PACScribe Vs. Inteleshare, Orthanc, Aurabox

Posted in Healthcare

PACS radiology software is the backbone of medical imaging because it lets doctors quickly store, find, and share scans, making diagnosis and treatment faster. But with so many PACS imaging software in the market, how do you choose one that not only stores and displays images but also improves diagnostic accuracy, integrates with your systems, and supports your team’s daily operations?

In this comparison, we break down the features of four platforms: one of the best PACS systems, PACScribe by Folio3 Digital Health, Orthanc, Inteleshare, and Aurabox. We describe them all so you can decide which meets your clinical and operational needs today and scales with you tomorrow. But first, let’s brush up on some basics. 

What is PACS in Healthcare?

PACS, or Picture Archiving and Communication System, is a software and hardware solution healthcare organizations use to digitally store, manage, and access medical images. It replaces traditional film-based methods with a centralized, computer-based system that allows clinicians, radiologists, and care teams to view diagnostic images in real time from any authorized location.

Its integration is essential to the clinical workflow for hospitals, imaging centers, or multi-specialty clinics. It provides fast, secure, and organized access to imaging data such as X-rays, CT scans, MRIs, and ultrasounds.

Specialty PACS Market Size (2023 – 2033)

How PACS Medical Imaging Software Works in Healthcare 

The image is uploaded into the PACS radiology system when a scan is performed. From there:

• The image is archived securely on the cloud or local servers.
• It is indexed by patient ID, modality (e.g., CT, MRI), and exam date.
• Authorized users, whether in the radiology department or ER, can instantly access the image from a connected device.

In a hospital, PACS integrates with EHRs and RIS to automatically tie imaging data to the patient’s full clinical profile.

Why a PACS Solution Matters in Modern Healthcare

• Accelerating Diagnosis and Treatment: PACS allows physicians to access diagnostic images instantly, eliminating the wait times of film processing or physical delivery, enabling quicker decisions. This speed can be critical to improving patient outcomes in emergency and time-sensitive cases.
• Reducing Operational Delays: PACS digitizes imaging workflows and removes efforts related to printing, transporting, or manually storing physical films. This reduction in logistical complexity streamlines processes and allows healthcare providers to allocate resources more effectively.
• Enabling Seamless Collaboration: PACS supports secure, remote access to images across departments and between healthcare facilities. This capability encourages real-time collaboration among radiologists, specialists, and referring physicians, regardless of their location. It is especially valuable in complex or multi-site healthcare systems.
• Improving Patient Safety: Through PACS, a patient’s imaging history is readily available and consistently accessible. This reduces the likelihood of redundant imaging, minimizes unnecessary radiation exposure, and ensures clinicians have a complete diagnostic record to inform accurate decisions and personalized treatment plans.
• Ensuring Compliance and Traceability: PACS platforms include robust data management features such as structured storage, secure access controls, and detailed audit logs. These elements support regulatory compliance, enhance data security, and provide transparent accountability within healthcare operations.

PACScribe Vs. Other PACS Image Viewers

Feature	PACScribe (Folio3)	Inteleshare	Orthanc	Aurabox
SSO Integration	✔️	✔️	❌	✔️
Role-Based Access Control	✔️	✔️	✔️	✔️
Image/Scan Sharing	✔️	✔️	✔️	✔️
Add/View/Edit/Delete/Download Images OR Scans	✔️	✔️	✔️	✔️
Built-In DICOM Viewer	✔️	✔️	✔️	✔️
Scan Reports (Add/Edit/Delete/Share)	✔️	✔️	✔️	✔️
Measurement Tools	✔️	✔️	✔️	✔️
Web Application	✔️	✔️	✔️	✔️
Cloud-Based Storage	✔️	✔️	✔️	✔️
Patient Data Management	✔️	✔️	➖	✔️
EHR Integration	✔️	✔️	✔️	➖
HL7 / FHIR Integration	✔️	❌	❌	➖
Data Security & Compliance	✔️	✔️	✔️	✔️
Smart Notifications (Email & In-App)	✔️	✔️	❌	✔️
AI for Report Generation & Insights	✔️	❌	❌	❌
Audit Trail Reports	✔️	➖	➖	➖
Feedback	✔️	✔️	❌	✔️
Support	✔️	✔️	➖	✔️
Wearable SDK connection with EPIC and PACScribe	✔️	➖	➖	➖

