2025 Best In KLAS PACS Small - Under 300K Studies

Perception

Imaging AI 2024

27 November 24 | Jonathan Christensen and Monique Rasband

The number of FDA-approved AI solutions for imaging has ballooned to over 300 in recent years, and during that time, adoption of various solution types (AI platforms, operational/reporting AI, and pixel AI) has also increased dramatically. Just over 50% of surveyed organizations are starting to use AI algorithms for at least one imaging use case—a significant jump from 2018, when 17% of interviewed organizations were piloting or live with an AI solution. To understand the prevalence of imaging AI adoption, this report draws from interviews with 206 US-based organizations (about 25% are imaging groups; remainder are health systems) and shares an early look at which solutions are most used and considered in this crowded market. Note that this report doesn’t explore customer satisfaction with AI solutions; KLAS intends to address this in future research. Note: This report focuses on AI used for diagnostic imaging, workflow triage, and other imaging-specific use cases. It does not cover general AI tools, including those used for ambient speech or voice recognition.

The healthcare imaging market in the US is moving to the cloud—nearly two-thirds of the 228 healthcare organizations surveyed about their cloud road map either are using the cloud for diagnostic image viewing and/or storage or are likely to start using the cloud within the next three years. As organizations transition, it is critical for them to choose a vendor that provides not only a reliable cloud solution but also strategic guidance to ensure a successful migration. Intended to help organizations considering the cloud, this report shares customer perceptions of their vendors’ readiness for the cloud, along with an overview of the state of cloud adoption in the imaging market.

The PACS market is in flux—about one in five organizations interviewed by KLAS in the last two years is planning to replace their PACS, and more report they would replace their system if given the opportunity. This market shift is driven largely by organizations (1) replacing aging/legacy technology with go-forward platforms, (2) consolidating platforms, and (3) continuing to move toward unified enterprise imaging strategies. Organizations replacing their PACS are seeking vendor partners with a vision for the future and a strong commitment to innovation. This report examines 90 recent PACS purchase decisions validated by KLAS between September 2021 and September 2023 to understand why certain vendors are being considered, selected, and replaced in this dynamic market.

	Overall performance score (100-point scale)	Trend (2024-2025)	# of unique orgs	Culture	Loyalty	Operations	Product	Relationship	Value	Market energy

Sectra PACS	93.0	+2%	19	A	A+	A	A-	A	A-

AGFA HealthCare Enterprise Imaging for Radiology	90.3	0%	17	A-	A	A-	A-	A	A-

INFINITT PACS	88.8	+12%	18	B+	A-	B+	A-	A-	A-

Fujifilm Synapse	83.8	+1%	23	B	B+	B	B	B	B-

Merge by Merative Merge PACS	83.3	+2%	19	B	B	B	B	B	B

Optum Radiology Solutions	71.2	-10%	21	C	D+	C+	C+	C-	C-

GE HealthCare Centricity PACS	70.8	+2%	20	C	D+	C+	C-	C	D+

Philips Image Management Vue PACS (Carestream)	63.9	-10%	20	F	D	D	C-	D	D+
	0.0	100.0

	Overall performance score (100-point scale)	# of unique orgs	Culture	Loyalty	Operations	Product	Relationship	Value	Market energy

Intelerad IntelePACS L	68.1	7	D+	C-	C+	C	D+	F

Konica Minolta Exa PACS L	77.6	8	C-	B-	B-	B-	C	B

Philips IntelliSpace PACS L	76.7	9	B	D	B	C+	C+	A-

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