Best RIS-PACS software in India: 12 options compared

Most lists of the best PACS or RIS-PACS software are written by one of the vendors on them, and ours is no exception. So we have tried to make this one checkable. For each of the 12 options below we read the company's own public page on 11 November 2026 and wrote down what it says, with a link. Where the page does not say something, the table says "Not stated". That is not the same as "not available": companies leave things off pages. Treat the table as a shortlist and a set of demo questions, not as a verdict.

We have not tested these products and we have not scored them. If you want to score vendors yourself, the sheet at the end of How to choose a PACS in India is built for that.

The short answer

There is no single best RIS-PACS for every centre in India. The right one depends on what you need the system to cover:

1. Registration, billing, images and reports in one system, without developers on staff. Look at the integrated RIS-PACS platforms: SOMATIQ, Medsynaptic, Telerad Tech, Rely Health, Mediog Labs and KareXpert.
2. Reporting capacity as well as software. Look at a teleradiology network that bundles a PACS, such as 5C Network.
3. One vendor across a large hospital group's departments. Look at the enterprise imaging suites: GE HealthCare, Philips, Siemens Healthineers, Fujifilm and RamSoft.
4. Full control, with your own developers. Look at open-source building blocks such as OHIF, Orthanc and dcm4chee.

The comparison

The SOMATIQ row comes from our own posts, RIS, PACS or RIS-PACS?, Cloud PACS or on-premise? and Structured reporting in radiology. The other rows come from the linked pages. Each company's page is its own marketing, so its claims are claims.

What each company says about itself

Indian and India-focused vendors

1. SOMATIQ. AI-native RIS-PACS built in Bengaluru, and used by 130+ imaging centres and 400+ radiologists. Covers registration to report delivery on one system.
2. Medsynaptic. Its pages say it was "Established in 2003" and show "1000+" PACS installations, "15 000+" licences and "25+" countries. Its certification logos include ISO 13485, ISO 27001, CE and FDA 510(k).
3. Telerad Tech. Based in Bengaluru. Its RADSpa page says "550+ clients across 9+ countries" and "Average cloud deployment takes 2 business days", and describes a "Zero-footprint FDA-cleared DICOM viewer."
4. 5C Network. Based in Bengaluru. Calls itself "India's #1 teleradiology network" and describes SuperPACS as "A cloud PACS hosted in India that runs the whole centre." It is primarily a reporting service, so compare it with other teleradiology providers as well as with software.
5. KareXpert. Corporate office in Gurugram. Describes "a Radiology Information System with a pre-integrated Picture Archiving and Communication System (PACS)", sold alongside its hospital information system.
6. Rely Health. Names Indian hospitals on its page, including Jorhat Medical College and Tezpur Medical College, and states DICOM 3.0 and HL7 FHIR R4. It also publishes accuracy figures for its AI; ask for the study behind any figure before relying on it.
7. Mediog Labs. Based in Kolkata. Describes "A mobile-first PACS teleradiology solution with AI-driven reporting."

Global vendors with an Indian presence

1. GE HealthCare. Its Indian page is run by Wipro GE Healthcare in Bengaluru. Edison True PACS "brings together image visualization, workflow, Artificial Intelligence, 3D post-processing, and archiving." A footnote says the cloud approach "will be available in USA only." Intelerad is now part of GE HealthCare.
2. Philips. Describes a "Vendor-agnostic enterprise medical imaging platform", with "27 million+" exams managed in its cloud in the last 12 months. The customer examples on the page are from outside India.
3. Siemens Healthineers. Describes syngo Carbon as scaling "from a single workstation to an enterprise-wide implementation". The page also notes that "Some products are under development and not commercially available."
4. Fujifilm. Says Synapse provides "images in less than 2 seconds". In January 2026 Fujifilm India introduced FENIX, which "brings together PACS, RIS, Mobility, and smart workflow tools on a unified, scalable platform", developed under its Make in India initiative.
5. RamSoft. Lists an office in Koramangala, Bengaluru, and describes OmegaAI as "Cloud-native, zero-footprint". In 2021 RamSoft took a majority stake in the Bengaluru PACS company Meddiff Technologies.

Open-source building blocks

OHIF Viewer is a free, browser-based image viewer. Orthanc is a free DICOM server, and dcm4chee is a free, IHE-compliant image archive. A team with its own developers can assemble them into a PACS, but the RIS, reporting, hosting and support are its own project. That is the same "someone has to own every join" problem we describe in RIS, PACS or RIS-PACS?.

