The best free software solutions for DICOM images
Sometimes it's useful to be able to view and manipulate medical images such as X-rays, CT or MRI scans on your own PC, laptop or tablet. This is particularly important when preparing teaching files or practising for your radiology exams. Finding a good free DICOM viewer can be tricky, especially as there are so many options out there. We have tested may different applications (so you don't have to) and the following are our best picks. We grouped them according to the operating system used because unfortunately there aren't any free viewers that run on both!
Philips dicom viewer free download - Image32, VR-Render, and many more programs. PostDICOM is one of the best DICOM viewers that offers almost all of the above.
A popular software for radiologists working in the UK is currently a programme called 'Horos'. This is a free open source version of the software used by the Royal College of Radiologists for the viva part of the Final FRCR 2B exam, so obviously it makes sense to use it for teaching as well. This programme is only available on Apple computers, hence why so many radiologists own MacBooks.
There is a paid version of Horos called 'OsiriX MD', which is produced by Pixmeo, however it is expensive so not ideal for basic teaching purposes, although has great functionality. Pixemo also produce a free demo version called 'OsiriX Lite', however there are major limitations placed on this including pop-ups asking you to upgrade to the paid version, performance restrictions, image viewing restrictions and inability to edit the meta-data attached to DICOM images - for example you can't easily re-order series within a study, which may be important if you are preparing cases for teaching or examinations. It is for these reasons that we do not list OsiriX Lite in our recommendations.
- The OsiriX UK user group are a group of Radiologists in the UK who are keen on digital radiology education and use OsiriX/Horos for teaching. The aim is to achieve a nationally agreed consensus on how cases are collected, organised and used for teaching and examination and thereby achieve a collective common ground/platform/standard for radiology education across the country. The resources on this site are amazing so we recommend you visit it now!
Software for Apple MacOS
Radiology Cafe's top pick:
Main features
- Intuitive user interface and customisable toolbars
- 64-bit
- Advanced manipulation and measurement tools
- Multi-planar reconstruction (MPR) with thick slab (Mean, MIP, Volume Rendering)
- 3D MIP, 3D Volume rendering, 3D surface rendering
- Image fusion for PET-CT & SPECT-CT
- Reads and displays all DICOM files
- DICOM Editing
- OsiriX migration assistant
- Separate iOS app to view DICOM on mobile devices (requires iOS 13.0 or later)
System requirements
- OS: MacOS 10.11 or later
Horos should run on any Mac brought within the last 3 years.
Why we like it
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!
Visit the Horos website to download the Horos DICOM viewer!
- There is a useful Mac plug-in for Horos that allows you to quickly upload selected studies / images to Radiopaedia, a free educational radiology resource with one of the web's largest collections of radiology cases and reference articles.
- User guide and installation guide:
https://radiopaedia.org/blog/radiopaedia-plugin-for-horos-osirix
Software for Microsoft Windows
Radiology Cafe's top pick:
Main features
- Simple and intuitive interface with full-screen mode
- Standard manipulation and measurement tools
- Browse several series concurrently in multiple windows with automatic synchronization between series and cross reference lines in series with different image planes
- Display of dynamic sequences/series (CINE)
- Multiplanar Reconstruction (MPR)
- Fusion of series with different modalities (e.g. PET-CT) or different protocols (e.g. MRI T1/T2–DWI)
- Huge range of DICOM file types supported and support for DICOM overlays
- Export DICOM files to JPEG, BMP and WMV.
- Copy and paste directly into Word or PowerPoint documents
- Read DICOM studies from CD/DVD/BluRay disks and local or network folders
- Asynchronous reading (browse images while they are being opened)
- Multi-core and multi-processor support, and advanced memory management system which facilitates concurrent opening of studies with thousands of images
- Universal installer (32 and 64-bit)
- Multilingual interface (>20 languages)
- Multi-touch support
more feature details..
