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Buyer's guide

Best DICOM viewers in 2026

An honest comparison of nine viewers, free and paid, web and desktop. Every fact about another product comes from its maker's own site.

By 5C Network · Last updated: October 2026

TL;DR

The best DICOM viewer depends on who is reading. For a free, open-source web viewer, OHIF (MIT license) is the standard. For free desktop viewers, Weasis runs on Windows, macOS and Linux, and Horos is the free choice for Mac. MicroDicom is free on Windows for non-commercial use; RadiAnt is a fast Windows viewer with a free trial and a paid subscription. MedDream is a white-label web viewer that its maker states is FDA cleared and CE Class IIb, built for software vendors. PostDICOM bundles cloud storage, a web viewer and sharing at published prices. 3D Slicer is for research, not clinical reading.

For hospitals and diagnostic centers that want AI and reporting in the same screen, RadDream, 5C Network's browser-based viewer, shows Bionic AI findings on the image and is read in every day by 5C's 400+ specialist radiologists. It comes with 5C's platform; it is not free or sold standalone.

Which DICOM viewer is best for you?

What is a DICOM viewer?

A DICOM viewer is software that opens and displays medical images stored in the DICOM format, the standard used by X-ray, CT, MRI, ultrasound, mammography and PET scanners. Each DICOM file holds the image plus details about the patient, the scanner and how the image was taken, which is why an ordinary photo viewer cannot open it properly. For the file format itself, see what is a DICOM file.

Basic viewers scroll through slices and adjust brightness and contrast (window/level). Diagnostic viewers add measurements, hanging protocols, prior comparison, MPR (re-slicing a CT or MRI in any plane), 3D rendering and PET-CT fusion. A newer class adds AI and reporting next to the image.

Web (zero-footprint) or desktop viewer?

A web viewer runs in a browser with nothing to install; a desktop viewer is installed on each computer. Neither is better in general.

Web (zero-footprint)

OHIF, MedDream, PostDICOM, RadDream

  • +Opens on any computer, tablet or phone; IT updates one server
  • +Easy to share a study with a referring doctor by link
  • +Reads from a cloud or hospital archive, often over DICOMweb
  • –Needs a server or cloud archive and a network connection

Desktop

RadiAnt, MicroDicom, Weasis, Horos, 3D Slicer

  • +Works offline; opens a scan CD or a local folder directly
  • +Uses the local machine's memory and GPU for large studies
  • +Free options exist on every operating system
  • –Installed, updated and licensed on every machine

DICOM viewers compared

Viewer Type and platform Cost model Regulatory (as the vendor states) Best for
RadDream 5C Network, Bengaluru (India) Our product Web viewer inside a reporting platform. Any web browser, nothing to install Comes with 5C's platform (5C reporting and 5C SuperPACS). Not sold standalone, not free to download; no published price Not stated for the viewer. Bionic AI inside it is CDSCO-licensed (Class B); every 5C report is signed by a radiologist Hospitals and diagnostic centers that want the viewer, AI and reporting in one screen
MedDream DICOM Viewer MedDream, UAB (Lithuania) White-label web viewer (HTML5, zero-footprint). Web browser on desktop, tablet and mobile; server on-premise or cloud (Docker, Windows, Linux packages) Commercial license; sold to software vendors, OEMs, integrators, resellers and providers FDA cleared for diagnostic use (including mammography) and CE Class IIb, per MedDream Software vendors and OEMs embedding a certified viewer in their own product
OHIF Viewer Open Health Imaging Foundation, a program of Massachusetts General Hospital, developed with Radical Imaging Open-source web viewer (zero-footprint). Runs entirely in the browser; you host it Free, open source (MIT license) Not FDA cleared or CE marked, per OHIF's FAQ Developers and research teams building a web viewer on DICOMweb
RadiAnt DICOM Viewer Medixant, Poznan (Poland) Desktop viewer. Windows (7 to 11) Free trial with all features, which expires; paid subscription per PC (39 EUR for one year on its pricing page, October 2026) Not certified as a medical product, per its license terms Individual doctors who want a fast, polished Windows viewer at low cost
Weasis Open-source project founded by Nicolas Roduit Open-source desktop viewer with web launch. Windows, macOS and Linux; launches from web portals via weasis:// Free, open source (EPL 2.0 / Apache 2.0) Not stated on its site Hospitals and portals that want a free, cross-platform viewer they can launch from a RIS or EHR
Horos The Horos Project Open-source desktop viewer. macOS Free, open source (LGPL-3.0) Not stated in its repository Mac users who want a free, full-featured desktop viewer
PostDICOM PostDICOM B.V. (Netherlands) Cloud PACS with web viewer and image sharing. Web browser on desktop, tablet and mobile; a local communicator app connects imaging devices Paid plans from 79 EUR a month billed annually (100 GB), with a 7-day trial, per its site (October 2026) CE Mark Class IIb diagnostic viewer, per PostDICOM Small clinics that want cloud storage, a web viewer and patient sharing with published prices
MicroDicom DICOM Viewer MicroDicom Ltd, Sofia (Bulgaria) Desktop viewer. Windows (7 to 11); runs on a Mac only through Wine or CrossOver Free for non-commercial use; commercial use needs a paid license key Not certified as a medical product, per its EULA Patients and students who need a free Windows viewer to open a scan CD
3D Slicer Open-source community; the US NIH has been a major funder Open-source research platform. Windows, macOS and Linux Free, open source (BSD-style license) Not FDA approved and not approved for clinical use, per its documentation Researchers doing segmentation, registration, 3D printing and surgical planning

