Sold by: ADEO Imaging
Deployed on AWS
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AWS Free Tier
Orthanc is a lightweight DICOM PACS medical imaging server with a web interface for healthcare, radiology, and medical research.
Overview
Orthanc® is a lightweight DICOM PACS medical imaging server with web interface for healthcare, radiology, and medical research. It is designed to improve the DICOM flows in hospitals and to support research about the automated analysis of medical images. Orthanc® lets its users focus on the content of the DICOM files, hiding the complexity of the DICOM format and of the DICOM protocol.
The server is fully optimized for AWS. When deployed using CloudFormation, an S3 bucket is automatically created and attached as file storage. Additionally, a domain name can be assigned to the server during deployment if it is managed in Route 53. Even if no domain name is specified, the web interface will still be accessible via HTTPS.
Areas of use:
- Medical institutions and healthcare systems, with a particular focus on radiology.
The key features:
- Easy-to-use. After launching, this medical imaging server is immediately operational. No server setup required for the simplest use.
- A convenient web interface.
- Automated AWS S3 Bucket creation and server configuration for file storage when deploying using the CloudFormation template.
- Automated domain binding to the server and installation of a free Let's Encrypt certificate with auto-renewal functionality for HTTPS when deploying using the CloudFormation template.
- HTTPS protocol even if a domain name is not assigned to server with a self-signed certificate generated for it.
- Ports: 8042 - web interface, 4242 - DICOM.
- Possibility to connect with AWS S3 for storing uploaded files.
- Contains additional plugins of recent versions as of June 2024.
Installed plugins:
- Authorization. Advanced authorization plugin for Orthanc. (additional settings are required)
- AWS S3 Storage. Connection to AWS S3 for storing uploaded files.
- Connectivity-checks. Utilities to check connectivity to DICOM modalities, DICOMweb servers and Orthanc peers. (additional settings are required)
- Delayed-deletion. Plugin removing files from storage asynchronously.
- Dicom-Web. Implementation of DICOMweb (QIDO-RS, STOW-RS and WADO-RS) and WADO-URI.
- GDCM. Decoder/transcoder of medical images using GDCM.
- Housekeeper. Optimizes your DB and storage.
- Indexer. Synchronize Orthanc with directories containing DICOM files.
- Multitenant-dicom. Multitenant plugin for Orthanc.
- MySQL-index. Stores the Orthanc index into a MySQL database.
- MySQL-storage. Stores the Orthanc storage area into a MySQL database.
- Neuro. Add support for NIfTI in Orthanc.
- OHIF plugin for Orthanc.
- Orthanc-Explorer-2. Advanced User Interface for Orthanc.
- Osimis-Web-Viewer. Provides a Web viewer of DICOM series within Orthanc.
- Python. Allows you to write and launch your own Python scripts as Orthanc plugins.
- Serve-folders. Serve additional folders with Orthanc. (additional settings are required)
- STL plugin for Orthanc.
- Stone-Webviewer.
- TCIA. Interface with TCIA (The Cancer Imaging Archive).
- Transfers. Accelerates transfers and provides storage commitment between Orthanc peers.
- Kitware's VolView for Orthanc.
- Web-Viewer. Provides a Web viewer of DICOM series within Orthanc.
- Worklists. Serve DICOM modality worklists from a folder with Orthanc.
- WSI. Provides a Web viewer of whole-slide microscopic images within Orthanc.
© 2017-2023, Osimis S.A
Highlights
- AWS Cloud ready DICOM Server with AWS S3 support for file storage.
- Automated S3 Bucket creation and server configuration when deploying using the CloudFormation template. Automated domain binding to the server and installation of a free Let's Encrypt certificate with auto-renewal functionality for HTTPS when deploying using the CloudFormation template.
- Easy-to-use. After launching, this medical imaging server is immediately operational. No server setup required for the simplest use.
Details
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Delivery method
Delivery option
Orthanc DICOM Server (automatic configuration of AWS S3 storage)
64-bit (x86) Amazon Machine Image (AMI)
Latest version
Operating system
Debian 11
Deployed on AWS
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Pricing
Free trial
Try this product free for 5 days according to the free trial terms set by the vendor. Usage-based pricing is in effect for usage beyond the free trial terms. Your free trial gets automatically converted to a paid subscription when the trial ends, but may be canceled any time before that.