System requirements
- OS: Windows 10/8.1/8/7/Vista/XP (SP3)
- Processor: Intel or AMD 1GHz or faster (multicore Intel processor recommended)
- Memory: 512MB of RAM (2GB recommended)
- Hard Disk Space: 9MB of available hard-disk space for installation; additional free space required for image caching
- Screen Resolution: 1024x768 minimum
Why we like it
We really like RadiAnt as it is free, simple, easy to use and very fast. Watch this YouTube demonstration video to see RadiAnt in action. It is downloaded as a single compact application with an installer size of approximately 5MB. The application can even run directly from a USB stick! This basic DICOM viever does all the things you would expect and is perfect for revision purposes for radiology trainees.
Visit the RadiAnt website to download the RadiAnt DICOM viewer! How to flash gtx 680 for mac.
Radiology Cafe's one to watch:
Main features
- Designed mainly for CT and MR DICOM modalities
- 3D reconstruction and volume rendering
- Multi-planar and oblique slicing
- Easily anonymize and de-identify patient scans
- Fast surface extraction and export to STL and PLY formats
- Load DICOM data directly from PACS, CD/DVD, USB or local computer
- Patient search to locate patient data on your PACS
- Loads common non-DICOM file formats: NifTi (.nii), Visualization Toolkit (.vtk), and ANALYZE (.hdr)
- Window/level (brightness and contrast) presets
- Screen capture
- Axis-aligned cropping with context
- Side-by-side comparative assessment
more feature details..
System requirements
- OS: Windows 10/8.1
- Processor: Intel i3 or AMD Ryzen 3 (64-bit CPU for data sizes over 100MB)
- Memory: 8+ GB of RAM
- Hard Disk Space: 1GB of available hard-disk space for installation; additional free space required for image caching
- Screen Resolution: 1920x1080 or better
Why we like it
We like Pro Surgical 3D as it is fast and easy to use. Although it is designed for surgeons, it's easy to view patient scans quickly. It works well with studies on CD/DVDs, USB sticks and local DICOM files.
Visit the Pro Surgical 3D website to download the Pro Surgical 3D DICOM viewer!
Online Software
Free Dicom Viewer Macos
Radiology Cafe's top pick:
Main features
- Free 50GB cloud space to store medical images and clinical documents
- Multi-platform (Windows, MacOS, Linux, IOS, and Android) Support
- Upload, store and view DICOM files
- Upload, store and view non-DICOM clinical documents which are in PDF, BMP, PNG, JPG, MP4 and AVI formats
- Automatic synchronization of compatible series with showing cross-reference lines
- Standard measurement tools
- Ability to anonymize patient data before uploading
- Share patient images with doctors, medical groups, and patients by sending a viewing link and password
- Organize patients into folders and enter custom descriptions to them
- Multiplanar Reconstruction (MPR)
- Maximum Intensity Projection (MIP), Minimum Intensity Projection (MinIP), Average Intensity Projection (AvgIP)
- 3D Reconstruction
- PET-CT, and PET-MR fusion
- Create user groups and manage user Authorizations
- Recycle Bin to prevent accidental deletion
more feature details..
System requirements
- The following operating systems and internet browsers are supported:
- Windows: Google Chrome, Mozilla Firefox
- Mac OS: Apple Safari, Google Chrome
- Linux: Google Chrome
- iOS: Apple Safari
- Android: Google Chrome
Why we like it
We really like PostDICOM as it is free (up to 50GB online storage), simple, easy to use and fast once the DICOM images are uploaded. As it is cloud based, you can access it on pretty much any device. This DICOM viever does all the things you would expect and is great for sharing studies.
Visit the PostDICOM website to use the PostDICOM viewer!
Radiology Cafe's alternative recommendation:
Main features
- Unlimited cloud storage space to store medical images
- Multi-platform (Windows, MacOS, Linux, IOS, and Android) Support
- Upload, store and view DICOM files
- Fast Cloud DICOM imaging loading
- Automatic synchronization of compatible series with showing cross-reference lines
- Standard measurement tools
- Multiplanar Reconstruction (MPR)
- View DICOM metadata
- Share, tag and comment on cases with other professionals
- Enter custom descriptions to cases
- WebGL browser rendering
- PACS integration using the Collective Minds® Proxy
- One click case upload using the Collective Minds® Proxy
more feature details..
