Enterprise PACS Server & Imaging Infrastructure

MedPACS™Enterprise PACSServer

MedPACS™ is an enterprise-grade PACS Server for secure DICOM ingestion, storage, routing, query/retrieve, and DICOMweb access. Built for hospitals, diagnostic networks, teleradiology providers, and healthcare technology platforms, MedPACS™ can run on-premise, in the cloud, or in hybrid environments without locking your organization into a proprietary viewer.

Enterprise PACS Server • DICOM Archive • Routing • DICOMweb • Imaging Infrastructure
✓ Enterprise PACS Server✓ DICOM Native✓ DICOMweb Ready✓ Vendor Neutral✓ Docker Ready✓ API First✓ Cloud & On-Premise
MedPACS™ • Imaging InfrastructureONLINE
12.8MDICOM Objects
99.9%Service Target
18Connected Nodes
ModalitiesCT • MRI • XR • USG
MedPACS™Store • Index • Route
ConsumersViewer • AI • RIS • VNA
C-STORE received ... OK
Study indexed ... OK
Object persisted ... OK
Routing rule evaluated ... OK
DICOMweb access endpoint ... READY
Imaging Services HealthyDICOM • DICOMweb • Storage • Routing
Enterprise PACSServer & imaging archive
Multi-SiteEnterprise deployments
API-FirstModern integration
FlexibleCloud, on-prem & hybrid
Enterprise-Grade by Design

Enterprise PACS Server infrastructure for mission-critical imaging.

Designed for the core PACS responsibilities enterprises care about: interoperability, resilience, scalability, storage control, security, routing, and operational visibility.

HA

High Availability Ready

Deploy redundant application instances and supporting services for resilient production environments.

Horizontal Scalability

Scale ingestion, query, routing, and application services as imaging volumes and users grow.

VN

Vendor-Neutral

Use standards-based DICOM and DICOMweb integration without tying the archive to one viewer or modality vendor.

MS

Multi-Site Architecture

Support hospitals, branches, imaging centers, and remote radiology networks through centralized or distributed deployments.

OPS

Operational Visibility

Monitor ingestion, routing, storage, queue health, connectivity, failures, and application status.

SEC

Secure by Architecture

Support encrypted transport, controlled application access, network isolation, and auditable operations.

API

API-First Platform

Expose imaging workflows to viewers, RIS, AI applications, portals, and enterprise integration services.

DEP

Flexible Deployment

Deploy with Docker or orchestration platforms across public cloud, private cloud, on-premise, or hybrid environments.

DICOM Infrastructure

A PACS Server built around the imaging standards you already use.

Connect modalities, viewers, RIS, AI services, external PACS, and enterprise archives using established imaging protocols and web-native access patterns.

CS

DICOM C-STORE

Receive imaging studies from compatible modalities, gateways, PACS nodes, and external DICOM systems.

QR

Query / Retrieve

Support standards-based study discovery and retrieval workflows across connected imaging systems.

CE

DICOM Verification

Use C-ECHO connectivity checks for node validation and operational troubleshooting.

DW

DICOMweb

Enable modern browser, application, and API access patterns using web-native imaging interfaces.

Q

QIDO-RS

Query studies, series, and instances from compatible DICOMweb clients and applications.

W

WADO-RS

Retrieve DICOM objects and imaging content for zero-footprint viewers and downstream services.

S

STOW-RS

Support web-based ingestion of DICOM objects from compatible applications and services.

RT

DICOM Routing

Route studies or objects to downstream destinations based on defined enterprise workflow rules.

Enterprise Archive & Storage

Enterprise PACS archive services with flexible storage infrastructure.

Keep PACS services independent from the underlying object storage strategy so your archive can evolve with performance, retention, and cost requirements.

Ingestion Layer

DICOM modalities, gateways, external PACS, upload services, and imaging applications.

C-STORESTOW-RSGateway

MedPACS™

Validate, index, organize, route, and expose imaging studies through enterprise services.

MetadataIndexRoutingAPIs

Storage Layer

Use local object storage, enterprise object platforms, or cloud object storage according to deployment needs.

Object StorageHotCoolArchive
OBJ

Object Storage Ready

Design archive storage around scalable object storage instead of relying only on local file systems.

RET

Retention Policies

Align imaging retention with clinical, operational, contractual, and regulatory requirements.

TIER

Storage Tiering

Use hot, cool, or archive tiers where supported by your storage platform to balance access and cost.

DR

Backup & DR Ready

Integrate infrastructure backup, replication, and disaster recovery strategies around your enterprise archive.

Enterprise Integration

Make MedPACS™ the enterprise PACS Server behind your imaging ecosystem.

MedPACS™ can operate independently of the viewer and integrate with clinical, operational, AI, and imaging applications across your organization.

Imaging Sources

Modalities, DICOM gateways, external PACS, upload tools, and partner imaging systems.

CTMRIXRUSGMG

MedPACS™

Centralize imaging ingestion, storage coordination, indexing, routing, query, retrieval, and DICOMweb access.

DICOMDICOMwebREST APIEvents

Enterprise Consumers

Viewer, RIS, AI, teleradiology, patient portal, VNA, analytics, and third-party applications.

ViewerRISAIVNAPortal
RIS

RIS Integration

Connect study lifecycle and operational context with scheduling, worklist, reporting, and workflow systems.

