A real DICOM viewer and PACS, fast on your own hardware or ours. You choose who runs the server.
Orion is desktop software. Install it, point your modality at it, and you're done. All the tools of a modern web PACS, none of the monthly hosting bill.
Runs at localhost:3000. Any browser on your LAN can open studies. No plugin, no per-station install.
A standard C-STORE listener on port 104 takes anything your modalities send: CR, DX, CT, MR, US, MG, NM. Send studies back out to another PACS or reading service by hand or on a rule, and export to a folder as DICOM.
On an on-premise licence, studies stay on your server and we never receive them. The only thing that leaves is a licence check. Turn on Cloud Backup and your encrypted copies go to storage scoped to your installation, which is your choice to make, not a default. Cloud plans work the other way round, by design: we hold the images so you do not have to run the server.
Studies live in a folder on your NAS or drive. No cloud lock-in, no exit fees. Back it up like anything else.
Search by patient, date, referrer or accession, and filter unread work in one click. A patient's earlier studies are linked automatically by patient ID, falling back to name and date of birth when the ID has changed. Nothing leaves the building, so it's as fast as your own network.
Off-site backup is an add-on you buy separately and switch on when you want it. Everything else runs on your own hardware. Reading from outside the practice works through your own HTTPS or a tunnel, so remote access costs you nothing extra.
Write a rule once and every matching study goes where it belongs: all CTs to a reading service, one referrer's work to their workstation, overnight batches held until 11pm. Rules match on modality, description, referrer, accession and more, and every transfer is listed with its result.
Give each practice its own modalities and staff, and everyone sees only their own patients. The rule is applied everywhere a user can reach study data, including search, downloads and forwarding. Administrators see the whole archive.
Every sign-in, view, download, forward and deletion is recorded with who and when. Filter it by person, action or date and export the result to CSV when somebody asks for evidence.
This is the actual product, not a mockup. What you install is what you see here.
Search, worklist, studies: one browser tab, nothing to install on the reading side.
You'll be sending your first study by 2pm.
Download the Windows installer free, and pick a licence tier. Your activation key arrives by email the moment you purchase.
Guided installer sets up the DICOM listener, web viewer and hourly backups, then restarts. Open the portal and paste your activation key on the sign-in screen.
Enter the AE Title, host, and port on your modality. Send a test study. Open the browser. Done.
Intended use: Orion PACS is a Medical Image Management and Processing System (MIMPS) intended for archival, routing, and referring-physician review of DICOM studies. It is not intended for primary diagnostic interpretation — primary reads should be performed on an FDA-cleared diagnostic workstation with calibrated medical-grade monitors. Full terms: read the EULA.
Install it today and start a free 14-day trial right on the sign-in screen: just an email, no card. When you buy, the same install activates instantly, with no reinstall and no data migration.
Windows installer · about 400 MB · free to download · free trial, no card
After installing: the installer restarts the machine, then open
http://localhost:3000. On the sign-in
screen, either paste a purchased activation key, or choose Start a free trial
and enter your email. The trial activates immediately: no card, no waiting on an email.
Windows will warn that the publisher is unverified. Choose More info → Run anyway.
Same PACS either way. The difference is who holds the images and who keeps the server running.
Runs on a machine in your practice. Your images never leave your network, and we never receive them. Buy the licence once and own it.
See licence pricing →We run the server, apply updates, and keep backups. Your images are stored on our infrastructure, reachable from any location you approve. Billed monthly by storage.
See cloud pricing →Tiers are by storage. Measure what you actually have before you choose — it is usually about half what the folder says.
"The whole practice runs on a $600 mini PC in the closet. Orion cost us less than a year of our old cloud PACS bill, and my compliance officer stopped losing sleep."
What you saw above is what you install. Buy a license when you're ready.