System requirements
- The following operating systems and internet browsers are supported:
- Windows: Google Chrome, Mozilla Firefox
- Mac OS: Apple Safari, Google Chrome
- Linux: Google Chrome
- iOS: Apple Safari, Google Chrome
- Android: Google Chrome
Why we like it
We really like Collective Minds Radiology as it is a bit different to other sites. It's a radiology collaboration service and centered around sharing cases with other professionals for expertise, advice or teaching. It is free with unlimited storage, easy to use and fast. As it is cloud based, you can access it on pretty much any device. The service is restricted to medical professionals and sharing can be done to specific groups e.g. your hospital community. The ability for users to comment and tag images is particularly unique and great for learning and teaching.
Visit the Collective Minds website to use the Collective Minds Radiology viewer!
So there you have it!
Radiology Cafe's 'top pick' and 'one to watch' free DICOM viewers for Microsoft Windows, Apple MacOS and online. Please send us your suggestions for other great free DICOM viewers!
Despite high adoption rates and a myriad of choices, the complexity of many medical software systems can frustrate even the most technologically literate provider.
Interoperability woes can make it difficult to share and view medical images from disparate systems, especially if providers are using outdated EMR software or don't have a Picture Archiving and Communication System (PACS). As medicine moves towards a film-less future, providers must have the software tools necessary to share, view, or edit medical images. To accomplish this, many providers are choosing standalone DICOM viewers.
DICOM stands for Digital Imaging and COmmunications in Medicine. It is an international standard file format and network communications protocol developed by the American College of Radiology (ACR) specifically for medical imaging. Most EHR systems support the DICOM standard for viewing and transmitting images. If you can already view DICOM images within your EHR, you likely won't require a standalone viewer. However, if your system doesn't support DICOM, you're having difficulty communicating with a PACS or RIS system, or if you don't have PACS/RIS access — or even EHR at all — a free DICOM viewer will help you get started viewing images.
The following systems can help you securely view, edit, and share DICOM images. Some offer paid versions intended for commercial applications, which usually include increased functionality — or at least won't remind you constantly that you're using a trial version. The software below is listed in no particular order, and represents some of the better systems on the market.
3DimViewer
A smooth, minimalist graphical user interface makes 3DimViewer easy to use and learn. It's capable of displaying 3D imaging profiles, including multi-planar and orthogonal displays, but it's specialty is both volume and surface renderings with thresholding-based tissue segmentation. GPU acceleration is necessary for volume rendering, so don't try to use this on older computers, or even many newer models with integrated graphics chipsets.
Native installers are available for Macintosh, Windows, and Linux-based platforms, making it one of the more flexible systems available. It is also open-source, meaning your developers (if you have them) can use the publicly available C++ code to integrate with it with other programs, or otherwise customize your system. It is a view-only solution—there's no native editing beyond simple brightness, contrast, etc. Installers for Macintosh and Windows 32 and 64-bit systems are available here—Linux users will have to go to SourceForge.
DICOM Web Viewer (DWV)
- The following operating systems and internet browsers are supported:
- Windows: Google Chrome, Mozilla Firefox
- Mac OS: Apple Safari, Google Chrome
- Linux: Google Chrome
- iOS: Apple Safari, Google Chrome
- Android: Google Chrome
Why we like it
We really like Collective Minds Radiology as it is a bit different to other sites. It's a radiology collaboration service and centered around sharing cases with other professionals for expertise, advice or teaching. It is free with unlimited storage, easy to use and fast. As it is cloud based, you can access it on pretty much any device. The service is restricted to medical professionals and sharing can be done to specific groups e.g. your hospital community. The ability for users to comment and tag images is particularly unique and great for learning and teaching.
Visit the Collective Minds website to use the Collective Minds Radiology viewer!
So there you have it!
Radiology Cafe's 'top pick' and 'one to watch' free DICOM viewers for Microsoft Windows, Apple MacOS and online. Please send us your suggestions for other great free DICOM viewers!
Despite high adoption rates and a myriad of choices, the complexity of many medical software systems can frustrate even the most technologically literate provider.
Interoperability woes can make it difficult to share and view medical images from disparate systems, especially if providers are using outdated EMR software or don't have a Picture Archiving and Communication System (PACS). As medicine moves towards a film-less future, providers must have the software tools necessary to share, view, or edit medical images. To accomplish this, many providers are choosing standalone DICOM viewers.
