but it is no longer maintained. Premium Edition has a commercial license and a 45-day evaluation license; according to the vendor’s pricing information, full license pricing is supplied on request. Premium adds an HL7 message interface, access control, automated routing, synchronization, monitoring and other administration capabilities. Buyers comparing editions should weigh the free license against the maintenance tradeoff rather than treating it as an equivalent ongoing alternative to Premium.
PacsOne’s scope centers on PACS administration and image handling: it supports DICOM Modality Worklist querying, DICOM media import and export, browser uploads, scheduled remote-study synchronization, and color and grayscale printing. Integration options include HL7, MySQL, MariaDB, Apache HTTP Server, PHP, AWS DICOMweb and Azure DICOMweb. User privileges, a system journal and monitoring support administration, and the listed support channels include email, phone, documentation and community. A browser-based image access feature is available, but diagnostic-viewer capability is not specified. Sites needing a maintained commercial PACS with administrative and integration features may consider Premium; organizations requiring a defined diagnostic viewing workflow should assess viewer needs before choosing PacsOne.
PacsOne pros and cons
- Where it wins
- Stores, queries, retrieves and routes DICOM 3.0 images
- Browser access, worklists, synchronization and image printing
- Integrates with HL7, MySQL, MariaDB and cloud DICOMweb
- Where it doesn't
- The free Basic Edition is no longer maintained
- Premium license pricing is provided on request
- Diagnostic-viewer capability is not specified
PacsOne fact sheet, pricing and score →
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