Every cell for another product comes from that vendor's own site, docs, GitHub or license terms, read on 26 October 2026. "Not stated" means we did not find a statement. Products and prices change; check with the vendor before you buy. Product names are trademarks of their owners.

The viewers, one at a time

RadDream comes first because this guide is written by 5C for hospitals and reading rooms. Each other profile says what the product is best at and what to watch for.

RadDream

5C Network, Bengaluru (India)

Web viewer inside a reporting platform · Any web browser, nothing to install

RadDream is 5C Network's radiology viewer, built in-house by 5C's engineering team. Since October 2026 it has been the viewer for every study on the 5C platform: 5C's 400+ specialist radiologists read in it every day, on a platform that handles 20,000+ scans a day. It is engineered for speed. What sets it apart is what sits around the image: Bionic AI findings appear on the image with a draft impression beside it, and the report editor is one click away. It supports X-ray, CT, MRI, mammography, PET-CT and nuclear medicine. Disclosure: this is our product.

  • ✓Bionic AI findings on the image, draft impression beside it, report editor one click away
  • ✓MPR, curved MPR, 3D volume rendering, MIP and PET-CT fusion in the browser
  • ✓Hanging protocols, linked series, prior comparison, keyboard shortcuts
  • ✓Share links for referring doctors; images can be restored from the viewer after a link expires
Cost
Comes with 5C's platform (5C reporting and 5C SuperPACS). Not sold standalone, not free to download; no published price
Best for
Hospitals and diagnostic centers that want the viewer, AI and reporting in one screen

Worth knowing: It is not a standalone download, not free and not white-label. You get it with 5C's reporting or 5C SuperPACS. If you only need to open a study on your own computer, pick one of the free viewers below.

RadDream, 5C's web DICOM viewer RadDream vs MedDream 5C SuperPACS

MedDream DICOM Viewer

MedDream, UAB (Lithuania)

White-label web viewer (HTML5, zero-footprint) · Web browser on desktop, tablet and mobile; server on-premise or cloud (Docker, Windows, Linux packages)

MedDream describes its viewer as web-based, vendor-neutral, white-label and zero-footprint, built to be licensed and integrated into someone else's PACS, VNA, RIS or portal. Per its product page it is FDA cleared for diagnostic use, including mammographic images, and CE Class IIb certified, and it states 660+ B2B partners, 3,800+ server installations and 85+ countries, with the viewer "engineered for 1,000+ concurrent users".