VW

Viewer Integration

Serve studies to zero-footprint diagnostic viewers through DICOMweb and standards-based interfaces.

AI

AI Integration

Expose imaging studies to compatible AI pipelines and receive downstream results into enterprise workflows.

API

REST APIs

Integrate metadata, study status, workflow operations, and supporting services into surrounding applications.

EVT

Events & Automation

Trigger downstream workflows when studies are received, processed, routed, or changed.

EXT

External PACS / VNA

Connect with enterprise archives, partner PACS systems, and downstream DICOM destinations.

Scale & Resilience

An Enterprise PACS Server designed for imaging volume at scale.

Separate ingestion, API, indexing, routing, and storage responsibilities so services can scale according to workload.

Imaging Network

Multiple hospitals, centers, modalities, gateways, and remote locations.

Multi-SiteMulti-ModalityDistributed

Scalable PACS Services

Deploy multiple application instances behind enterprise load balancing and orchestration layers.

Load BalancerInstance 1Instance 2Instance N

Archive & Consumers

Scale storage capacity and downstream applications independently from ingestion services.

StorageViewerAIVNA
LB

Load Balancing

Distribute API and service traffic across multiple instances.

K8

Container Orchestration

Support orchestrated deployment patterns such as Kubernetes where required.

Q

Asynchronous Processing

Use background processing and queue-based patterns for long-running or high-volume imaging tasks.

HC

Health Monitoring

Integrate service health checks and operational telemetry into infrastructure monitoring workflows.

Containerized Deployment

Deploy your Enterprise PACS Server without infrastructure lock-in.

Install MedPACS™ alongside your existing modalities, storage, viewer, RIS, and enterprise integration services.

Deploy

Run PACS services using containerized infrastructure.

Configure

Set AE Titles, ports, storage, routing, access, and environment-specific configuration.

Connect

Register modalities, viewers, RIS, gateways, PACS nodes, and DICOMweb consumers.

Secure

Configure network controls, identity, encryption, secrets, and audit policies.

Operate

Monitor ingestion, storage, routing, service health, and production workloads.

ILLUSTRATIVE DOCKER COMPOSE STRUCTURE
services:
  medpacs-api:
    image: <your-registry>/medpacs-api:<version>
    environment:
      - DATABASE_URL=<database-connection>
      - OBJECT_STORAGE_ENDPOINT=<storage-endpoint>
      - AUTHORITY_URL=<identity-provider>

  medpacs-dicom-service:
    image: <your-registry>/medpacs-dicom-service:<version>
    ports:
      - "11112:11112"

  medpacs-dicomweb-service:
    image: <your-registry>/medpacs-dicomweb-service:<version>
    ports:
      - "8080:80"

Example only. Production service names, image names, ports, environment variables, topology, and deployment instructions should be provided in the official MedPACS™ deployment package.

Deployment Flexibility

One Enterprise PACS Server. Your infrastructure strategy.

Deploy according to clinical, networking, performance, data residency, and IT governance requirements.

Public Cloud

Run PACS services with cloud compute, managed databases, object storage, and enterprise networking.

Private Cloud

Deploy into organization-controlled infrastructure with isolated networking and storage.

On-Premise

Operate close to modalities and local imaging infrastructure inside hospitals or diagnostic centers.

Hybrid

Combine local DICOM services and storage with centralized cloud applications or archives.

IT & DevOps Ready

Designed for enterprise operations teams.

Use standardized deployment and observability patterns to run imaging infrastructure consistently across development, UAT, and production.

DEV

Containerized Services

Package PACS services consistently across environments.

CFG

Externalized Configuration

Manage storage, DICOM nodes, routing, authentication, and environment configuration outside application binaries.

OBS

Observability Ready

Integrate logs, metrics, tracing, and health checks into enterprise monitoring platforms.

LOG

Centralized Logging

Capture operational events, errors, connectivity issues, and service activity for troubleshooting.

UP

Controlled Upgrades

Use versioned container releases and controlled rollout strategies for production upgrades.

DR

DR Architecture Ready

Fit PACS services into your backup, replication, recovery, and business continuity architecture.

Enterprise Security & Governance

Secure the imaging backbone.

Designed to work within enterprise network, identity, audit, encryption, and operational governance controls.

NET

Network Controls

Deploy behind enterprise firewalls, private networks, VPNs, or other approved network boundaries.

TLS

Encrypted Transport

Protect web APIs, DICOMweb, and application communications using encrypted channels where supported.

SEC

Secrets Management

Keep database, storage, certificates, and service credentials outside application source code.

AUD

Audit & Traceability

Support operational traceability across ingestion, routing, access, and system activity.

OEM & White-Label Ready

Your imaging platform. Powered by the MedPACS™ Enterprise PACS Server.

PACS vendors, healthcare software companies, and imaging technology providers can use MedPACS™ as the DICOM and archive engine behind their own products.

You Own

Your viewer
Your RIS / workflow
Your branding
Your user experience
Your customer relationships
Your commercial model

MedPACS™ Provides

DICOM ingestion
Imaging archive services
DICOMweb access
Query / retrieve
Routing & integration
Enterprise APIs & events
Modernize Imaging Infrastructure

Your Enterprise PACS Server. Your storage. Your infrastructure

Talk to the RadpicsAI team about
standalone PACS deployment, DICOM integration,
storage architecture, multi-site rollout,
Docker/Kubernetes deployment, APIs,
and OEM integration.