Synapse Commentary
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Subject Expert
Monique Rasband
VP of Imaging & Oncology
KLAS VP of Imaging & Oncology - Monique Rasband
 
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User Commentary

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CIO

Product

The biggest opportunities for product improvement are hanging protocols.

Feb 2026
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CIO

Relationship

The biggest strengths of the vendor are their multi-institutional support and their speed.

Feb 2026
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VP/Other Executive

Relationship

We haven't had any significant problems with Synapse. Fujifilm’s product works as advertised, and...

Feb 2026
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VP/Other Executive

Relationship, Product

Synapse is a super solid, dependable product. It is very fast. It does everything we need and...

Feb 2026
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VP/Other Executive

Relationship, Operations

Fujifilm could take the lessons they have learned from their best and most successful partners and...

Feb 2026
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Manager

Relationship

We have been a Fujifilm customer for about 20 years, and from my organization's perspective, the...

Feb 2026
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Manager

Product

Synapse is a very good product if we fit the mold for what it provides. If our institution fits what...

Jan 2026
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Manager

Product

Our radiology support coordinators use Synapse daily to move images, and they find it very...

Jan 2026
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Manager

Loyalty

We are transitioning away from Synapse to another solution. Given the complexity of our PACS...

Jan 2026
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VP/Other Executive

Relationship, Product

The first reason I wouldn't buy Synapse again is mammography. We have tried Fujifilm's latest and...

Jan 2026
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VP/Other Executive

Operations

I would say that the vendor's training is just above the middle of the road, but that isn't the...

Jan 2026
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Manager

Relationship

Things are going fine with Fujifilm. I don't have any concerns about the vendor. Fujifilm is pretty...

Dec 2025
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Manager

Relationship, Product

Fujifilm has done well with their updates. They seem to be keeping up with delivering new technology....

Dec 2025
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Director

Relationship

Fujifilm definitely does a great job at keeping their promises. Fujifilm has a whole system set up...

Dec 2025
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Director

Product

We receive really good compliments on Synapse. However, Fujifilm isn’t quite moving as fast as other...

Dec 2025
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Director

Relationship

Fujifilm’s support is really great most of the time. We can get to who we need. However, their web...

Dec 2025
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Manager

Product

Moving Synapse to the cloud was a project in the works for a long time. Right now, our radiology...

Dec 2025
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Manager

Relationship

We have had a lot of Fuji leadership involvement. Fuji has bent over backwards to help us.

Dec 2025
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Manager

Relationship, Value

With Fujifilm, it is all or nothing. Either they host everything, or we do.

Dec 2025
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Manager

Operations

The main education that Fuji provides for each upgrade is an online training webinar. The content is...

Dec 2025
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Manager

Product

The current Synapse version is mature; it works well. It integrates with most endpoints we use,...

Dec 2025
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Manager

Relationship

Fuji’s support for cloud customers is lacking. My main dislike is the difficulty we have getting...

Dec 2025
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Manager

Loyalty, Value

I think we would buy Synapse again. We like the PACS itself, not including all the cloud issues, and...

Dec 2025
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Analyst/Coordinator

Relationship

Fujifilm has been monitoring all of our systems, and they routinely pick things up and fix them...

Dec 2025
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Analyst/Coordinator

Relationship

Fujifilm strives really hard to keep their product current. We are pretty satisfied with the vendor....

Dec 2025
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Analyst/Coordinator

Relationship, Operations, Product

Fujifilm's radiology side has been a little challenging in terms of upgrades. We have had some bumps...

Dec 2025
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Manager

Operations, Product

Synapse's interface could be a little easier to use.

Dec 2025
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Manager

Product

Synapse should include medical image exchange. I don't really like the idea of having to go to a...

Dec 2025
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Manager

Product

Fuji needs to expand the scope of their services. Imaging has expanded in the type of imaging and...

Dec 2025
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Manager

Culture, Product

Synapse definitely works as promoted.

Dec 2025
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Analyst/Coordinator

Relationship, Product

Synapse has some functionalities that aren't quite up to par with the functionalities in newer...

Dec 2025
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Analyst/Coordinator

Loyalty

Synapse has been performing a lot better recently since we upgraded to the latest version on the...

Dec 2025
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Manager

Operations

The users need the full training to get around in the system. If we asked the radiologists whether...

Dec 2025
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Manager

Relationship

The support we get is not done in an exact time frame. When we have been with a product for so many...