  • ✓Full white-label rebranding; URL integration, Communication API and Viewport API (React/Angular)
  • ✓Multi-specialty: radiology, cardiology, ultrasound, dentistry, ophthalmology, digital pathology and more
  • ✓MPR, MIP, 3D, segmentation, hanging protocols; "AI & CAD ready" for third-party algorithms
  • ✓On-premise or AWS, Google Cloud, Azure and Alibaba Cloud deployments
Cost
Commercial license; sold to software vendors, OEMs, integrators, resellers and providers
Best for
Software vendors and OEMs embedding a certified viewer in their own product

Worth knowing: It is a component, not a finished reading room: AI comes from third-party algorithms you connect, and reporting from your RIS. Pricing is not published.

Sources (vendor's own, read 26 October 2026): meddream.com/products/meddream-dicom-viewer

OHIF Viewer

Open Health Imaging Foundation, a program of Massachusetts General Hospital, developed with Radical Imaging

Open-source web viewer (zero-footprint) · Runs entirely in the browser; you host it

OHIF is the best-known open-source web DICOM viewer. Per its site it is a program of Massachusetts General Hospital, developed in collaboration with Radical Imaging, released under the MIT license and running entirely in the browser. It is designed as an extensible platform: extensions and modes let teams build their own workflows, and it connects to any image archive that speaks DICOMweb.

  • ✓MIT license: free to use, modify and ship inside commercial products
  • ✓Works out of the box with archives that support DICOMweb
  • ✓GPU-accelerated visualization, PET/CT, segmentation, measurement tracking
  • ✓Plugin framework for task-based workflow "modes"
Cost
Free, open source (MIT license)
Best for
Developers and research teams building a web viewer on DICOMweb

Worth knowing: OHIF's own FAQ says it is not FDA cleared or CE marked and does not by itself meet HIPAA criteria; compliance is the deployer's responsibility. You also need an archive and engineers to host and maintain it.

Sources (vendor's own, read 26 October 2026): ohif.org · docs.ohif.org · docs.ohif.org/faq

RadiAnt DICOM Viewer

Medixant, Poznan (Poland)

Desktop viewer · Windows (7 to 11)

RadiAnt is made by Medixant, a small, privately funded company in Poznan, Poland. It is a Windows desktop viewer known for simplicity and speed, with MPR, 3D volume rendering and PET-CT fusion. RadiAnt is often described as free, but its own site is more precise: there is a free trial that includes every feature and expires after a set period, and continued use needs a paid subscription. Its pricing page lists one PC for one year at 39 EUR, with longer plans and volume discounts.

  • ✓Small installer; "quick as lightning" per Medixant, with 64-bit support for large studies
  • ✓MPR, 3D volume rendering and PET-CT fusion
  • ✓Same features in the trial and the paid version
  • ✓CD/DVD edition with a permanent license for burning studies to disc
Cost
Free trial with all features, which expires; paid subscription per PC (39 EUR for one year on its pricing page, October 2026)
Best for
Individual doctors who want a fast, polished Windows viewer at low cost

Worth knowing: Its license terms say it is not certified as a medical product and must not be used to make diagnostic or therapeutic decisions or to interpret and report studies. It is Windows-first.

Sources (vendor's own, read 26 October 2026): radiantviewer.com · radiantviewer.com/about · radiantviewer.com/products/radiant-dicom-viewer-standard · radiantviewer.com/store/pricing · radiantviewer.com/terms

Weasis

Open-source project founded by Nicolas Roduit

Open-source desktop viewer with web launch · Windows, macOS and Linux; launches from web portals via weasis://

Weasis describes itself as a multifunctional, open-source DICOM viewer for both standalone and web-based use. It runs on Windows, macOS and Linux, is dual-licensed under EPL 2.0 and Apache 2.0, and its site says it is production-grade at HUG and across hospitals, trials and portals worldwide. Its weasis:// protocol lets a portal open a study in the desktop viewer with one click, which is why it often sits behind hospital web portals.

