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DICOM (Digital Imaging and Communications in Medicine) is a standard format that enables medical professionals to view, store, and share medical images irrespective of their geographic location or the devices they use, as long as those devices support the format. DICOM images need to be viewed through specific software called DICOM viewers that can read and display the format. The images, along with the corresponding patient data, are often stored in a large database called the Picture Archiving and Communication System (PACS). The purpose of a DICOM application is to store information in the PACS about the imaging examination, along with patient details, and then when required, to view and interpret (and possibly edit) medical images that are retrieved from the PACS. DICOM images are unique in the fact that they contain patient information in addition to the image data.

Is it Windows, Mac OS X, or Linux-based? You might want to keep in mind that many viewers are designed to run on either Windows or Mac, but not both. Therefore, when deciding on an option, make sure that it runs on different operating systems, and if not, then at least on the one that you most frequently use.

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Most doctors and students today use not only their desktops, but also laptops, tablets, and smartphones interchangeably. The ideal DICOM application would allow access to the same data from multiple devices with convenience. You want a viewer that you can access from any device, any time.

Keeping the above purposes in mind, and allowing for ease of use and installation by end users themselves, we have compiled the following list that includes the most convenient, useful, and affordable DICOM viewers out there:

PostDICOM is one of the best DICOM viewers that offers almost all of the above features. It is compatible with Windows, Mac OS X, and Linux. It can be operated from android devices and iOS-based systems. PostDICOM comes with a cloud-based PACS, which allows you to access data from any device, anywhere, at any time. The viewer allows advanced image manipulation, such as 3D reconstruction, 3D volume rendering and MIP, and image fusion. It also offers an interface for creating reports, sharing files, and immediate uploading of all patient data to the cloud PACS.

Horos is an open source DICOM viewer for Mac. It is actually the free version of an expensive DICOM viewer called Osirix MD, which is often considered to be the best DICOM viewer for Mac. It only runs on Mac OS, version 10.8 or higher. This software allows for most diagnostic techniques, including multiplanar reconstruction, maximum intensity projections, and volume rendering. It also has tools for manipulating images and making measurements.

The RadiAnt DICOM image viewer is a simple, fast platform that is compatible with Windows. It offers multiple features, including MPR, MIP, and image fusion. Images can be exported to JPEG, PNG, and other image formats. They can also be copy-pasted directly to presentations and word documents.

The application is just a viewer and does not offer storage space. Their website has a disclaimer explicitly stating that they do not have any certifications, and as such, the product is not intended for diagnostic use. However, it is handy for students and residents for studying medical images and research purposes.

The Navegatium DICOM viewer has been designed especially for touchscreen computers and tablets, and when used on these devices can be very fast and simple to use. It offers MPR, MIP, and simulated reconstructions. The layout and views can be customized as per user preferences. It can be directly integrated with PACS, but does not offer storage, importing and sharing.

This is a lightweight application that is great for beginners who are learning to use a DICOM viewer. Its biggest advantage is that it can be run on multiple operating systems. It offers multiplanar views, MIP and volume rendering, but image editing and exporting are not possible.

IrfanView is an extremely simple yet effective image viewer that supports the DICOM format in addition to other image files. It does not boast the features of many of the above applications, but if your purpose is to simply view DICOM images, it is lightweight and easy to use. The software is only free for non-commercial purposes. If you intend to use it for your private practice or in a hospital setting, a license fee is applicable.

This is the free version of the paid software JiveX Review Client, and is meant to be used in educational and research activities. The viewer supports not only radiology images in the DICOM format, but also other medical data such as ECGs. The freeware does not allow users access to a PACS server or technical support. Although the viewer improves workflow, advanced manipulation of images is not possible with the free version.

It is a cloud-based DICOM viewer, and can be accessed from laptops, desktops, phones and tablets. It is very useful when a team of professionals needs to share DICOM images between them. NextCloud is available as a mobile app, and users can sync images, chat, and share images and notes with the app. However, it does not allow for image modification and analysis.