17 Advance Features Offered By PACScribe  

1. Single Sign-On (SSO) Integration

Supports SSO, allowing users to log in once and access multiple connected healthcare systems securely. This means no need to type passwords again and again, reducing fatigue and strengthening security by centralizing authentication.

Inteleshare and Aurabox also support SSO, but Orthanc does not, which could lead to fragmented user credentials and increased security risks.

2. Role-Based Access Control (RBAC)

Implements granular RBAC, ensuring that users only access data and functions appropriate to their roles (e.g., radiologists, technicians, administrators). This protects sensitive patient data and maintains compliance with HIPAA regulations.

All competitors support RBAC, which is a baseline security requirement.

3. Image and Scan Sharing

Enables seamless, secure sharing of medical images and scans within and outside the organization, facilitating faster consultations and collaborative diagnoses. Sharing is encrypted and controlled to protect patient privacy.

All platforms support image sharing, but PACScribe’s integration with EHRs and smart notifications enhances the collaborative experience.

4. Full Image Management (Add/View/Edit/Delete/Download)

Provides a comprehensive suite for managing imaging data, from uploading new scans to editing annotations, deleting outdated files, and downloading images for offline use or referrals. 

This flexibility supports diverse clinical workflows, and all platforms offer these core functions.

5. Built-In DICOM Viewer

It includes a sophisticated native DICOM viewer that allows clinicians to view images without third-party software. It supports advanced diagnostic tools like zoom, pan, contrast adjustment, and multi-planar reconstructions.

All competitors have built-in viewers, but PACScribe’s viewer is optimized for performance and ease of use.

6. Scan Reports (Add/Edit/Delete/Share)

Clinicians can create detailed scan reports, update them as new information arises, delete obsolete reports, and securely share final versions with care teams or patients. This integrated reporting accelerates clinical workflows and reduces errors.

All platforms support scan reports, but PACScribe’s AI integration (discussed below) adds significant value.

7. Measurement Tools

It offers precise measurement tools for anatomical structures such as length, area, and volume directly on images. These tools support accurate diagnostics and treatment planning, especially valuable in specialties like sports medicine. This feature is supported by all platforms.

8. Web Application & Cloud-Based Storage

Fully web-based and hosted on secure cloud infrastructure, allowing anytime-anywhere access without the need for local installations. Cloud storage ensures scalability, disaster recovery, and cost savings on IT infrastructure.

All platforms offer web apps and cloud storage, but PACScribe’s cloud architecture is optimized for healthcare compliance and performance.

9. Patient Data Management

Integrates patient demographics, clinical notes, and imaging data into a unified patient record. This holistic approach improves clinical decision-making and reduces data silos.

Inteleshare and Aurabox support patient data management; Orthanc does not, limiting its use as a standalone clinical tool.

10. EHR Integration

Seamlessly integrates with leading Electronic Health Record (EHR) systems, ensuring imaging data and reports are accessible within the patient’s broader medical record. This eliminates duplicate data entry and enhances clinician workflow.

Inteleshare and Orthanc support EHR integration; Aurabox currently does not.

11. HL7 / FHIR Standards Support

Supports HL7 and FHIR interoperability standards, enabling smooth data exchange with various healthcare IT systems. This is vital for future-proofing and participating in integrated care networks or health information exchanges.Only PACScribe supports HL7/FHIR; Inteleshare and Orthanc lack this, and Aurabox’s support is unclear.

12. Data Security & Compliance

It is designed with end-to-end encryption, role-based access, audit trails, and compliance with healthcare regulations such as HIPAA and GDPR, which protects patient privacy and institutional reputation.