Dec 2025
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Manager

Product

The images are available. It is very rare that we don’t get an image or that it isn’t there. A lot...

Dec 2025
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Manager

Loyalty

The vendor will tell us they are ready for something, but they actually aren’t ready. It takes a...

Dec 2025
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Manager

Operations, Product

We did an upgrade, and it was a journey. We had had some problems, and we had decided to wait for...

Dec 2025
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Manager

Culture, Product

From the radiologists' perspective, Synapse doesn't work as promoted. There are features that...

Dec 2025
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Manager

Culture, Value

I would say our opinion on receiving our money’s worth for Synapse is probably low because we are...

Dec 2025
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Manager

Relationship, Operations, Product

We had an upgrade scheduled a while ago that we actually had to roll back because it completely...

Dec 2025
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Manager

Product

Most users never have to do anything with Synapse. The radiologists have problems when they come in...

Dec 2025
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Manager

Loyalty

I would say that Synapse has helped with a lot of our integrations. Fujifilm's road map for new...

Dec 2025
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Manager

Relationship

We have had some issues with Fujifilm's monitoring. They get alerts, but they wait for us to reach...

Dec 2025
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Manager

Product

When Synapse works, it works well. It is quick. The techs love Synapse. Synapse works how they want...

Dec 2025
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Manager

Culture, Relationship

I have mixed feelings about Fujifilm keeping their promises. We have had some issues, to say the...

Dec 2025
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Manager

Product

The hanging protocols could be a little better in Synapse. I know that Fujifilm has worked on them,...

Dec 2025
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Manager

Product

Our end users are so good, but it is an uphill battle with Synapse because there is a learning...

Nov 2025
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Manager

Product

Synapse is heavily integrated with so many other systems. Every time we have problems, it is because...

Nov 2025
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Manager

Culture

Fujifilm is very transparent and up front about what necessitates professional services. We pay for...

Nov 2025
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Manager

Loyalty

I know Fujifilm’s road map, and we are looking forward to some of the stuff that is coming, but we...

Nov 2025
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Manager

Relationship

I’m pretty happy with Fujifilm. Their support people are so helpful. They spend hours on phone calls...

Nov 2025
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Manager

Culture, Relationship, Operations

I have spent much of my career owning and administering applications, and every application and bit...

Nov 2025
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Manager

Operations, Product

Considering how bad one of the upgrades with Fujifilm was, the most recent upgrade was fantastic. We...

Nov 2025
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Analyst/Coordinator

Loyalty, Relationship

We are deploying Synapse across our organization. We went to do an RFI, and we didn't throw a wide...

Nov 2025
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Analyst/Coordinator

Culture, Operations

We had a miscommunication when we first migrated to Fujifilm's system. However, Fujifilm worked to...

Nov 2025
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Analyst/Coordinator

Operations

I have been pretty happy with Fujifilm's training. I have been using Synapse for years, so it is...

Nov 2025
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Analyst/Coordinator

Product

Overall, the PACS gets the job done. It lays things out in a way that is easy to understand and...

Nov 2025
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Analyst/Coordinator

Relationship

We use the Fujifilm help desk for support. There is some proactivity but not as much as I would like...

Nov 2025
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Analyst/Coordinator

Loyalty, Product

We have a lot of specialty readers that are more advanced tools and that use a lot of third-party...

Nov 2025
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Analyst/Coordinator

Loyalty

We are not moving forward with moving Fujifilm's solution to the cloud. We are in the middle of an...

Nov 2025
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Analyst/Coordinator

Culture, Value

There are a couple of things that the vendor has charged us for on the PACS and cardiovascular side....

Nov 2025
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Director

Loyalty

If we didn't have Synapse in place today and I had to make a decision, I don't think I would go with...

Nov 2025
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Director

Relationship, Operations

We have a hard time when Fujifilm puts something on their road map about when something is going to...

Nov 2025
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Director

Relationship

A pain point with Fujifilm’s upgrades is responsiveness to high-priority asks and engagement in...

Nov 2025
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Manager

Product

Synapse has gotten a lot better, mainly due to improvements in the architecture of the radiologist...

Nov 2025
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Manager

Product

We have been using a feature from Fujifilm called CommonView, which lets us connect with our...

Nov 2025
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Manager

Relationship, Product

Fujifilm has spent very little time improving the administrative side of Synapse. For example, it is...

Nov 2025
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Manager

Relationship, Operations, Product

Synapse is constantly evolving with new interfaces and features, but the vendor doesn't always...