  • ✓CT, MR, ultrasound, X-ray, mammography, PET, ECG, structured reports, segmentations, RT plans
  • ✓3D and MPR, multi-monitor, measurements and annotations
  • ✓DICOMweb and DIMSE query/retrieve
  • ✓One-click launch from browsers, EHR and RIS portals with the weasis:// protocol
Cost
Free, open source (EPL 2.0 / Apache 2.0)
Best for
Hospitals and portals that want a free, cross-platform viewer they can launch from a RIS or EHR

Worth knowing: It is a desktop application that a portal launches, not a pure in-browser viewer, so each machine needs it installed. Its site makes no regulatory claim.

Sources (vendor's own, read 26 October 2026): weasis.org/en · weasis.org/en/getting-started · github.com/nroduit/Weasis

Horos

The Horos Project

Open-source desktop viewer · macOS

Horos is the usual answer to "is there a free DICOM viewer for Mac?". Its GitHub repository describes it as a free, open-source medical image viewer whose goal is a fully functional, 64-bit viewer for macOS, based on OsiriX and other open-source libraries and released under LGPL-3.0.

  • ✓Native 64-bit macOS application
  • ✓Based on OsiriX and other open-source imaging libraries
  • ✓Free under LGPL-3.0, with source on GitHub
Cost
Free, open source (LGPL-3.0)
Best for
Mac users who want a free, full-featured desktop viewer

Worth knowing: It is Mac-only. Its project website did not respond when we checked on 26 October 2026, so we relied on its GitHub repository; make no assumptions about regulatory status.

Sources (vendor's own, read 26 October 2026): github.com/horosproject/horos

PostDICOM

PostDICOM B.V. (Netherlands)

Cloud PACS with web viewer and image sharing · Web browser on desktop, tablet and mobile; a local communicator app connects imaging devices

PostDICOM describes itself as a cloud PACS, a CE Mark Class IIb diagnostic viewer and a medical image sharing platform with a zero-footprint HTML5 viewer. Unusually for this category, it publishes prices: Essential at 79 EUR a month (100 GB), up to Enterprise at 499 EUR a month (2,000 GB), billed annually. It also lists ISO 27001 and ISO 13485 certification.

  • ✓Cloud storage, viewer and sharing in one subscription, no local server
  • ✓MPR, 3D volume rendering, MIP/MinIP, measurements and reporting
  • ✓Password-protected share links and patient upload links
  • ✓DICOMweb (QIDO-RS, WADO-RS, STOW-RS); API and FHIR on higher plans
Cost
Paid plans from 79 EUR a month billed annually (100 GB), with a 7-day trial, per its site (October 2026)
Best for
Small clinics that want cloud storage, a web viewer and patient sharing with published prices

Worth knowing: It is a cloud PACS, so you are choosing where your studies are stored, not only a viewer. There is a trial, not a free plan.

Sources (vendor's own, read 26 October 2026): postdicom.com

MicroDicom DICOM Viewer

MicroDicom Ltd, Sofia (Bulgaria)

Desktop viewer · Windows (7 to 11); runs on a Mac only through Wine or CrossOver

MicroDicom is made by MicroDicom Ltd in Sofia, Bulgaria, in development since 2006 and, per its site, downloaded over 4 million times. It is a Windows viewer that is free for non-commercial use, with a paid license for commercial use, and it covers CT, MRI, ultrasound, X-ray and PET-CT, with MPR and 3D.

  • ✓Free for personal, non-commercial use
  • ✓MPR, 3D volume rendering and image fusion
  • ✓PACS connectivity (C-FIND, C-MOVE, C-STORE, QIDO-RS, WADO-RS, STOW-RS)
  • ✓Export to JPEG, PNG, MP4 and STL; built-in DICOM anonymizer
Cost
Free for non-commercial use; commercial use needs a paid license key
Best for
Patients and students who need a free Windows viewer to open a scan CD

Worth knowing: Its EULA says it is not certified as a medical product and must not be used to make diagnostic or therapeutic judgements. On a Mac it needs Wine or CrossOver.

