Top 10 Best X Ray Imaging Software of 2026

RadiAnt DICOM Viewer is a lightweight, high-performance Windows application specialized for viewing, processing, and analyzing DICOM medical images, including X-rays, CT scans, MRIs, and ultrasounds. It provides advanced tools for image manipulation such as measurements, annotations, multi-planar reconstructions (MPR), and 3D volume rendering, all with blazing-fast loading speeds even for large datasets. Ideal for radiologists and clinicians, it features a local database for quick image organization and export options to common formats.

OsiriX is a leading DICOM viewer for macOS, specializing in the visualization and analysis of medical images including X-rays, CT scans, MRIs, and PET scans. It provides advanced tools for 2D/3D rendering, multi-planar reconstruction (MPR), image fusion, and database management, making it ideal for radiology workflows. The software supports both clinical practice and research with its extensible plugin architecture and robust export options.

Horos is a free, open-source DICOM viewer for macOS, forked from OsiriX, specializing in medical imaging analysis including X-rays, CT, MRI, and PET scans. It provides advanced 2D/3D visualization, multi-planar reconstruction (MPR), annotations, measurements, and fusion capabilities tailored for radiology workflows. As a powerful tool for X-ray imaging, it supports plain film review with tools for bone density analysis, angle measurements, and export options, making it suitable for diagnostic review without commercial costs.

3D Slicer is a free, open-source platform for medical image visualization, processing, and analysis, supporting DICOM-based X-ray images alongside CT, MRI, and other modalities. It enables 2D/3D viewing, segmentation, registration, and advanced quantitative analysis of X-ray data. While versatile for research, it's particularly useful for reconstructing and manipulating X-ray projections into multi-planar views.

MicroDicom is a free, lightweight DICOM viewer for Windows that enables quick viewing and basic analysis of X-ray images, CT scans, MRIs, and other medical imaging files in DICOM format. It provides essential tools such as zoom, pan, brightness/contrast adjustment, distance/angle measurements, and annotations, suitable for radiologists and students performing routine reviews. While it supports multiframe images and basic 3D rendering via plugins, it lacks the advanced PACS integration and automation found in enterprise solutions.

Orthanc is a lightweight, open-source DICOM server designed for medical imaging storage, routing, and processing, particularly suited for X-ray images in clinical environments. It fully conforms to the DICOM standard, enabling secure reception, querying, and retrieval of studies via C-MOVE/C-STORE protocols. With its RESTful API and extensible plugin architecture, Orthanc integrates easily into PACS workflows, supports anonymization, and can host web-based viewers.

Weasis is a free, open-source, web-based DICOM viewer designed for viewing and analyzing medical images, including X-rays, directly in a browser without requiring installation. It supports standard DICOM operations like zoom, pan, window/level adjustments, measurements, annotations, and basic multi-planar reconstruction tailored for radiographic imaging. As a lightweight PACS-integrated solution, it enables quick access to X-ray studies for radiologists and clinicians in clinical workflows.

OHIF Viewer is an open-source, web-based medical imaging platform designed for viewing, analyzing, and manipulating DICOM images, including X-rays, with support for multi-planar reconstruction and advanced hanging protocols. It offers tools for measurements, annotations, windowing/leveling, and integration with PACS systems, making it suitable for radiology workflows. As a highly extensible viewer built on modern web technologies, it enables zero-footprint access across devices without requiring native installations.

ITK-SNAP is an open-source interactive tool for medical image visualization, segmentation, and analysis, supporting DICOM files that can include X-ray images. It enables 2D and 3D viewing with linked orthogonal slices and offers semi-automatic segmentation techniques like active contours, applicable to X-ray stacks but optimized for volumetric data such as CT or MRI. While versatile for research, it lacks specialized 2D X-ray processing features like advanced enhancement or measurement tools typical in dedicated radiography software.

DCM4CHEE is an open-source DICOM archive server from the dcm4che project, designed for storing, querying, retrieving, and managing medical imaging data including X-rays in PACS environments. It supports comprehensive DICOM services like C-STORE, C-FIND, C-MOVE, and integrates with HL7 for workflow management. While highly capable for enterprise-level image archiving, it serves as a backend solution rather than a front-end viewer or acquisition tool.