Pricing is based on actual usage, with charges varying according to how much you consume. Subscriptions have no end date and may be canceled any time. Alternatively, you can pay upfront for a contract, which typically covers your anticipated usage for the contract duration. Any usage beyond contract will incur additional usage-based costs.
Additional AWS infrastructure costs may apply. Use the AWS Pricing Calculator to estimate your infrastructure costs.
If you are an AWS Free Tier customer with a free plan, you are eligible to subscribe to this offer. You can use free credits to cover the cost of eligible AWS infrastructure. See AWS Free Tier for more details. If you created an AWS account before July 15th, 2025, and qualify for the Legacy AWS Free Tier, Amazon EC2 charges for Micro instances are free for up to 750 hours per month. See Legacy AWS Free Tier for more details.
Dimension | Cost/hour |
|---|---|
t3.small Recommended | $0.063 |
t3.micro | $0.063 |
m5dn.2xlarge | $0.084 |
m5a.12xlarge | $0.084 |
m6a.xlarge | $0.063 |
m6i.metal | $0.084 |
m6a.32xlarge | $0.084 |
t3a.micro | $0.063 |
m5ad.large | $0.063 |
m5ad.8xlarge | $0.084 |
Dimensions summary
You pay by the hour for the EC2 instance size you run this DICOM server on. Every dimension is a compute instance option, so pricing scales with the hardware you choose. Smaller burstable instances (t2, t3, t3a families) suit light or occasional workloads. General-purpose families (m5, m5a, m5ad, m5d, m5dn, m5n, m5zn, m6a, m6i) offer a wide range of vCPU and memory sizes, up to large metal instances. You select the instance that matches your storage and processing needs. Hourly billing means you pay only for the time each instance runs.
Top-of-mind questions for buyers
The hourly rate covers the running software on the EC2 instance size you select. Charges accrue only while the instance runs. A stopped or powered-off instance stops the software hourly charge. Underlying AWS storage fees for the attached volume may still apply while the instance is stopped.
Cost is driven by the single instance type you choose and the number of hours it runs. Larger instance families with more vCPU and memory carry different hourly rates. You run one instance size at a time, so your bill reflects that size multiplied by its running hours.
Yes. This listing runs an Orthanc DICOM PACS server configured with AWS S3 support. Image data can be stored in S3, which is billed separately by AWS based on storage used. The hourly charge here applies only to the compute instance running the server.
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Delivery details
64-bit (x86) Amazon Machine Image (AMI)
Amazon Machine Image (AMI)
An AMI is a virtual image that provides the information required to launch an instance. Amazon EC2 (Elastic Compute Cloud) instances are virtual servers on which you can run your applications and workloads, offering varying combinations of CPU, memory, storage, and networking resources. You can launch as many instances from as many different AMIs as you need.
Version release notes
Additional details
Usage instructions
If the Standalone AMI delivery method is used:
- In order to use AWS S3 bucket for data storage, you will need to modify the configuration file and enable the corresponding plugin manually.
- The Orthanc server's web interface will be accessible via its IP address over HTTPS, with a self-signed certificate generated for it. You will be able to point your own domain to this server later.
If CloudFormation template delivery method is used:
- An AWS S3 bucket will be created to store files, and Orthanc will be automatically configured to work with it.
- If you have a domain in AWS Route 53, you can specify this domain when deploying via a CloudFormation template, so that the server is accessible using that domain name and HTTPS. A free Let's Encrypt certificate with automatic renewal will also be installed. Otherwise, the server will still be accessible via HTTPS using its public IP, with a self-signed certificate.
Instructions for deploying the Orthanc server from the Standalone AMI:
Launch the server. This server does not require powerful computing resources; you can choose a simple instance type. If the Elastic IP was assigned to a running instance, the instance must be restarted.
Linux username: admin
Web interfaces:
- "Old" (classic): https://[Public IP address]:8042
- "New" web interface: https://[Public IP address]:8042/ui/app/
- default username: admin; initial password is your instance ID
When using the HTTPS protocol to access the web interface by IP, your web browser may display a warning about potential risks due to using an IP address in the URL. In this case, you can proceed and accept the risks, as our main objective is to encrypt traffic, and using an IP address in a web browser is safe for our purposes.
