Orthanc

Open Source

The lightweight, RESTful DICOM server for medical imaging automation and AI integration.

Capabilities: DICOM storage and retrieval (C-STORE, C-GET, C-MOVE) Anonymization and de-identification of medical records Automated image routing based on metadata AI model inference pipeline integration DICOMweb protocol implementation (WADO-RS, STOW-RS, QIDO-RS)

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9.5

Protocol Reliability Score

Overview

Orthanc is a groundbreaking, lightweight DICOM server designed for seamless integration into modern clinical workflows. Developed by the Orthanc Team (UCLouvain), it provides a robust REST API that bridges the gap between legacy medical imaging protocols (DICOM) and contemporary web technologies. By 2026, Orthanc has solidified its position as the de-facto infrastructure for AI-driven radiology, acting as a flexible gateway for automated image processing, de-identification, and routing. Its architecture is modular, allowing for highly specialized extensions via C++, Python, or Lua scripting. This modularity enables hospitals and research centers to implement Vendor Neutral Archives (VNA), teleradiology bridges, and automated quality control pipelines without the overhead of monolithic, proprietary PACS systems. Orthanc's commitment to the 'Open Source' philosophy ensures full transparency and compliance with HIPAA and GDPR standards when deployed in secure environments. Its ability to run in Docker containers makes it the preferred choice for cloud-native medical imaging architectures and edge-computing applications in remote healthcare settings.