Challenge
Imaging lives in DICOM/PACS silos disconnected from the EHR.
Agnotic approach
We build DICOMweb pipelines that connect PACS, RIS, and the EHR so images and reports flow.
Radiology Software Solutions
Radiology Software Solutions
We build radiology software (PACS/RIS workflows, teleradiology, and AI image triage) engineered for imaging interoperability and handled to HIPAA standards.
HIPAA-ReadyFHIR R4Audit LoggedInteroperable
Trusted by global innovators
What is radiology software?
Radiology software covers the systems an imaging department reads and reports in: the radiology information system (RIS) for orders and worklists, PACS for DICOM images, structured reporting and AI triage. Agnotic Technologies builds and connects these for radiology groups, imaging centers and AI-imaging startups, with HL7 and FHIR links back to the ordering EHR.
Radiology software is an interoperability problem: DICOM imaging, RIS worklists, structured reporting, and increasingly AI triage, all of which have to move reliably without dropping images or context.
We build the DICOMweb pipelines, worklist and reporting workflow, and AI-triage integration radiology needs, with validation and PHI handling engineered in.
Radiology platform architecture
A radiology platform (clinical workflow, dicom / dicomweb imaging interop, and connected integrations) with PHI handled to HIPAA standards at every layer.
The problem
Where do radiology teams get stuck?
Off-the-shelf products rarely fit radiology. Here is where they fall short, and how we build around it.
Challenge
AI triage tools are hard to validate and monitor in production.
Agnotic approach
We integrate AI models with validation and drift monitoring, keeping radiologists in the loop.
Challenge
Teleradiology needs reliable, secure image distribution.
Agnotic approach
We build secure, performant image distribution and worklist routing for remote reads.
What do we build for radiology?
A radiology capability set engineered for its real workflows, codes, and devices.
DICOMweb & PACS
DICOMweb pipelines connecting PACS, RIS, and the EHR.
Worklist & RIS workflow
Study worklists, assignment, and structured reporting.
AI image triage
AI model integration for triage, with validation and drift monitoring.
Clinician-in-the-loop
Human review and audit built around any model output.
Teleradiology distribution
Secure image distribution and worklist routing for remote reads.
Structured reporting
Structured, coded radiology reports that flow to the EHR.
Where it fits
Who do we build radiology software for?
Radiology groups, imaging centers, and AI-imaging startups.
Practices & health systems
Radiology groups modernizing clinical and administrative workflows.
Digital health startups
Radiology-focused products going to market.
MedTech & device makers
Radiology device companions, data pipelines, and companion apps.
Payers & programs
Radiology programs, care management, and value-based initiatives.
Engineered for radiology
Radiology groups, imaging centers, and AI-imaging startups choose us because we build radiology software that fits the workflow, not the other way round.
Interop-first
Imaging that moves without dropping context
Interoperable
FHIR R4, HL7 v2, and SMART on FHIR by default
MVP-ready
Core radiology workflow shipped first, then scaled
Compliance-First Healthcare App Development Services Backed by Global Standards
15-Minute Scoping Call01
HIPAA
Health Insurance Portability and Accountability Act
Protect PHI with privacy-first architecture, encrypted storage and transmission, strict access controls, and traceable audit logs.
02
GDPR
General Data Protection Regulation
Implement lawful consent flows, data minimization, retention controls, and secure processing for sensitive health data.
03
FHIR
Fast Healthcare Interoperability Resources
Enable standardized health data exchange across apps, care teams, and systems through standards-based FHIR APIs.
04
HL7
Health Level Seven International
Support enterprise-grade interoperability with HL7-based integrations for records, events, and clinical messaging workflows.
05
HITRUST
Health Information Trust Alliance
Align security programs to healthcare-specific control and risk management practices trusted by providers and ecosystem partners.
06
HITECH
Health Information Technology for Economic and Clinical Health Act
Design with breach notification readiness, digital record safeguards, and operational controls that support regulated care programs.
07
SaMD
FDA Software as a Medical Device
Plan software quality, traceability, and documentation pathways for products that may require SaMD review and submission.
08
MDR (EU)
Medical Device Regulation (European Union)
Prepare EU market-ready processes for risk classification, evidence tracking, and lifecycle governance under MDR expectations.