Although the server is working after launching, it is recommended to view and configure configuration files for your tasks:
- Configuration files of the server and its plugins are located in the directory: /etc/orthanc/
- The main configuration file of the Orthanc server: /etc/orthanc/orthanc.json
After editing the configuration files, please do not forget to restart the Orthanc main service: "sudo systemctl restart orthanc".
If you plan to connect this server with other servers, it is convenient to use the "Connectivity-checks" plugin to configure this server and monitor the status of the connections. To check the status of connections, please navigate to the plugins page in Orthanc Explorer and click on "Connectivity-checks" item.
By default, this server uses disk space of the instance for file storage. However, you can configure Orthanc to use an existing AWS S3 bucket as the file storage. To enable the AWS S3 plugin:
- Please edit the file "/etc/orthanc/aws-s3.json" (for example, using a command "sudo nano /etc/orthanc/aws-s3.json").
- Run the command "bash /home/admin/s3enable.sh" to activate AWS S3 plugin. (To deactivate this plugin you can run command "bash /home/admin/s3disable.sh")
- Make sure that AWS S3 plugin appeared in the plugin list ("Plugin" button in the Orthanc Explorer)
- To test the functionality of the S3 plugin, please upload the some test studies from your PC ("Upload" button in Orthanc Explorer) and make sure the new files appear in your S3 bucket.
Linux username: admin
You can run the following script to upgrade Orthanc and its plugins: "bash /home/admin/orthanc-upgrade.sh"
For more detailed information regarding Orthanc, visit:
Resources
Vendor resources
Support
Vendor support
If you have any questions regarding the deployment or use of this server, you can use the Contact Us form on our website or reach out via email. We guarantee a response within 24 hours.
Contact US: https://www.adeoclouds.eu/contact.php?id=8
E-mail: admin@adeoclouds.eu
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DICOM Server Architecture
Lightweight DICOM PACS medical imaging server with web interface supporting DICOM protocol on port 4242 and web interface on port 8042
Cloud Storage Integration
Automated AWS S3 bucket creation and attachment as file storage with CloudFormation deployment, enabling connection to AWS S3 for storing and retrieving uploaded files
Security and Certificate Management
HTTPS protocol support with automated Let's Encrypt certificate installation and auto-renewal functionality when using CloudFormation template, and self-signed certificate generation for HTTPS access without domain assignment
DICOMweb Protocol Support
Implementation of DICOMweb standards including QIDO-RS, STOW-RS, WADO-RS, and WADO-URI for standardized medical imaging data exchange
Extended Plugin Ecosystem
Comprehensive plugin support including AWS S3 Storage, MySQL database indexing and storage, Python scripting, GDCM image transcoding, multitenant capabilities, NIfTI format support, and multiple DICOM viewers including OHIF, Stone-Webviewer, and Osimis-Web-Viewer
Medical Imaging Data Ingestion
Capability to ingest medical imaging data from multiple sources into a centralized platform
Data Curation and Standardization
Automated curation of medical imaging data to common standards for consistency and interoperability
Machine Learning Pipeline Automation
Automated processing and machine learning pipeline execution for model training and algorithm development
Data Privacy and Regulatory Compliance
Built-in security controls and compliance mechanisms to maintain data privacy and meet regulatory requirements
Collaborative Analytics and Cohort Discovery
Secure collaboration tools enabling clinical analytics, cohort discovery, and large-scale data analysis across teams
S3 API Compatibility
Native S3 API support ensures full compatibility with applications designed to employ AWS S3 storage
Encryption and Data Protection
AES-256 server-side encryption for data at rest, SSL/HTTPS for data in transit, transparent key management, and secure shell with root disable
Access Control and Compliance
Role-based access controls (RBAC), audit trail logging, certified with U.S. Department of Defense, SEC Rule 17a-4(f), FINRA Rule 4511, CFTC Rule 1.31(c)-(d), Common Criteria EAL2 designation, and FIPS 140-2 Level 1 validation
Multi-Tenant Management
Bucket-level granularity for storage policies with comprehensive multi-tenant services and Quality of Service (QoS) controls
Scalable Local Storage
Highly scalable on-premises storage capacity deployed adjacent to AWS Outposts or Local Zones with configurable data replication to Amazon S3 regions
Standard contract
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