Nov 2025
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Manager

Culture, Relationship

Fujifilm will eventually get back to us, but they can take quite a while. If the issue is something...

Nov 2025
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Manager

Operations

The training for Synapse is okay, but Fujifilm charges by the day, and while the trainers they send...

Nov 2025
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Manager

Loyalty, Product

In one version, Fujifilm moved Synapse to a streaming product, and our radiologists hated it. The...

Nov 2025
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Manager

Value

With Synapse, Fujifilm charges for everything now, even after-hours support or upgrade-related work....

Nov 2025
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Manager

Culture, Value

All our upgrades and service things with Synapse are covered under one cost, and that is fine. The...

Nov 2025
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Director

Loyalty, Operations

We are considering leaving Synapse. The biggest problems we have are with the vendor's upgrades and...

Oct 2025
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Director

Relationship

In recent years, Fujifilm has really tried to support us. However, they have software engineering...

Oct 2025
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Director

Operations, Product

Fujifilm has a problem with rolling upgrades out smoothly. It always takes days or weeks to work out...

Oct 2025
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Director

Relationship

I am not really a fan of Fujifilm anymore. I have been frustrated with them. It isn't that they are...

Oct 2025
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CIO

Loyalty, Product

It has been interesting to see Fujifilm’s product mature and change over the years in some good and...

Oct 2025
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CIO

Product

As our radiologists spread out and are reading further and further away, we are seeing some issues...

Oct 2025
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CIO

Relationship, Product

Fujifilm’s Viewer Extension (VX) client has helped a lot with the issues we see from radiologists...

Oct 2025
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CIO

Loyalty, Product

One of the bigger challenges that we have in supporting Synapse is that it takes a lot of people...

Oct 2025
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CIO

Product

Fujifilm's definition of downtime is that the PACS is completely unavailable. They don't consider...

Oct 2025
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CIO

Loyalty

Our radiologists are very productive with Synapse, but the overarching reality is a bit more complex...

Oct 2025
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CIO

Relationship

One real concern I have with Fujifilm is cybersecurity. Openness and transparency about the product...

Oct 2025
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Manager

Loyalty, Product

With Synapse, we have a lot of different end users. We have radiologists and other clinicians who...

Oct 2025
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Manager

Culture, Value

Fujifilm is actually pretty good at doing things at no additional charge. However, we have to do...

Oct 2025
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Manager

Loyalty

We are going to be changing a lot of our architecture to have an enterprise solution, but I think we...

Oct 2025
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Manager

Product

Overall, the Synapse system is pretty easy to manage. Some of the admin tools in Content Manager are...

Oct 2025
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Manager

Relationship, Product

I don’t think that Fujifilm sends out status messages, so if they could send out status messages,...

Oct 2025
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Manager

Product

With Synapse, we are always having to tweak little things that I feel we shouldn’t have to. For...

Oct 2025
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Manager

Culture, Product

Overall, Synapse is a pretty good product. It is the only PACS I have worked with. At least with the...

Oct 2025
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Manager

Value

Synapse is expensive. We have other hospitals that are on different PACS solutions, and when we have...

Oct 2025
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Director

Loyalty, Relationship

I would say that Fujifilm doesn't keep their promises. There have been a couple of things in the...

Oct 2025
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Director

Product

Overall, Synapse's base functionality is pretty good. Fujifilm has been a little slow with their AI...

Oct 2025
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Director

Loyalty, Product

Synapse's core functionalities are fairly stable. Fujifilm is looking to enhance the overall...

Oct 2025
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Director

Relationship, Operations

In general, Fujifilm's support does all right. We have been on the cutting edge of upgrades, so when...

Oct 2025
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Manager

Operations

Fujifilm could work on programs or other forms to onboard new radiologists and other heavy users. I...

Oct 2025
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Manager

Product

Fujifilm could try to find methods to improve some loading speeds. One thing I was dissatisfied with...

Oct 2025
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Manager

Relationship, Operations

Fujifilm’s support team is impactful, and their implementation team is extremely friendly and...

Oct 2025
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Manager

Product

Synapse matches up with most of our stuff pretty flawlessly. There is integration primarily with our...

Oct 2025
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Manager

Operations, Product

Training new radiologists is difficult. Building reading protocols is especially complicated....

Oct 2025
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Director

Product, Value

We were able to solve a lot of problems with Synapse. It works the way it was described, and it...

Oct 2025
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Manager

Relationship

It seems like we have a lot more issues with Synapse than other organizations have with their PACS....

