Full featured free PACS based on ctn or dcm4chee, dcmtk and mysql, with remote accessiom using apache and perl available for Linux in Debian packaging format for i386, amd64 and Mac OS darwin i386 and ppc.
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Full featured DICOM server based on and heavily extending the public domain UCDMC DICOM code developed by Mark Oskin.
DICOM# open source project is intented to provide an OO class library for DICOM communication and will be developed purely by C# and running in .NET environment. DICOM# partially rewrites dcm4che open source project in C#.
Orthanc aims at providing a simple, yet powerful standalone DICOM server. Orthanc can turn any computer running Windows or Linux into a DICOM store (in other words, a mini-PACS system). Its architecture is lightweight, meaning that no complex database administration is required, nor the installation of third-party dependencies.
dcm4che is a collection of open source applications and utilities for the healthcare enterprise. These applications have been developed in the Java programming language for performance and portability, supporting deployment on JDK 1.4 and up.
At the core of the dcm4che project is a robust implementation of the DICOM standard. The dcm4che-1.x DICOM toolkit is used in many production applications across the world, while the current (2.x) version of the toolkit has been re-architected for high performance and flexibility.