1. DN Viewer
Our #1 choiceMac + Windows
Best all-round RadiAnt alternative for Mac users who need both local viewing and connected workflows.
DN Viewer is built for users who want to open a study from a local folder, USB drive, or download, then move straight into PACS or DICOMweb work without changing applications. It combines fast MPR and 3D viewing with annotations, reporting, AI-assisted segmentation and volume calculation.
For a Mac-based team that occasionally works on Windows, DN Viewer also keeps the same viewer workflow across both platforms. AI report editing and speech-to-text are available as optional features.
Local studiesFiles, folders, and imported DICOM
PACS networkingTraditional DICOM / DIMSE
Web archivesDICOMweb support
A strong choice for Mac-only teams that want an established diagnostic workstation and extensive post-processing tools.
OsiriX MD is a long-standing Mac DICOM workstation. It can import studies locally and connect with PACS through standard DICOM networking; its vendor also documents DICOMweb workflows. It remains a useful fit where its established ecosystem or regulated workflow is a priority.
Local studiesLocal import supported
PACS networkingStandard DICOM supported
Web archivesDICOMweb supported
3. Horos
Open sourceMac only
A practical alternative for users focused on local studies and traditional DICOM/PACS connections.
Horos is an open-source Mac DICOM viewer with an OsiriX-derived workflow. It is a reasonable option for opening local studies and working with classic DICOM network connections, especially when familiar tools matter more than a newer interface or DICOMweb-first workflow.
Local studiesLocal import supported
PACS networkingClassic DICOM workflow
Web archivesConfirm compatibility with your deployment
4. Weasis
Open sourceMac + Windows + Linux
Best suited to cross-platform deployments and organizations that need broad PACS and DICOMweb integration options.
Weasis is a cross-platform open-source viewer. It can load DICOM files and folders locally, work with DICOMDIR media, query and retrieve through classic DICOM networking, and connect to DICOMweb archives. Its breadth is especially useful in integrated or mixed-operating-system environments.
Local studiesFiles, folders, ZIPs, and DICOMDIR
PACS networkingDIMSE query / retrieve
Web archivesDICOMweb supported