All platforms emphasize security and compliance, but PACScribe’s audit trail and comprehensive controls provide an edge.

13. Smart Notifications (Email & In-App)

This service sends users timely alerts via email and in-app notifications about new images, report updates, or required actions. This keeps care teams informed and responsive, reducing delays in diagnosis and treatment.

Inteleshare and Aurabox support notifications; Orthanc does not.

14. AI for Report Generation & Insights

Artificial intelligence is utilized to generate preliminary reports, identify anomalies, and extract clinical insights from imaging data. This reduces radiologist workload, speeds up reporting, and improves diagnostic accuracy.

This is a unique strength of PACScribe; none of the competitors currently offer AI-powered reporting.

15. Audit Trail Reports

Maintains detailed logs of all user actions, image access, edits, and report changes, providing transparency and accountability for regulatory audits and quality assurance.

Only PACScribe offers this comprehensive audit trail feature.

16. Feedback and Support

It includes built-in feedback channels for users to report issues or suggest improvements backed by dedicated support teams to ensure rapid resolution and continuous platform enhancement.

Inteleshare and Aurabox also provide support and feedback; Orthanc lacks formal support.

17. Wearable SDK Connection with EPIC and PACScribe

Supports healthcare integration with wearable devices and connects with major platforms like EPIC and PACScribe. This enables innovative data collection (e.g., patient activity, vitals) and seamless workflow integration, supporting cutting-edge care models.

This advanced integration capability is unique to PACScribe.

Why is PACScribe by Folio3 Digital Health The Future-Ready Imaging Platform

PACScribe by Folio3 Digital Health is a feature-rich and strategically advanced solution among the platforms compared. Its strength lies not only in covering all essential imaging functionalities but also in excelling in critical areas that drive future healthcare innovation and operational excellence:

• Interoperability: PACScribe supports both HL7 and FHIR standards, which are the crucial pillars of modern healthcare data exchange. This ensures seamless integration with a wide array of Electronic Health Records (EHRs), health information exchanges, and other clinical systems. For organizations aiming to build connected care ecosystems or participate in value-based care models, this capability is indispensable.
• AI-Driven Reporting and Insights: Unlike competitors, PACScribe incorporates artificial intelligence to generate reports and extract clinical insights from imaging data. This reduces the burden on radiologists, accelerates diagnostic workflows, and enhances accuracy, translating into better patient outcomes and operational efficiencies.
• Audit Trails and Compliance: PACScribe’s comprehensive audit trail functionality tracks every user action, from image access to report modifications. This transparency supports regulatory compliance (e.g., HIPAA, GDPR), internal quality assurance, and risk management, which are critical for healthcare organizations facing increasing scrutiny.
• Integration with Wearables and Leading EHRs: The platform can connect with wearable SDKs and offer EPIC integration, enabling richer patient data capture and more holistic clinical insights.
• User-Centric Features: With Single Sign-On (SSO), smart notifications, role-based access control, and cloud-based architecture, PACScribe delivers a secure, scalable, and user-friendly experience that supports clinicians’ productivity and IT governance.

Inteleshare: Solid Core Features but Limited Advanced Capabilities

Inteleshare offers reliable core functionalities such as SSO, role-based access control, image sharing, and cloud storage, making it a competent choice for organizations with standard imaging needs. It provides:

• Strong Security and User Management:
  With SSO and RBAC, Inteleshare ensures secure and controlled access, which is fundamental for any clinical environment.
• Support and Feedback Channels:
  Inteleshare maintains active user support and feedback mechanisms, helping organizations address issues and improve workflows.

However, Inteleshare lacks support for HL7 and FHIR interoperability standards, which limits its ability to seamlessly integrate with diverse EHR systems and participate in integrated care networks. 

Additionally, it does not offer AI-powered reporting or advanced audit trail features, which are increasingly important for efficiency and compliance. For organizations prioritizing basic imaging workflows without immediate plans for advanced interoperability or AI, Inteleshare is a practical option, though it may require future upgrades or complementary solutions.

