Top 25 Free Dicom Viewers for Doctors, Medical Students, and Health Professionals | PostDICOM.
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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.
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. Search online and you will find a multitude of options—some freeware, some paid, some targeted at medical students, others at seasoned experts, each with different specifications, systems requirements, add-ons, and capabilities.
As a classic case of the paradox of choice, the abundance merely makes it difficult for healthcare professionals to choose the software that would be the best fit for their requirements. This is our endeavor in this article, to make the decision easier for you by presenting some popular viewers with useful features and very affordable pricing plans. In fact, most of them are free for basic use. For instance, some software are meant only for basic viewing.
Therefore, they do not have any additional features such as sharing or storage. Some software also offer advanced features, like anonymization, which is particularly useful when conducting clinical research. From the standpoint of doctors, medical students, and clinicians, the following points should be kept in mind when looking for a DICOM viewer:. If you are a medical student, you may just be looking for a way to view and study clinical images. A full-fledged radiologist, on the other hand, would need high-speed software with specialized plug-ins and structured reporting.
Furthermore, certain applications may be best suited to view images from specific body regions. 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.
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. Features such as multiplanar reconstruction MPR , particularly 3D reconstruction, are needed for treatment planning. Volume rendering, maximum and minimum intensity projections MIPs aid in diagnosis as well as in research. The PACS server might be located in an institution, in which case the application must integrate to it directly, or it can be a cloud-based PACS system, which can be accessed online from anywhere.
The latter is especially useful when images need to be stored and analyzed for research purposes. 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:. It can be operated from android devices and iOS-based systems.
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. The cloud-based PACS is unique to this software and offers several advantages. It allows researchers to upload relevant images on the PACS server for viewing, processing, and analyzing at various stages during the course of their clinical research.
This ensures complete data integration and a smooth workflow. Although paid subscriptions are available, the free trial version itself has several premium features. The cloud PACS offers free trial to its paid subscriptions , shares a month, and one or more user logins. These can be increased with different paid subscriptions. It only runs on Mac OS, version 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. One of the unique features of Horos is that it has a plug-in that allows uploading of images to Radiopedia, an online resource with a large number of reference cases and articles. Technical support is available through both phone and email. Horos, however, does not integrate to PACS free of cost. Cloud-based storage is available at an additional cost. However, it does not allowing editing of imaging metadata, and image modifications come with a watermark.
While this is good to get a feel for the parent software, it is not intended for regular medical use. 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. 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. It may be slightly awkward to use without a touchscreen. This application only runs on higher versions of Windows.
It lacks advanced features, but is useful for basic use. The Pro Surgical 3D application from the Stratovan Group is mainly targeted at surgeons, for surgical planning using their high quality 3D reconstruction feature. However, anyone can use this application to read and understand scans. It has the capacity to anonymize and de-identify patient details in scans, which is a must when the images are used in research, presentations or publications.
They have an integrated customer support portal to aid in usage. The application also provides access to the Navegatium Knowledge Base—a comprehensive digital library of medical images.
Some drawbacks are that it occupies a lot of hard disk space, requires an advanced version of Windows at least Windows 8. It can generate structured reports, and allows basic measurements, annotations, and zooming in for images. MicroDicom does not offer advanced features such as MPR and volume rendering.
It can be downloaded as a potable zip file that does not require installation. This allows it to be used on any device that has a Windows OS. 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. This is a browser-based DICOM viewer, which means it cannot be downloaded, but can be accessed through any device with an internet browser—your laptop, phone, tablet, or even smart televisions. Only basic manipulation of the image drag, zoom, contrast can be done, and as this is view-only, export is not possible.
The application requires some technical skill to navigate around, but videos and support is offered. It has several advanced features, including conversion, anonymization and editing images.
Other versions of Mango Papaya and iMango can be accessed from the browser directly or an Apple iPad. The application is under constant development, possible due to grants from the National Institute of Mental Health and the National Institute of Biomedical Imaging and Engineering.
Therefore, it keeps improving in its functionality. Advanced options like behavioral analysis, disease analysis, and brain separation modalities make it particularly useful for neuromedicine.
It does not offer cloud storage. Escape EMV offers anonymizing and exporting features, but does not have many other advanced specs. It is available in multiple languages.
Only a trial version is available free of cost, and commercial use of the software requires payment of a license fee. 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. It is a robust application that is easy to use too. While it does not offer cloud storage, it can function as a mini-PACS server.
It has the capacity to batch-anonymize and batch-convert to image formats. The free version is valid for 45 days only, after which a lifetime license can be purchased at a reasonable cost. This is the free version of the paid software JiveX Review Client, and is meant to be used in educational and research activities. 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. 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 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.
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. In addition, it also allows 4D viewing of cardiac CTs. The application allows you to sort images according to body parts. Images can be annotated, measured and animated. Advanced features are not available in the free version.
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