Sources (vendor's own, read 26 October 2026): microdicom.com · microdicom.com/company.html · microdicom.com/eula.html · microdicom.com/microdicom-viewer-documentation/how-to-install-microdicom-dicom-viewer-on-macos.html

3D Slicer

Open-source community; the US NIH has been a major funder

Open-source research platform · Windows, macOS and Linux

3D Slicer is free, open-source software for visualization, processing, segmentation, registration and analysis of medical and other 3D images. It runs on Windows, macOS and Linux under a BSD-style license, and its documentation calls it a research software platform for developing and evaluating new methods.

  • ✓Segmentation, registration and analysis of 2D, 3D and 4D images
  • ✓DICOM import and export, DICOMweb and DIMSE networking
  • ✓Python scripting and 150+ extensions
  • ✓Virtual and augmented reality support
Cost
Free, open source (BSD-style license)
Best for
Researchers doing segmentation, registration, 3D printing and surgical planning

Worth knowing: Its documentation is explicit: "3D Slicer is NOT FDA approved" and it is not approved for clinical use. Use it for research and planning, not as a reading viewer.

Sources (vendor's own, read 26 October 2026): slicer.org · slicer.readthedocs.io/en/latest/user_guide/about.html · slicer.readthedocs.io/en/latest/user_guide/getting_started.html

How do you choose a DICOM viewer?

Start with who reads and what they decide from it. Then work through these seven questions.

  1. 01

    Diagnostic use and regulation

    If a radiologist will report from the viewer, check what the vendor itself states. MedDream (FDA, CE Class IIb) and PostDICOM (CE Class IIb) state diagnostic certifications; RadiAnt, MicroDicom and 3D Slicer state the opposite in their own terms; OHIF's FAQ says it is not FDA cleared or CE marked. Ask for the certificate for your country.

  2. 02

    Deployment

    Web (zero-footprint) viewers open anywhere but need a server or cloud behind them. Desktop viewers work offline on one machine but have to be installed and updated on each.

  3. 03

    AI

    Ask whether AI is built in or must be bought and integrated. Most viewers here have none or integrate third-party algorithms; RadDream shows Bionic AI findings on the image with a draft impression.

  4. 04

    Integration

    Check DICOMweb and DIMSE support, launch from a RIS or EHR (URL or a protocol such as weasis://), and APIs for embedding.

  5. 05

    Specialties and tools

    Mammography, PET-CT fusion, MPR/3D, cardiology or dental needs narrow the list fast. Test with your own hardest studies.

  6. 06

    Cost and license

    "Free" often means free for non-commercial use or a trial. Read the license: MIT, BSD, LGPL, EPL/Apache and non-commercial terms differ a lot for a hospital.

  7. 07

    Support

    Open-source viewers rely on your team or a paid partner. Commercial viewers come with a vendor to call. Know who you will ring when a study will not open.

Choosing the archive too? Our guide to the best PACS software in India compares 13 platforms, and 5C SuperPACS brings the archive, RadDream, Bionic AI and 400+ specialist radiologists together.

For patients: how do I open the CD from my scan?

Most scan CDs include a viewer that starts on Windows. If it does not, a free desktop viewer such as Weasis (Windows, macOS, Linux), Horos (Mac) or MicroDicom (Windows, non-commercial use) can open the files. Our step-by-step guide on how to open a CT scan CD walks through it, and what is a DICOM file explains what is on the disc.

A scan CD holds your personal health data. Use trusted software from the maker's own website, and do not upload your scan to sites you do not know. A viewer shows the images; it does not tell you what they mean. For that, rely on your radiologist's report and your doctor, or ask for a radiology second opinion from 5C SecondRead. Our second opinion guide explains when it helps.

Frequently asked questions

What is the best DICOM viewer in 2026?

It depends on who is reading. For hospitals and diagnostic centers that want AI and reporting in the same screen, RadDream, 5C Network's browser-based viewer, comes with 5C's platform and shows Bionic AI findings on the image. For software vendors that need a certified, white-label web viewer, MedDream states FDA clearance for diagnostic use and CE Class IIb. For a free, open-source web viewer, OHIF (MIT license) is the standard. For free desktop viewers, Weasis runs on Windows, macOS and Linux, and Horos runs on macOS. RadiAnt is a fast Windows viewer with a free trial and a paid subscription.

