Mac DICOM viewer comparison

Looking for a RadiAnt alternative for Mac?

RadiAnt is a familiar DICOM workflow for many users, but it is not a native macOS option. These Mac-ready viewers open local DICOM studies and offer different paths to PACS and web-based archives.

Editorial note: This page is published by DN Viewer. We rank DN Viewer first because we believe it offers the strongest all-round workflow for Mac users, while still including established alternatives and their best-fit use cases.

Quick comparison

Mac alternatives for local DICOM and networking

All four options can open local DICOM studies. Network availability depends on your PACS configuration, AE titles, firewall rules, and DICOMweb authentication setup.

RankViewerLocal DICOMClassic PACS / DIMSEDICOMwebBest fit
#2OsiriX MD
Mac only
✓ Import local studies✓ Supported✓ SupportedEstablished Mac workstation and specialized workflows
#3Horos
Open source
✓ Import local studies✓ SupportedCheck deploymentClassic Mac DICOM and PACS workflows
#4Weasis
Cross-platform
✓ Files, folders & media✓ Supported✓ SupportedCross-platform and enterprise/PACS integration

2. OsiriX MD

Mac only
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

Choose by how you receive studies

Local files only: any option on this page can work. Traditional PACS: confirm the PACS node details and whether it uses C-FIND, C-MOVE, or C-GET. DICOMweb or portal launch: DN Viewer, OsiriX MD, and Weasis are the clearest choices listed here. In clinical environments, always validate compatibility and security requirements with your PACS administrator before relying on a viewer in production.

FAQ

RadiAnt alternatives on macOS

Can I use RadiAnt DICOM Viewer on a Mac?

If you need a native macOS workflow, use a Mac-compatible alternative. DN Viewer, OsiriX MD, Horos, and Weasis are options designed to run on macOS.

Which Mac DICOM viewer supports both local files and PACS?

DN Viewer, OsiriX MD, Horos, and Weasis can open local DICOM studies and work with PACS. Exact connectivity depends on the product version and the configuration of your DICOM network.

Which option supports DICOMweb on Mac?

DN Viewer, OsiriX MD, and Weasis support DICOMweb-oriented workflows. Check authentication, endpoint, and transfer requirements with your PACS or archive administrator.

Is DN Viewer for primary diagnosis?

DN Viewer is not FDA-cleared for primary diagnostic use. Use it in accordance with your organization’s policies and applicable regulatory requirements.