Self-hosted medical imaging
PACSinfra is a self-hosted medical imaging platform built on Orthanc and OHIF. Upload DICOM studies, review them, and write reports, all on your own server, with patient data that never leaves your control.
Security
Each organisation sees only its own studies, verified by an automated isolation test suite. The image server is never exposed: every image passes through an API that checks permissions and records an audit entry for each request.
How it works →Patient identifiers are removed from DICOM metadata, including free-text fields and nested sequences, before anything reaches the image archive. Clinics can keep real identities in a separate application database. Research teams can run on pseudonyms only.
Limitation: De-identification covers DICOM metadata, not text burned into image pixels.
What's included
Login, editable per-organisation roles and fine-grained permissions.
Upload single files or ZIP archives, with validation and automatic ingest.
Study lists with search and filters, series and instance browsing, and previews.
Draft, finalise, version and export reports to PDF.
Share selected studies with named colleagues.
Restricted studies can still be opened when needed, but access is always recorded with a reason.
An append-only record of every action.
A full REST API with Swagger docs, for developers and integrations.
Deploy with a single Docker Compose command.
Architecture
Your browser talks to the PACSinfra API. The API checks permissions, records an audit entry, then fetches images from Orthanc on a private network.
Public
Browser
Your staff
The only way in
PACSinfra API
Private network
Orthanc
Image archive, not publicly reachable
Product
Technology
PACSinfra is built from a small set of proven, open-source parts. There's no ORM, no task-queue framework and no policy engine, so a developer can read and own the whole codebase.
API
Go
DICOM worker
Python
Frontend
React + TypeScript
Orthanc
The open-source DICOM server, used as the image archive
PostgreSQL 17
Application data and the Orthanc index
Garage
S3-compatible object storage for upload staging
Pricing
One organisation per licence. You may modify the code. You may not resell or redistribute it.
$2,500one-time
Source code you run yourself.
$6,000one-time
We deploy it on your server, end to end.
FAQ
On your own server. PACSinfra is self-hosted: studies, reports and the audit trail stay on infrastructure you control.
Patient identifiers are removed from DICOM metadata, including free-text fields and nested sequences, before anything reaches the image archive. De-identification covers DICOM metadata, not text burned into image pixels.
Yes. Clinics can keep real identities in a separate application database, apart from the image archive. Research teams can run on pseudonyms only.
Tenant isolation is verified by an automated isolation test suite, and every image request passes through an API that checks permissions and records an audit entry.
A single server that can run Docker Compose. PACSinfra deploys with one command, with nginx as the only public entry point.
Yes. PACSinfra has a full REST API with Swagger docs.
Questions about buying? See the pricing FAQ.
Try the demo, compare plans, or talk to us about deploying PACSinfra on your server.