It is a powerful and fast DICOM viewer that is packed with many features. It enables reconstruction, volume rendering and image manipulation by offering several tools to carry out these functions. One unique spec of this application is its voice recognition technology, which helps users when viewing and retrieving files. Voice recognition also enables easy preparation of reports from the DICOM files. The viewer works better on systems with a touchscreen. The free version is only for a trial and purchase is required to access all features.

Miele LXIV is a free DICOM viewer for Mac operating systems. It has advanced features including MPR, MIP, volume rendering, and image fusion. In addition, it also allows 4D viewing of cardiac CTs. It is PACS-integrated and can send and receive files from a PACS database.

MiViewer from Millensys is a simple DICOM viewer for Windows that does not require any setup. It has both image viewing tools and cine loop tools, and supports all DICOM file types. Unlike its paid version, Vision Tools Multiview, it does not support advanced features or allow PACS integration.

This is one of the few viewers that is compatible with Windows, Mac OS X, and Linux. It is an open source project that supports PACS. It has all the standard DICOM tools, but not many of the advanced tools required in medical diagnosis and research. The Pro version has advanced features like MPR and MIP.

Weasis is a powerful cross-platform DICOM viewer that can be integrated with PACS. It is meant for use by hospitals, as well as for research. It provides multi-language support and has advanced features including MPR, MIP, SUV measurements, and structured reports. It is also compatible for ECGs.

The site offering this freeware explicitly states that the viewer is intended for research, and not for diagnostic purposes. It offers a high-speed viewer that has almost all the advanced features mentioned before for similar software. It supports image file conversion and anonymization.

I have installed OsiriX is my computer which is an open source DICOM viewer. I was wondering what would make this different from a PACS (Picture archiving and communication system) or RIS (Radiology Information System). How could OsiriX be incorporated into one of them?

The viewer is an application that allows you to look at images. The PACS is a server that stores the images (they often have an accompanying viewer). The RIS is a workflow/record system for scheduling the time for the scanners, managing appointments, storing reports, etc.

OsiriX have both options means - Storage and viewer basically called Osirix was PACS but stand alone. Every PACS has its own viewer now a days either server client basis or web viewer. Dicom work station was different and PACS viewer was different.

We really like Horos as it is a free open source version of the same software as that used by The Royal College of Radiologists for the viva part of the final FRCR (Part B) exam. Becoming familiar with Horos will help radiology trainees when preparing for this exam. Horos is easy to use and as a full 64-bit medical image viewer for Mac there is a huge amount of functionality contained within. It is updated regularly. We believe Horos is the best free DICOM viewer for Apple MacOS.

Interestingly, Horos is named after the Egyptian god Horus, son of Osiris and Isis. Horos is a based on OsiriX (a similar paid-for medical viewer), named after Osiris. The developers obviously appreciate Egyptian and greek mythology!

With high performance and an intuitive interactive user interface, OsiriX is the most widely used DICOM viewer in the world. It is the result of more than 17 years of research and development in digital imaging. It fully supports the DICOM standard for an easy integration in your workflow environment and an open platform for development of processing tools. It offers advanced post-processing techniques in 2D and 3D, exclusive innovative technique for 3D and 4D navigation and a complete integration with any PACS. OsiriX supports 64-bit computing and multithreading for the best performances on the most modern processors. OsiriX MD, the commercial version, is certified for medical use (FDA cleared and CE II labeled).

More than a medical images viewer, OsiriX MD is a powerful diagnosis tool. OsiriX has been developed to allow to efficiently view full radiology exams and allows full review images with ease of use for Radiologists, Medical care providers, Institutions and many others.

We offer MicroDicom DICOM Viewer CD/DVD/USB version. This autorun package can be burned with DICOM images together on CD/DVD/USB or other external storage. Our software runs from CD/DVD on other computers without installation. Users can insert a CD and autorun will start our viewer and show images that are written on the CD. It is suited for patient CD/DVD to show DICOM images without installation. 2351a5e196