What is the best free DICOM viewer?

Among genuinely free viewers, OHIF Viewer (MIT license, runs in the browser), Weasis (EPL 2.0 / Apache 2.0, Windows, macOS and Linux) and Horos (LGPL-3.0, macOS) are open source with no license fee. MicroDicom is free for non-commercial use on Windows, with a paid license for commercial use. 3D Slicer is free but, per its documentation, not approved for clinical use. RadiAnt is often called free, but its site describes a free trial that expires, followed by a paid subscription. Several free viewers, including RadiAnt and MicroDicom, state in their own license terms that they are not certified medical products.

What is the best web (online) DICOM viewer?

The main web DICOM viewers are OHIF Viewer (free, open source, you host it), MedDream (commercial, white-label, FDA cleared and CE Class IIb per its vendor), PostDICOM (cloud PACS with a web viewer and published prices, CE Class IIb per its vendor) and RadDream (5C Network's viewer, which comes with 5C's reporting and SuperPACS). All run in a browser with nothing to install. A web viewer still needs a server or cloud archive behind it, so be careful with any site that asks you to upload a scan: it contains personal health data.

Is there a DICOM viewer with AI built in?

Yes. RadDream, 5C Network's web DICOM viewer, shows Bionic AI findings directly on the image with a draft impression beside it, and the report editor is one click away; on chest X-rays Bionic AI covers 74 pathologies with a 0.93 F1 score in peer-reviewed research. Most other viewers do not include AI themselves. MedDream describes itself as "AI & CAD ready", meaning it integrates third-party algorithms, and OHIF and 3D Slicer can be extended by developers.

OHIF vs MedDream: which should I choose?

Both are zero-footprint web viewers. OHIF is free and open source under the MIT license, maintained as a program of Massachusetts General Hospital with Radical Imaging, and its FAQ states it is not FDA cleared or CE marked, so you take on hosting, support and compliance. MedDream is a commercial, white-label viewer from MedDream, UAB that states FDA clearance for diagnostic use and CE Class IIb certification, with APIs for embedding and vendor support. Choose OHIF to build and own; choose MedDream for a certified component you license.

Is there a DICOM viewer for Mac?

Yes. Horos is a free, open-source (LGPL-3.0) viewer built specifically for macOS and based on OsiriX. Weasis and 3D Slicer also run on macOS, and 3D Slicer supports both Intel and Apple Silicon Macs. Web viewers such as OHIF, MedDream, PostDICOM and RadDream run in a Mac browser with nothing to install. RadiAnt and MicroDicom are Windows applications; MicroDicom's own guide says it runs on a Mac only through Wine or CrossOver.

What does zero-footprint DICOM viewer mean?

A zero-footprint viewer runs entirely in a web browser, usually in HTML5, with no software, plug-in or Java to install on the reading computer. Images are streamed from a server or cloud archive, often over DICOMweb. It makes viewing possible on any computer, tablet or phone, and lets IT update one server instead of every workstation. OHIF, MedDream, PostDICOM and RadDream are zero-footprint viewers.

Can I use a free DICOM viewer for diagnosis?

Check the vendor's own terms first. RadiAnt's license and MicroDicom's EULA both state that the software is not certified as a medical product and must not be used to make diagnostic or therapeutic decisions. 3D Slicer's documentation says it is not FDA approved and not approved for clinical use, and OHIF's FAQ says it is not FDA cleared or CE marked. For primary diagnosis, use a viewer whose vendor states the certification your country requires, and remember that the report should come from a qualified radiologist.

Can I download RadDream for free?

No. RadDream is 5C Network's browser-based viewer and comes with 5C's platform, for hospitals and diagnostic centers reporting with 5C or running 5C SuperPACS. It is not sold standalone, is not white-label and is not a free download. If you only need to open a scan on your own computer, a free viewer such as Weasis, Horos or MicroDicom (non-commercial use) will do.

Running a reading room? Viewers are best judged on your own studies. Tell us your modalities and volumes, and we'll open them in RadDream with Bionic AI.

See RadDream on your own studies

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