Oct 2025
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Analyst/Coordinator

Product

On the customization of one of our folders in Synapse, we can’t filter by a certain column; that...

Sep 2025
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Analyst/Coordinator

Relationship

Fujifilm’s customer support is really responsive. Fujifilm is located in a different time zone than...

Sep 2025
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Analyst/Coordinator

Product

I have seen different PACS solutions, and Synapse is pretty simple and user-friendly. We can look at...

Sep 2025
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Director

Relationship, Product

Our overall experience with Fujifilm is pretty good. They used to have some performance issues, but...

Sep 2025
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Manager

Loyalty

Fujifilm could improve Synapse with AI. I expect more AI in the future to be integrated as part of...

Sep 2025
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Manager

Operations, Product

The biggest strength we have seen with Synapse is probably the ease of deployment. It is web based,...

Sep 2025
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Manager

Value

Fujifilm does a good job of not charging us for every little thing. I think they realize that we are...

Sep 2025
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Director

Loyalty, Value

We are beginning to look at potential replacement options for Synapse. We would probably stick with...

Sep 2025
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Director

Loyalty

It is our fault that we haven't upgraded the system in a long time. I know that Fujifilm has made...

Sep 2025
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Director

Loyalty, Product

One of the things that we like about Synapse is that its reports are very straightforward and easy...

Sep 2025
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Director

Relationship

Fujifilm has gotten bigger, but there are still a lot of similar people who have been there for...

Sep 2025
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Analyst/Coordinator

Culture, Relationship, Value

As a longtime customer, I think Fuji does work with us on not charging for every little thing. Also,...

Aug 2025
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Analyst/Coordinator

Loyalty, Product

Fuji moved away from some benefits we had in the past with Synapse. That is an issue. Fuji has...

Aug 2025
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Analyst/Coordinator

Product

We struggle a lot with Synapse. There is a major flaw with the version we are on. When a user logs...

Aug 2025
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Analyst/Coordinator

Relationship

I have been working with Fuji for a long time, and I don’t call unless I really need them. I have...

Aug 2025
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Analyst/Coordinator

Operations

Fuji’s implementation services and on-site support have been pretty great. Fuji actually has regular...

Aug 2025
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Analyst/Coordinator

Loyalty, Relationship

Fuji does not keep their promises with the development and the new features and their promises that...

Aug 2025
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Analyst/Coordinator

Loyalty

We will have to do another big upgrade of Synapse in the future. I wonder whether Fuji is going to...

Aug 2025
||
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Analyst/Coordinator

Operations, Product

We have had some really bad experiences over the last few years with upgrades and support, and...

Aug 2025
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Manager

Relationship

Fujifilm's support tools for the system are outstanding. Anyone on my team can get into Synapse and...

Aug 2025
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Manager

Relationship

Fujifilm has never told me that they were going to do something and then not done it. Fujifilm is...

Aug 2025
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Analyst/Coordinator

Relationship

The support line for Synapse is just not very helpful. We can get ahold of someone fairly quickly,...

Aug 2025
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Analyst/Coordinator

Loyalty, Value

Synapse is fairly user-friendly. We can view images just fine. However, we are currently using a...

Aug 2025
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Manager

Relationship

Fujifilm’s executive involvement is a lot like the executive involvement in other places. They give...

Jul 2025
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Manager

Product

It is helpful that Fujifilm has several different software pieces. We are using a Synapse...

Jul 2025
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Manager

Culture, Value

I wouldn't say Fujifilm avoids charging for everything. We have had some situations where we have...

Jul 2025
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Manager

Operations

We were pretty happy with Fujifilm with the recent upgrade. They sent some folks out to do some...

Jul 2025
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Manager

Value

We are relatively happy with Synapse’s tangible outcomes, but it is not perfect. We are pretty happy...

Jul 2025
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Manager

Relationship, Product

Receiving new technology from Fujifilm depends on the product. It seems like some of Fujifilm’s...

Jul 2025
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Manager

Relationship

I don't remember a lack of proactive service being a huge issue with Fujifilm, but we have had a few...

Jul 2025
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Manager

Product

Our radiologists are pretty happy with Synapse. I don't hear too many complaints about functionality...

Jul 2025
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Manager

Relationship

Overall, Fujifilm keeps their promises, but we have had some delays. With Synapse, there is a bit of...

Jul 2025
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Manager

Culture, Value

We have had some issues with Fujifilm charging us for things that we couldn't see or weren't...