DICOM stands for Digital Imaging and COmmunications in Medicine. It is an international standard file format and network communications protocol developed by the American College of Radiology (ACR) specifically for medical imaging. Most EHR systems support the DICOM standard for viewing and transmitting images. If you can already view DICOM images within your EHR, you likely won't require a standalone viewer. However, if your system doesn't support DICOM, you're having difficulty communicating with a PACS or RIS system, or if you don't have PACS/RIS access — or even EHR at all — a free DICOM viewer will help you get started viewing images.
The following systems can help you securely view, edit, and share DICOM images. Some offer paid versions intended for commercial applications, which usually include increased functionality — or at least won't remind you constantly that you're using a trial version. The software below is listed in no particular order, and represents some of the better systems on the market.
3DimViewer
A smooth, minimalist graphical user interface makes 3DimViewer easy to use and learn. It's capable of displaying 3D imaging profiles, including multi-planar and orthogonal displays, but it's specialty is both volume and surface renderings with thresholding-based tissue segmentation. GPU acceleration is necessary for volume rendering, so don't try to use this on older computers, or even many newer models with integrated graphics chipsets.
Native installers are available for Macintosh, Windows, and Linux-based platforms, making it one of the more flexible systems available. It is also open-source, meaning your developers (if you have them) can use the publicly available C++ code to integrate with it with other programs, or otherwise customize your system. It is a view-only solution—there's no native editing beyond simple brightness, contrast, etc. Installers for Macintosh and Windows 32 and 64-bit systems are available here—Linux users will have to go to SourceForge.
DICOM Web Viewer (DWV)
DWV is a completely browser-based DICOM viewer written in Javascript and HTML5, which means you can use it on almost any device with almost all modern browsers, including laptops, tablets, phones, and even some smart televisions. With some coding, it can be incorporated into any PACS server that supports the Web Access to DICOM persistent Objects (WADO) protocol, or images can be browsed or accessed via a local URL.
Once again, this is a view-only system, so there's no editing. The link above will take you to the full wiki, and demos can be found here. While the GitHub version requires some programming knowledge to implement, you can also get DWV as a Chrome extension, a Google Drive app, or a WordPress plugin. Visit the GitHub link for more information.
Mango
One of the most advanced systems on our list, Mango — or Multi-image Analysis GUI — is available in three versions, for Windows, Macintosh, or Linux
Mango offers a host of analysis, processing, and editing features, and can convert, anonymize, and register images. It offers more functionality than many commercial systems, thanks to initial and ongoing support via grants from the National Institute of Mental Health and the National Institute of Biomedical Imaging and Bioengineering.
Escape EMV
Free Dicom Viewer For Mac
EMV is a lightweight DICOM viewer that can open most DICOM images and DICOMDIR files from CD/DVD, flash drives, etc. The software comes in two different versions, a recently updated version for Mac, and an unsupported version for Windows. EMV can access WADO PACS systems to retrieve studies. It can handle user objects, like annotations and measurements, and is available in English, French, Italian, Spanish, and Portuguese versions.
The tool offers anonymizing capabilities, can export images, and the viewer offers various displays, overlays, filters, marking, and colorizations. It requires QuickTime to work, which is why the Windows version is unsupported. While you can download and demo the software for free, using it in a commercial environment requires a €245 license for up to three computers. Every shalalala.
IrfanView
Yes, that IrfanView, the simple free image viewer you may have downloaded in the early 90s to view .gifs, .tiffs, and other image files now supports DICOM viewing. It is provided as freeware for non-commercial use, so if you want to use it in your medical practice you'll need to register it and pay a one time, $12 licensing fee, but if all you want is a lightweight program to view simple DICOM images on your Windows desktop, IrfanView is hard to beat.
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This is not intended to be a comprehensive list — there are hundreds, if not thousands of software solutions for viewing, editing, and otherwise manipulating DICOM and other medical imaging formats. An ideal DICOM viewing platform would involve access to an in-house or networked PACS server at the radiology center of your choosing, but we recognize that many physicians are not operating under ideal circumstances.
Having trouble deciding which EHR system is the right solution for your business? Check out our Product Selection Tool to find the best fit or contact us to speak with one of our Tech Advisors. They will be happy to help. Best of all? It's free.
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