09
SAMHSA
Substance Abuse and Mental Health Services Administration
Apply confidentiality controls and consent-aware sharing models for behavioral and mental health data experiences.
Codes, standards & devices
Radiology codes and standards
DICOMHL7FHIR
Our Process
How do we build radiology software?
We prove the core workflow with real users before scaling: clinical fit and adoption decide the outcome.
1.
Discovery & Clinical Design
We map the radiology workflow, the codes and devices involved, and the core job to be done.
Workflow-shaped
2.
Architecture & Core Build
We build the core workflow with interoperability and PHI handling engineered in from the start.
Compliant
3.
Integrations
EHR, device, and standards integration so the product connects to the systems already in use.
Connected
4.
Launch & Iterate
A measured launch tracking adoption and outcomes, then iteration.
Adoption-tuned
Facts and sources
Which rules shape radiology software?
Short facts we design around, each linked to its primary source.
DICOM is the international standard for medical images and related information, maintained by NEMA and also published as ISO 12052.
Source: DICOM Standard (NEMA)In HL7 FHIR R4, the ImagingStudy resource represents the content of a DICOM imaging study and points to the endpoints where its images can be retrieved.
Source: HL7 FHIR R4, ImagingStudyFDA's mammography quality standards require each mammography report to state an overall final assessment in one of set categories, such as Negative, Benign, Probably Benign, Suspicious or Highly Suggestive of Malignancy.
Source: 21 CFR 900.12(c)(1)(iv) (eCFR)The HIPAA Security Rule requires administrative, physical and technical safeguards for electronic protected health information.
Source: 45 CFR Part 164 Subpart C (eCFR)
Why Partner With Us
15-Minute Scoping CallWhy do radiology teams build with Agnotic?
Healthcare-only focus, standards-based engineering, and delivery you can hold to account.
Radiology workflow depth
We understand the radiology workflow, the codes and devices, and the clinical realities that decide adoption.
Compliance by default
HIPAA safeguards and role-based access designed in from the first commit, not retrofitted before launch.
Interoperable engineering
FHIR R4, HL7 v2, DICOM, and SMART on FHIR so what we build connects to your existing systems.
Delivery you can verify
Clear scope, working software early, and accountability throughout the engagement.
Frequently Asked Questions
We connect RIS scheduling to PACS image storage over DICOM, driving a broker-managed worklist that assigns studies by subspecialty and priority. Radiologists open the correct prior comparisons automatically, and dictated reports flow back through HL7 ORU messages to the ordering EHR.
Yes. We build structured templates using RadLex terminology and reporting standards like BI-RADS, LI-RADS, and Lung-RADS, capturing discrete findings and assessment categories. Measurements populate directly from PACS, and follow-up recommendations generate trackable tasks so incidental findings are not lost.
We implement critical-findings alerting that timestamps radiologist-to-provider communication, escalates unacknowledged alerts, and logs the read-back per Joint Commission requirements. Actionable incidental findings enter a follow-up registry with due dates so recommended imaging is tracked to completion.
Yes. We ingest AI algorithm outputs for findings like intracranial hemorrhage or PE directly into the worklist for priority reordering, and capture CT dose (DICOM RDSR, CTDIvol, DLP) into a dose-registry dashboard aligned with ACR Dose Index Registry submission.
It depends on which workflow the first release covers (worklists, structured reporting, AI triage or image sharing), how many modalities and sites send studies, and which PACS, RIS and EHR it connects to. We give you a timeline after the scoping call.
Yes. Images, reports and orders are PHI, so Agnotic signs a business associate agreement before any PHI is shared with our team, and we use de-identified or synthetic studies in development and test environments.
Yes. The first release is scoped to one workflow, such as a reading worklist for one modality or one site, before reporting templates, AI triage and more sites are added.
AI tools help our engineers draft code and tests, but a person reviews every change, and it passes the same automated tests and security checks as any other code, including DICOM conformance tests. Which tools may see your code or data is agreed with you at the start.
Ready to build your radiology software?
Tell us your radiology workflow and goals. We'll return a plan that's clinically credible, interoperable, and built to ship.
contact@agnotic.com
Partnerships
contact@agnotic.com