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OsiriX MD

Commercial DICOM viewer and imaging workstation for macOS, cleared for clinical use.

PaidDICOM and medical image viewers
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About OsiriX MD

OsiriX MD is a Mac medical imaging workstation from Pixmeo that reads DICOM studies from CT, MRI, ultrasound, PET and X-ray. It covers the full reading workflow: a SQL-backed local study database, 2D viewing with key images and regions of interest, hanging protocols across multiple screens, MPR, curved MPR, MIP and volume rendering, PET-CT fusion and DICOM networking to send and receive studies from a PACS. It is FDA-cleared as a Class II device and CE-labelled, which is the main reason clinics pick it over free forks like Horos. A plugin architecture lets researchers add their own processing tools. OsiriX MD is sold as a subscription; a free OsiriX Lite version exists for evaluation but stamps images as not for medical use and limits some features. It runs only on Macs, with companion apps for iPhone and iPad.

Best for: Radiologists and clinics on Macs who need a certified DICOM workstation.

Pros and cons

What works

  • FDA-cleared and CE-labelled for diagnostic use
  • Deep 2D, 3D and 4D post-processing, including PET-CT
  • Plugin system for custom research tools

Why people leave

  • Runs only on Apple hardware
  • Subscription pricing adds up compared with free viewers
  • Free Lite version marks images as not for medical use

Top OsiriX MD alternatives

See all 3
  1. 1Horos logo
    Horos

    Free open-source fork with a very similar interface, for users who don't need a certified device.

    54.5
  2. 2Weasis logo
    Weasis

    Free cross-platform viewer that integrates with PACS and web portals, without the subscription.

    52.2
  3. 3RadiAnt DICOM Viewer logo
    RadiAnt DICOM Viewer

    A lighter, fast Windows viewer for practices that don't run Macs.

    50.3

Why people left OsiriX MD

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OsiriX MD: common questions

Is OsiriX MD free?

No, OsiriX MD is a paid product. Starting price: $69.99/month (checked on OsiriX MD's own site).

Is OsiriX MD open source?

No, OsiriX MD is not open source. Open-source alternatives include Horos and Weasis.

What platforms does OsiriX MD run on?

OsiriX MD is available for macOS and iOS.

What are the best alternatives to OsiriX MD?

The highest-ranked OsiriX MD alternatives right now are Horos, Weasis and RadiAnt DICOM Viewer. See the full ranked list for pricing, platforms and verified facts.

See all 3 OsiriX MD alternatives