May 2025
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Manager

Relationship, Operations

Synapse is pretty easy to use. Fujifilm has also been very good at being proactive with us.

May 2025
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Analyst/Coordinator

Operations

Our radiologists love Synapse. They have had it for so long, so they are comfortable with what it...

Apr 2025
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Analyst/Coordinator

Product

My only complaint with Fujifilm and Synapse is that our upgrades sometimes take a long time.

Apr 2025
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Analyst/Coordinator

Product

There are some things in mammography with AI-type reconstructions that I'm not sure that we can...

Apr 2025
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Manager

Culture, Value

Fujifilm doesn't nickel-and-dime us, but there are always some components that aren't part of our...

Apr 2025
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Manager

Operations

I have worked a lot with Fujifilm's trainers before, and their trainers are pretty much on point.

Apr 2025
||
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Manager

Loyalty, Product

The function of any PACS solution is to view images and get a report out, and Synapse does that....

Apr 2025
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Manager

Relationship

We have some alerts set up with Fujifilm, so sometimes they may catch something before we do. We...

Apr 2025
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Manager

Product

I have been using Synapse for many years, so I know all the ins and outs and everything. I feel like...

Apr 2025
||
(0)
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Analyst/Coordinator

Operations, Product

Synapse is easy to use, train people on, and customize. The system is versatile and intuitive. End...

Apr 2025
||
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Analyst/Coordinator

Relationship

Fujifilm's support documentation is good. Their help guides with the latest releases have had a ton...

Apr 2025
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Analyst/Coordinator

Product

One thing in Synapse that could be improved is the ability to easily pull any type of report out of...

Apr 2025
||
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Analyst/Coordinator

Operations

As an implementation team and in Fujifilm's project management, they are not all on the same page...

Apr 2025
||
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Analyst/Coordinator

Relationship, Product

I love how granular we can get with our support of the Synapse system. It is a very standard...

Apr 2025
||
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Analyst/Coordinator

Product

The Synapse user interface could use an overhaul. There are multiple windows needed to access things...

Apr 2025
||
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Analyst/Coordinator

Culture, Value

Fujifilm does not avoid charging for every little thing. There are a lot of dependencies for any new...

Apr 2025
||
(0)
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Director

Loyalty, Relationship

Fujifilm has been good to work with, but there are some areas where they are lacking at times....

Apr 2025
||
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Director

Loyalty, Relationship, Operations

Unfortunately, our PACS move is ingrained in my head. I remember it very well because it was...

Apr 2025
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Manager

Relationship

The people at Fujifilm, like the trainers, are very involved.

Mar 2025
||
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Manager

Product

Sometimes there are unexpected instances of downtime with Synapse, and those cause a lot of...

Mar 2025
||
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Manager

Loyalty

We are sticking with Synapse; everything is good. But our informatics team is exploring other...

Mar 2025
||
(0)
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Physician

Loyalty

We are pretty happy with the PACS application. I don't see us moving away from Fujifilm anytime soon....

Mar 2025
||
(0)
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Manager

Culture, Value

Fujifilm tends to add on charges because we are a difficult customer. We don't like doing things...

Mar 2025
||
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Manager

Loyalty

With Fujifilm, we haven't really had any negative experiences. We are actually looking into an...

Mar 2025
||
(0)
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Manager

Product

Synapse is solid and gets the job done. It has an easy user interface and an easy admin interface....

Feb 2025
||
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Manager

Relationship

Fujifilm has gone out of their way to help us with our complex integration, so they are a good...

Feb 2025
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Manager

Loyalty

I think my satisfaction with Synapse will go down when we have a cloud upgrade because the issues we...

Feb 2025
||
(0)
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Manager

Culture, Value

Fujifilm is pretty up front, and they don't nickel-and-dime us. Their product may not be cheap, but...

Feb 2025
||
(0)
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Analyst/Coordinator

Loyalty, Product

I would like to see better hanging protocol configurations in Synapse. The hanging protocols are...

Feb 2025
||
(0)
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Analyst/Coordinator

Product

Synapse is easy to use. It definitely does its job. Synapse is a decent PACS. It is very fast.

Feb 2025
||
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Analyst/Coordinator

Loyalty, Relationship

We haven't had any recent upgrades for Synapse. We are getting ready to start a big upgrade that is...

Feb 2025
||
(0)
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Analyst/Coordinator

Loyalty, Value

Fujifilm charges us for every interface we need, and it seems like every little thing we do with...

Feb 2025
||
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