None of the figures in this section has been checked by us. Ask any vendor for a reference site that looks like your centre.

Where SOMATIQ differs

Reading the 12 pages side by side, a few differences stand out. These come from what each page states, so they are worth checking in a demo rather than taking on trust, including ours.

1. The whole chain on one system. SOMATIQ's row is the only one whose page states registration, scheduling, billing, reporting and report delivery together. Fujifilm FENIX, KareXpert and 5C Network state parts of that chain. The global vendors' pages describe PACS and reporting, and do not mention a RIS.
2. Hospital integration in both standards. We connect to a hospital HIS over HL7 or FHIR. Of the other pages, only Rely Health names FHIR.
3. On-site speed with cloud access. The hybrid model keeps heavy studies on a local PACS for fast loading, with cloud access for remote radiologists. Centres that want no local hardware can run cloud-only with a lightweight pusher app.
4. AI that drafts, and a radiologist who signs. Speech-to-text and LLM-assisted drafting shorten report time, and every report is reviewed and signed by a radiologist.
5. Built in India, for Indian centres and chains. SOMATIQ is built in Bengaluru and used by 130+ imaging centres and 400+ radiologists.

When each kind of option tends to fit

This is our reading, not a ranking.

• An integrated RIS-PACS suits centres and chains that want registration, billing, images and reports in one system and do not have developers on staff. The trade-off is that you depend on one vendor, which is why exit terms and standards matter. Our checklist covers both.
• A teleradiology network with a PACS suits centres that are short of radiologists as well as software. Check who owns the data and the reports if you later change provider.
• An enterprise imaging suite suits large hospital groups that want one vendor across departments, and are prepared to run a longer project to get there. Check which RIS the suite works with, and whether the cloud option is offered in India.
• Open-source components suit a team that has its own developers and wants control. You get the software for free, but integration, hosting, support and a RIS are your own project.

How to use this table in a demo

1. Turn every "Not stated" into a question. Ask for the answer in writing.
2. Ask for the DICOM conformance statement and for HL7 or FHIR details with an HIS like yours.
3. Ask to see a heavy CT open with its prior, on your own internet line, on a radiologist's own laptop.
4. Ask where the data is stored and what the exit terms are. You should be able to take every study and report out in standard formats.
5. Ask for the evidence behind any AI claim, such as the study, the dataset and who reviewed it.
6. Ask about support hours against your operating hours, including the 11 pm call.

Related reading

• How to choose a PACS in India — the scorable checklist this comparison feeds into.
• RIS, PACS or RIS-PACS? — what each system does and where the joins fail.
• Cloud PACS or on-premise? — the infrastructure decision behind the PACS decision.

Shortlists by type of buyer:

• Best cloud PACS in India
• Best RIS-PACS for diagnostic chains in India
• Best RIS-PACS for hospitals in India
• Best PACS for small clinics in India
• Best PET-CT reading software in India
• Best teleradiology software in India

FAQ

Which is the best RIS-PACS software in India?

There is no single answer. It depends on your volumes, radiologists, budget and whether you need registration, billing and reporting in the same system. Use the table to build a shortlist of three or four, then test each vendor on your own studies.

Which RIS-PACS vendors are based in India?

Of the options in this guide, SOMATIQ, Telerad Tech and 5C Network are based in Bengaluru, KareXpert in Gurugram and Mediog Labs in Kolkata. Medsynaptic lists India among its offices. GE HealthCare, Fujifilm, Philips, Siemens Healthineers and RamSoft sell in India through Indian companies or offices.

What is the difference between a RIS-PACS and an enterprise imaging suite?

A RIS-PACS covers a radiology centre's whole workflow, from registration to the signed report. An enterprise imaging suite stores and shows images across a hospital's departments, and usually connects to a separate RIS or hospital information system.

Is OHIF or Orthanc a replacement for a commercial PACS?

They are building blocks. OHIF is a viewer and Orthanc is a DICOM server, according to their own pages. A centre that uses them still has to supply a RIS, reporting, hosting and support, or integrate them itself.

How current is this comparison?

It reflects each company's public page as read on 11 November 2026. Companies change their pages, so check the current page and ask the vendor before you decide.