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Best cloud PACS in India: what to compare

By SOMATIQ team ·

A cloud PACS means no server room, no hardware refresh and radiologists who can read from anywhere. In India it also means your scanner's images travel over your internet line before anyone can read them, and your patients' data sits in somebody's data centre. The best cloud PACS for a centre is the one that handles both of those well on your connection, not the one with the longest feature list.

The SOMATIQ viewer showing a knee CT in coronal and sagittal views on a laptop at a small imaging clinic, with the CT scanner behind the glass.

This guide lists cloud PACS options sold in India, from each vendor's own public page read on 11 November 2026. We have not tested them and we have not ranked them. For the wider market, including on-premise systems, see Best RIS-PACS software in India: 12 options compared. If you are still deciding between cloud and on-premise, start with Cloud PACS or on-premise?.

What matters in a cloud PACS

  1. Upload on your line. A CT study can be hundreds of megabytes. Ask how studies leave the scanner, whether uploads resume after a drop, and what happens when the internet is down for an hour.
  2. A local option for heavy studies. Some centres want CT and MRI to open from a local cache or server, with the cloud as archive and remote access. Check whether the vendor offers a hybrid setup, not only pure cloud.
  3. Where the data is stored. Ask which country and which data centre hold your studies, and how that fits your obligations under the DPDP Act.
  4. The viewer. A browser viewer that needs no install is what makes cloud reading practical for remote radiologists. Ask to open a heavy CT with its prior on a normal laptop.
  5. Exit terms. You should be able to take every study and report out in standard DICOM and document formats, at a stated cost and speed.

Cloud PACS options in India

Option Cloud model stated on its page What else the page states
SOMATIQ Cloud-only with a lightweight pusher app at the centre, or hybrid with an on-site PACS and cloud access Unified RIS-PACS: registration, billing, reporting and report delivery on one system; browser viewer
Telerad Tech RADSpa Cloud (SaaS), hybrid or on-premise "Average cloud deployment takes 2 business days"; zero-footprint viewer
5C Network SuperPACS "A cloud PACS hosted in India" Bundled with 5C's teleradiology reporting service
Rely Health Cloud DICOM 3.0 and HL7 FHIR R4
Mediog Labs Cloud "A mobile-first PACS teleradiology solution" with a built-in RIS
KareXpert Cloud RIS with a pre-integrated PACS, sold with its hospital software suite
Medsynaptic On-premise, cloud or hybrid RIS-PACS with a vendor-neutral archive
Philips HealthSuite Imaging Full cloud or hybrid; "may not be available in all regions" Enterprise imaging for hospital groups
RamSoft OmegaAI "Cloud-native, zero-footprint architecture" Bengaluru office listed

GE HealthCare's Indian enterprise imaging page states that its cloud-based approach "will be available in USA only", so it is not listed here. Each row reflects what the vendor's own page says; "not stated" on a page does not mean "not available", so ask.

Where SOMATIQ fits

We build one of the options above, so weigh this accordingly. SOMATIQ runs cloud-only, with a small pusher app on a PC at the centre that sends studies from the scanners to the cloud archive, or hybrid, with a local server for fast reading and the cloud as backup and archive. Registration, billing, reporting and report delivery are on the same system, and radiologists read in a browser with nothing to install. Smaller centres can start through Somatiq Origin on a prepaid monthly case plan. See RIS-PACS for imaging clinics.

Questions to ask in a cloud PACS demo

  1. "Show me a CT uploading and opening on my internet line." Not the vendor's office connection.
  2. "Which country and data centre will hold our studies?" Get it in writing.
  3. "What happens when our internet goes down?" Can the scanners keep sending, and can a local reader keep reporting?
  4. "Is storage priced per study, per terabyte or per month?" And what does the archive cost in year five?
  5. "How do we get everything out if we leave?" Format, cost and time.

Related reading

FAQ

What is the best cloud PACS in India?

It depends on your internet connection, study volumes and whether you also need a RIS and billing. Shortlist two or three options from the table, then test each on your own line with your own heavy studies.

Is cloud PACS safe for patient data in India?

It can be, if data is encrypted, access is controlled and audited, and you know where the data is stored. Ask each vendor for the data location and how it supports your obligations under the DPDP Act.

Do I need fast internet for a cloud PACS?

Upload speed matters more than download. A hybrid setup, with a local server for reading and the cloud as archive, reduces how much depends on your line.

How quickly can a cloud PACS be set up?

Telerad Tech's page says its average cloud deployment takes 2 business days. SOMATIQ's self-serve Origin plan can have a centre reporting the same day if its network and hardware are ready.

Ready to see your workflow on one platform?

We will walk you through the whole workflow, from registration to signed report.