Orthanc: A Robust Open-Source DICOM Server with Limitations

Orthanc is well-regarded as a solid open-source DICOM server that covers essential imaging functions such as image management, built-in DICOM viewing, and role-based access. Its advantages include:

• Cost-Effectiveness and Flexibility:
  Being open-source, Orthanc offers customization potential and is attractive for organizations with in-house IT expertise and limited budgets.
• Core Imaging Capabilities:
  It supports standard image handling and viewing, making it suitable for basic PACS needs.

However, Orthanc falls short in several critical areas for enterprise healthcare:

• No SSO or Smart Notifications:
  This can complicate user access management and reduce workflow responsiveness.
• Lack of Formal Support and Feedback Mechanisms:
  Without dedicated vendor support, organizations may face challenges in troubleshooting and updates.
• No HL7/FHIR or Advanced Integrations:
  Orthanc does not natively support modern healthcare interoperability standards, limiting its role in integrated care environments.
• No AI or Audit Trail Features:
  These omissions mean Orthanc cannot support advanced diagnostic automation or comprehensive compliance tracking out of the box.

Orthanc is best suited for organizations with technical resources willing to invest in customization and integration, or for smaller-scale deployments where advanced features are not a priority.

Aurabox: Competitive in Basic Imaging but Lacking Enterprise-Grade Integrations

Aurabox delivers a competitive set of basic imaging features, including SSO, role-based access, image sharing, and smart notifications, which support efficient clinical workflows. Its strengths include:

• User-Friendly Access and Communication:
  SSO and notification features enhance clinician engagement and timely responses.
• Cloud-Based Storage and Web Application:
  These features enable accessibility and scalability.

However, Aurabox does not support EHR integration or HL7/FHIR interoperability, which are critical for embedding imaging data into comprehensive patient records and broader healthcare IT ecosystems. It also lacks AI-driven reporting and audit trail capabilities, limiting its usefulness in environments where automation and compliance are priorities.

What Makes PACScribe by Folio3 Digital Health the Best Choice?

PACScribe’s combination of comprehensive interoperability, AI-powered intelligence, robust compliance features, and advanced integrations distinctly positions it as the premier choice for healthcare organizations aiming to lead in digital transformation. Its ability to:

• Seamlessly connect with major EHRs and emerging wearable technologies
• Automate and enhance reporting with AI
• Maintain rigorous audit trails for compliance 
• Deliver a secure, scalable, and user-friendly cloud platform 

makes it uniquely capable of supporting both current operational needs and future innovation.

Conclusion

PACScribe by Folio3 is not like any other image viewer. It’s a unified platform that connects diagnostics with decision-making, built to integrate cleanly with your tech stack, reduce reporting burden through AI, and provide audit-ready visibility across every action.

Frequently Asked Questions

1. How do I know if a PACS system will integrate with our existing EHR (like Epic or Cerner)?

PACScribe offers direct integration with leading EHRs, including Epic. Most healthcare providers want to avoid disconnected systems. Ask if they support HL7 or FHIR standards, and whether they’ve worked with your specific EHR before. 

2. What security and compliance features should I look for in a PACS?

In the U.S., compliance with HIPAA and support for audit trails, role-based access control, and encrypted storage are critical. Providers also ask whether vendors offer SSO and data logs for audits, which PACScribe supports.

3. How can PACS improve diagnostic speed and accuracy?

All types of PACS systems should offer AI tools, advanced DICOM viewers, measurement features, and support for structured reporting. U.S. providers increasingly ask about AI-enabled pre-reporting and how it helps reduce radiologist burnout.

4. What’s the difference between open-source PACS like Orthanc and enterprise-ready solutions like PACScribe?

Open-source tools like Orthanc offer flexibility but lack formal support, AI features, audit logs, and EHR interoperability, which are essential in clinical settings.

5. How scalable is the PACS solution as the practice grows?

Questions revolve around cloud-based access, wearable device integrations, and whether the sports PACS software can scale with increased modalities or multi-site access. PACScribe addresses this by offering cloud architecture and integration.

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